Similar to exercise, stressful activities such as public speaking may increase myocardial oxygen demand and cause ischemia in patients with hypertrophic cardiomyopathy. Introduction Hypertrophic cardiomyopathy (HCM) is associated with an… Click to show full abstract
Similar to exercise, stressful activities such as public speaking may increase myocardial oxygen demand and cause ischemia in patients with hypertrophic cardiomyopathy. Introduction Hypertrophic cardiomyopathy (HCM) is associated with an increased risk of sudden cardiac death (SCD). A possible cause of SCD in these patients is myocardial ischemia leading to ventricular fibrillation (VF). This mechanism has not been previously electrocardiographically demonstrated in the literature. Ischemia may precede ventricular fibrillation in these patients.
               
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