Abstract
OVERCOMING CRISIS: INNOVATIVE APPROACH TO SEPTAL ABLATION IN HYPERTROPHIC CARDIOMYOPATHY WITH ISCHAEMIA
Dr. S. M. Mamun Iqbal*, Neuton Mondal, Dr. Mafuza Tabassum Khan, Dr. Ashir Faishal Hamim, Dr. Nurullah Mujahid Majumder
ABSTRACT
Hypertrophic Cardiomyopathy (HCM) is a genetic disorder with an autosomal dominant mode of inheritance. 1:500 in the general population are affected by it. It can be generalised or restricted largely to the interventricular septum. Septal hypertrophy can lead to Left Ventricular Outflow Tract Obstruction (LVOTO), which occurs in 25% of cases resulting in poor prognosis. However, Ethyl Alcohol Ablation has been introduced as a method to reduce the LVOTO especially in patients refractory to medical therapy. The coexistence of HCM and Coronary Artery Disease(CAD) is rare. Here we present a case report of a 40-year-old lady, who presented with HCM and CAD, and had undergone Percutaneous Coronary Intervention(PCI) and Ethyl Alcohol Ablation due to unresolving symptoms.
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