Israel Aeromedical Center. NON SUSTAINED VENTRICULAR TACHYCARDIA AND APICAL CARDIOMYOPATHY. Dan Carter MD , Bela Azaria MD, Liav Goldstein MD,MHA. Case Presentation. 49 y\o A-4 (Skyhawk) weapon system operator (WSO). Medical history: Hepatitis 1983.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Israel Aeromedical Center
NON SUSTAINED VENTRICULAR TACHYCARDIA AND APICAL CARDIOMYOPATHY
Dan Carter MD, Bela Azaria MD, Liav Goldstein MD,MHA
Stress test: ST depression.
Echocardiography: Concentric hypertrophy. Septal-basal Hypertrophy. No SAM. No outflow obstruction. (septum 12 mm)
24 h ECG recording: Normal.
Stress test: No evidence of arrhythmia.
NSVT and Apical Cardiomyopathy
Should we grant a waiver?
Ventricular cariomyopathy with ventricular septal hypertrophy localized to the apical region of the left venticle. Maroon et al. Am J Cardiol 1982.
Major risk factors:
Cardiac arrest ( ventricular fibrillation)
Spontaneous sustained ventricular tachycardia
Family history of sudden death
Minor risk factors:
Left ventricular wall thickness > 30 mm
Abnormal blood pressure on exercise
Non sustained ventricular tachycardia
Left ventricular outflow obstruction
High risk genetic defect
Non sustained ventricular tachycardia in 193 u.s. military aviators: long term follow up. ASEM 2000.