Title: Does hypertrophic cardiomyopathy in the elderly really exist?
- Maciej Janiszewski, Marek Kuch, Mirosław Dłużniewski, Marcin Młotek, Włodzimierz Mojkowski
- Case Reports
- Polish Journal of Cardiology
- Start page:
- Final page:
- hypertrophic cardiomyopathy, echocardiography
Hypertrophic obstructive cardiomyopathy (HOCM) is usually diagnosed in young individuals. Ouite often the first and only manifestation of the disease is sudden death. It is not clear if HOCM occurs also in the elderly; and if so, whether it is the same form of disease as in young individuals.
A case of 74-year-old woman with recurrent paroxysmal atrial fibrillations and echocardiographic features of HOCM is presented. Paroxysmal atrial fibrillation resulted in rapid worsening of heartfailure symptoms. As the patient did not qualify for invasive treatment of HOCM (because of numerous other diseases), the pri-mary treatment goal was to maintain sinus rhythm. Amiodarone proved to be the most effective in preven-tion of PAF recurrences. In this case its efficacy has been confirmed by a few year follow-up of the patient - sinus rhythm is maintained and no symptoms of heart failure worsening are observed.