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Indications and Outcome of PPM and ICD Placement

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Hypertrophic Cardiomyopathy

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Abstract

The use of synchronized atrioventricular (AV) pacing devices and implantable cardioverter-defibrillators (ICDs) plays a critical role in the management of hypertrophic cardiomyopathy (HCM). Indications for pacing and defibrillators follow the standard guidelines for treatment of conduction disease and arrhythmias in the general population, with distinct additional indications for HCM patients based on the potential to mitigate diastolic dysfunction and outflow tract gradients, and the potential for life-threatening ventricular arrhythmia and sudden cardiac death. ICDs can be a life-saving therapy in high-risk HCM patients, but the early placement of these devices in younger patients may expose them to a higher lifetime risk of complications. Given the unique nature of HCM, specific procedural and programming considerations should be taken into account.

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Authors and Affiliations

  1. Department of Medicine and Division of Cardiology, Stony Brook Medical School, Winthrop-University Hospital, 120 Mineola Boulevard, Suite 500, Mineola, NY, 11501, USA

    Joseph J. Germano DO, FACC, Joshua R. DeLeon MD, FACC, FASNC & Daniel R. Zakhary MD, PhD

  2. Department of Medicine and Division of Cardiology, Beth Israel Deaconess Medical Center, 185 Pilgrim Road, Baker 4, Boston, MA, 02215, USA

    Mark E. Josephson MD, FACC

  3. Department of Medicine and Division of Cardiology, Harvard-Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Mark E. Josephson MD, FACC

  4. Harvard Medical School, Boston, MA, USA

    Mark E. Josephson MD, FACC

Authors
  1. Joseph J. Germano DO, FACC
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  2. Joshua R. DeLeon MD, FACC, FASNC
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  3. Daniel R. Zakhary MD, PhD
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  4. Mark E. Josephson MD, FACC
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Correspondence to Joseph J. Germano DO, FACC .

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Editors and Affiliations

  1. Winthrop University Hospital, Mineola, New York, USA

    Srihari S. Naidu

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Germano, J.J., DeLeon, J.R., Zakhary, D.R., Josephson, M.E. (2015). Indications and Outcome of PPM and ICD Placement. In: Naidu, S. (eds) Hypertrophic Cardiomyopathy. Springer, London. https://doi.org/10.1007/978-1-4471-4956-9_15

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  • DOI: https://doi.org/10.1007/978-1-4471-4956-9_15

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