Presentation
Paternal uncles and grandparents also presented the disease. Two of the patient's brothers presented the same condition and one had died of sudden death. The patient presented repeated episodes of syncope during the clinical evolution. [scielo.br]
Entire Body System
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Fatigue
The symptoms of visual darkening and fatigue after physical exertion were related with increased cardiac frequency, without arrhythmias, during physical stress. [scielo.br]
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Congestive Heart Failure
Dyspnea is the most common symptom3, followed by angina9 and less frequently, fatigue, palpitations, pre-syncope, syncope and congestive heart failure (CHF) symptoms in those who evolve to the dilated phase. [scielo.br]
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Asymptomatic
On 01/13/2007 asymptomatic supraventricular paroxystic tachycardia wad documented during sleep. [scielo.br]
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Physician
On 02/05/2007 she had a syncope episode at home, which was accompanied by a family member who was a physician, presenting hypotension followed by the implantable defibrillator shock and cessation of symptoms. [scielo.br]
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Collapse
Some patients with HCM occasionally present acute hemodynamic collapse secondary to the acute obstruction of the LV outflow tract, a situation that is compatible with the present case. [scielo.br]
Cardiovascular
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Systolic Murmur
They present sinus tachycardia, hypotension, low jugular venous pressure, radiographic evidence of HF and systolic murmur of the LV outflow tract obstruction and mitral insufficiency. [scielo.br]
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Heart Failure
The major complications associated to the disease are death, heart failure (HF), arrhythmias, cerebral vascular accidents (CVA) and infectious endocarditis15. [scielo.br]
Psychiatrical
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Withdrawn
These drugs had been previously prescribed and used by the patient, but they had caused arterial hypotension and consequently, their use was withdrawn. [scielo.br]
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Fear
Sudden death is the most feared complication of the disease and the availability of effective prophylactic treatment (ICD), the identification of patients at increased risk acquired important clinical significance. [scielo.br]
Treatment
The IV administration of beta-blockers and disopyramide38 are other treatment options. [scielo.br]
Prognosis
I: Influence on prognosis. Br Heart J. 1981; 46: 168-72. [ Links ] 32. Hardarson T, De la Calzada CS, Curiel R, Goodwin JF. Prognosis and mortality of hypertrophic obstructive cardiomyopathy. Lancet. 1973; 2: 1462-7. [ Links ] 33. [scielo.br]
Etiology
Fernando Morita) Clinical Commentary The patient was a young woman with a diagnosis of hypertrophic cardiomyopathy (HCM), of the non-obstructive type and presented complex ventricular arrhythmia, of genetic etiology with high penetrance in the family [scielo.br]
Epidemiology
Epidemiology of hypertrophic cardiomyopathy-related death: revisited in a large non-referral-based patient population. Circulation. 2000; 102: 858-64. [ Links ] 16. McKenna WJ, Deanfield J, Faruqui A, England E, Oakley C, Goodwin J. [scielo.br]
Pathophysiology
Pathophysiology of chest pain in patients with cardiomyopathies and normal coronary arteriograms. Circulation. 1982; 65: 778-89. [ Links ] 10. Maron BJ, Casey SA, Poliac LC, Gohman TE, Almquist AK, Aeppli DM. [scielo.br]
Prevention
Efficacy of implantable cardioverter-defibrillators for the prevention of sudden death in patients with hypertrophic cardiomyopathy. N Engl J Med. 2000; 342: 365-73. [ Links ] 36. Braunwald E, Seidmen CE, Sigwart U. [scielo.br]