%0 Journal Article
%T Ventricular Tachycardia Unveiling an Obstructive Cardiomyopathy Complicated  with an Apical Aneurysm
%A W. N. Mboup
%A S. A. Sarr
%A D. W. Balde
%A M. T. Diop
%A Y. Diouf
%A J. S. Mingou
%A F. Aw
%A M. Bodian
%A M. B. Ndiaye
%A M. Diao
%J World Journal of Cardiovascular Diseases
%P 111-117
%@ 2164-5337
%D 2022
%I Scientific Research Publishing
%R 10.4236/wjcd.2022.122011
%X <strong>Background:</strong><span style=\"white-space:normal;\"><span style=\"font-family:;\" \"=\"\"><strong>&nbsp;</strong>We report the case of a 58</span></span><span style=\"white-space:normal;\"><span style=\"font-family:;\" \"=\"\">-</span></span><span style=\"white-space:normal;\"><span style=\"font-family:;\" \"=\"\">year</span></span><span style=\"white-space:normal;\"><span style=\"font-family:;\" \"=\"\">-</span></span><span style=\"white-space:normal;\"><span style=\"font-family:;\" \"=\"\">old hypertensive patient under treatment who presented with a ventricular tachycardia unveiling an obstructive cardiomyopathy complicated with an apical aneurysm. <b>Aim: </b>Highlight the rarity of the case and the difficulty of management. <b>Case Presentation: </b>This patient was transferred from Regional Hospital of Ziguinchor in southern Senegal for a brutal dizzy spell without loss of consciousness. The electrocardiogram showed a wide monomorphic QRS complex regular tachycardia with a rate of 215 beats/min. An external electrical cardio</span></span><span style=\"white-space:normal;\"><span style=\"font-family:;\" \"=\"\"> </span></span><span style=\"white-space:normal;\"><span style=\"font-family:;\" \"=\"\">version at 300 joules was applied which led to the recovery of a sinus rhythm on the electrocardiogram. The Doppler echocardiography showed an asymetricalmedio-ventricular hypertrophy with a maximum left intraventricular gradient at 10 mm Hg at rest. The coronarography via the radial artery was normal. The evolution was labeled with a recurrence of the ventricular tachycardia. The patient was then put on amiodarone 200 mg, beta-blocker (bisoprolol 10 mg) and anti-vitamin K (acenocoumarol 4 mg). Facing rhythmic instability, an implantable automatic defibrillator was fitted. No complication has been reported after one year of evolution. <b>Conclusion: </b>HCM with medio ventricular obstruction and apical aneurysm complicated with ventricular arrhythmias is a rare entity. Its management is difficult and controversial.</span></span>
%K Hypertrophic Cardiomyopathy
%K Apical Aneurysm
%K Ventricular Tachycardia
%K Implantable Automatic Defibrillator
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=115502