title: Apical aneurysm and myocardial bridging in a patient with hypertrophic cardiomyopathy: association or consequence of the myocardial bridging?
abstract: The identification of high-risk patients with hypertrophic cardiomyopathy (HC) for primary  prevention of sudden cardiac death (SCD) remains a challenging issue, since major risk  factors sometimes lack specificity. We report the case of a patient with HC and association of  apical aneurysm and myocardial bridging who had been initially not implanted because she  had only one major risk factor. She subsequently experienced a sustained ventricular tachycardia  that finally motivated the implantation. We conclude that it is never an easy decision to  implant a preventive implantable cardioverter-defibrillator (ICD). Nevertheless, additional  criteria for a better selection of patients who would benefit from an ICD implant are certainly  useful.
authors.affiliation: Cardiology Department, Caen University Hospital, Normandy, France. foucault-a@chu-caen.fr
authors.forename: Anthony
authors.initials: A
authors.lastname: Foucault
authors.forename: Loic
authors.initials: L
authors.lastname: Hilpert
authors.forename: Francois
authors.initials: F
authors.lastname: Hédoire
authors.forename: Eric
authors.initials: E
authors.lastname: Saloux
authors.forename: Sophie
authors.initials: S
authors.lastname: Gomes
authors.forename: Arnaud
authors.initials: A
authors.lastname: Pellissier
authors.forename: Patrice
authors.initials: P
authors.lastname: Scanu
authors.forename: Laure
authors.initials: L
authors.lastname: Champ-Rigot
authors.forename: Paul
authors.initials: P
authors.lastname: Milliez
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000209:etiology; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D005260:Female; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D054084:Myocardial Bridging / Q000150:complications*; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome