Apical hypertrophic cardiomyopathy and arrhythmia in military pilots

Apical hypertrophic cardiomyopathy (ApHCM), a subtype of hypertrophic cardiomyopathy, may be found incidentally in healthy young adults. Arrhythmias are poor prognostic signs, and are the most frequent cause of sudden cardiac death. We present two cases of military aviators with ApHCM. One was a hig...

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Bibliographic Details
Published in:Aviation, space, and environmental medicine space, and environmental medicine, 2006-04, Vol.77 (4), p.459-461
Main Authors: Carter, Dan, Pokroy, Russell, Barenboim, Erez, Azaria, Bella, Goldstein, Liav
Format: Article
Language:English
Subjects:
Adult
Aerospace Medicine
Atrial Fibrillation - diagnosis
Atrial Fibrillation - therapy
Cardiomyopathy, Hypertrophic - diagnosis
Cardiomyopathy, Hypertrophic - therapy
Echocardiography
Electrocardiography, Ambulatory
Humans
Male
Military Personnel
Space life sciences
Tachycardia, Ventricular - diagnosis
Tachycardia, Ventricular - therapy
Work Capacity Evaluation
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Summary:Apical hypertrophic cardiomyopathy (ApHCM), a subtype of hypertrophic cardiomyopathy, may be found incidentally in healthy young adults. Arrhythmias are poor prognostic signs, and are the most frequent cause of sudden cardiac death. We present two cases of military aviators with ApHCM. One was a high-performance jet weapon system operator, who had asymptomatic non-sustained ventricular tachycardia (NSVT) and subsequently a symptomatic episode of paroxysmal atrial fibrillation. The second was a helicopter pilot, who had asymptomatic NSVT. Both aviators continue their aviation duties without exposure to +Gz under a regime of regular thorough cardiac assessment.
ISSN:0095-6562