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Articles

Title: Non-pharmacological management of hyperthrophic obstructive cardiomyopathy

Author:
Michał Plewka, Karina Wierzbowska
Type:
type 5
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
1999
Volume:
1
Number:
2
Start page:
141
Final page:
143
ISSN:
1507-5540
Keywords:
hypertropic obstructive cardiomyopathy, septal ablation, DDD pacing, surgical myectomy
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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.