Journal
AMERICAN JOURNAL OF THE MEDICAL SCIENCES
Volume 328, Issue 3, Pages 185-188Publisher
ELSEVIER SCIENCE INC
DOI: 10.1097/00000441-200409000-00011
Keywords
ventricular tachycardia; hypertrophic cardiomyopathy; alcohol septal ablation
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Percutaneous alcohol septal ablation has emerged as a promising treatment option for patients with symptomatic hypertrophic obstructive cardiomyopathy. Although the procedure involves an alcohol-induced myocardial infarction and results in a substrate potentially conducive to re-entrant tachyarrhythmias, late-occurring ventricular arrhythmias have not been described. We report a case of monomorphic ventricular tachycardia occurring several days after alcohol septal ablation. Patients with hypertrophic cardiomyopathy undergoing alcohol septal ablation should be considered for prophylactic placement of implantable cardioverter defibrillator.
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