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[A rare cause of syncope in a patient treated with the TASH procedure]

C Jabbour1, E-M Oenning, J Neuzner

  • 1Klinikum Kassel, Medizinische Klinik II - Kardiologie, Mönchebergstr. 41, 34125, Kassel, Deutschland. claude.jabbour@klinikum-kassel.de

Herzschrittmachertherapie & Elektrophysiologie
|December 21, 2010
PubMed

Insights

Implantable cardioverter-defibrillators (ICDs) for hypertrophic cardiomyopathy (HOCM) require precise syncope cause identification. This case highlights cough syncope as a treatable cause, potentially avoiding unnecessary ICDs in HOCM patients.

Area of Science:

  • Cardiology
  • Neurology

Background:

  • Hypertrophic cardiomyopathy (HOCM) management often involves assessing syncope, a critical factor in implantable cardioverter-defibrillator (ICD) decisions.
  • Accurate diagnosis of syncope etiology is crucial for appropriate treatment strategies in HOCM patients.

Observation:

  • A case study of a patient with HOCM presenting with recurrent syncope is detailed.
  • Invasive pressure measurement was employed as a diagnostic tool.

Findings:

  • The diagnostic investigation identified cough syncope as the specific cause of the patient's episodes.
  • This diagnosis was confirmed through invasive pressure monitoring, demonstrating a typical presentation of cough syncope.

Implications:

  • Identifying specific, treatable causes of syncope like cough syncope can prevent the potentially unnecessary implantation of ICDs in HOCM patients.
  • This case underscores the importance of thorough etiological investigation for syncope in HOCM to guide personalized treatment and device selection.

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