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.
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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
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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.
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