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- W2164658001 abstract "Hypertrophic cardiomyopathy; Myocardial ischemia; Syncope. Syncope and pre-syncope represent common symptoms in patients with hypertrophic cardiomyopa- thy. The clinical scenario of recurrent and frequent syncopal episodes is one of the most challenging in the management of patients with hypertrophic cardiomyopathy. Syncope in hypertrophic car- diomyopathy patients usually recognizes two underlying mechanisms: arrhythmias or primary he- modynamic mechanism. The concomitant presence of myocardial ischemia is one of the potential trig- gers in the context of syncope due to hemodynamic mechanism. Myocardial ischemia is not general- ly related to epicardial coronary artery atherosclerotic disease but rather to the presence of partially obliterated intramural coronary arteries or narrowed vessels. We report the rare case of a patient with hypertrophic cardiomyopathy presenting with recurrent syncopal episodes due to myocardial ischemia secondary to severe stenosis of the left anterior de- scending coronary artery." @default.
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- W2164658001 date "2008-04-01" @default.
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- W2164658001 title "An unusual cause of syncope in hypertrophic cardiomyopathy" @default.
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