Abstract

Although patients with hypertrophic cardiomyopathy (HCM) and without conventional risk factors for sudden death are generally considered at low risk, the magnitude of risk in such patients remains unknown, and additional markers of prognosis may permit more accurate risk stratification.1–3 We report a patient with HCM and without conventional risk factors who had a sustained life-threatening ventricular tachyarrhythmia 6 months after identification of extensive myocardial fibrosis at contrast-enhanced cardiovascular magnetic resonance (CMR). A 61-year-old asymptomatic patient with HCM had been followed at our institution for 12 years. The patient had none of the conventional risk factors for sudden …

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