The combination of risk factors for sudden death in a resuscitated elderly patient with an exceptional cause of left ventricular hypertrophy.
The work-up of a previously asymptomatic 72-year-old man presenting with sudden cardiac death revealed a coarctation of the aorta as the cause of arterial hypertension, severe left ventricular hypertrophy, in combination with coronary artery disease with an apical myocardial infarction, severe autonomic dysfunction, and AV-nodal reentrant tachycardia. All these elements and their complex, probably synergistic interactions might have been involved in the development of sudden cardiac death.
Tavernier
R
R
Department of Cardiology, University Hospital Ghent, Belgium. rene.tavernier@rug.ac.be
Hutse
W
W
Jordaens
L
L
D000368:Aged; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications* / Q000175:diagnosis; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D004452:Echocardiography; D015716:Electrocardiography, Ambulatory; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000175:diagnosis; D017379:Hypertrophy, Left Ventricular / Q000150:complications* / Q000175:diagnosis; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis; D012008:Recurrence; D012307:Risk Factors; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000150:complications* / Q000175:diagnosis