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European Heart Journal Advance Access published online on January 17, 2008
European Heart Journal, doi:10.1093/eurheartj/ehm561
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Septal myectomy: cut, coil, or boil?

Mario Togni, Michael Billinger, Stephane Cook and Otto M. Hess*

Swiss Cardiovascular Center, University Hospital Inselspital, Freiburgstrasse, CH-3010 Berne, Switzerland

* Corresponding author. Tel: +41 31 632 9653, Fax: +41 31 632 4771. Email: otto.hess@insel.ch

This editorial refers to ‘Non-surgical septal myocardial reduction by coil embolization for hypertrophic obstructive cardiomyopathy: early and 6 months follow-up’ by E. Durand et al., doi:10.1093/eurheartj/ehm632

The first 10% of the full text of this article appears below.

Hypertrophic cardiomyopathy (HOCM) is characterized by asymmetric septal hypertrophy with outflow tract obstruction in approximately one-third of patients. However, recent studies suggest that obstruction may be present in up to 70% of patients with enhanced sympathetic activation under exercise conditions.1 Clinical features are dyspnoea on exertion, angina pectoris, and atrial and ventricular arrhythmias, which mainly are due to diastolic dysfunction, whereas syncope and presyncope often are due to outflow tract obstruction and represent an ominous sign of ventricular arrhythmias and sudden cardiac death.

The treatment strategy . . . [Full Text of this Article]


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Related articles in EHJ:

Non-surgical septal myocardial reduction by coil embolization for hypertrophic obstructive cardiomyopathy: early and 6 months follow-up
Eric Durand, Elie Mousseaux, Pierre Coste, Rémy Pillière, Olivier Dubourg, Ludovic Trinquart, Gilles Chatellier, Albert Hagège, Michel Desnos, and Antoine Lafont
EHJ 2008 29: 348-355. [Abstract] [FREE Full Text]  



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T. Carrel and J. Schmidli
Septal myectomy for hypertrophic obstructive cardiomyopathy: coil, boil and the role of rescue surgery
Eur. J. Cardiothorac. Surg., July 1, 2009; 36(1): 210 - 211.
[Abstract] [Full Text] [PDF]