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Hypertrophic obstructive cardiomyopathy

Description

This is a 71 year old patient who presented to the ER with a chief complaint of retrosternal chest pain, palpitations, nausea and associated dizziness. She also reported a family history of sudden deaths from "heart attacks". She was admitted to the hospital and the cardiac monitor recorded an episode of non-sustained ventricular tachycardia which the reason that an echocardiogram was done. The above image is an apical four chamber view of hypertrophic obstructive cardiomyopathy. You can also see systolic anterior motion of the mitral valve leaflet leading to subaortic valvular stenosis. Electrophysiology was consulted to evaluate the patient she had an ICD placed for primary prevention of sudden cardiac death. The patient had an uneventful postoperative course and she was discharged from the hospital.

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