Title: Non-pharmacological management of hyperthrophic obstructive cardiomyopathy
- Michał Plewka, Karina Wierzbowska
- type 5
- Polish Journal of Cardiology
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- Final page:
- hypertropic obstructive cardiomyopathy, septal ablation, DDD pacing, surgical myectomy
The treatment of patients with hyperthrophic obstructive cardiomyopathy (HOCM) refractory to medical therapy is controversial. Surgical myectomy has been shown to be efficacious in relieving the LVOT gradient and improving symptoms. Implantation of a dual-chamber pacemaker may also give improvement, but may not be as beneficial as initially reported. Transcoronary ablation of septal hyperthrophy is a promising new treatment in patients with severe symptoms.