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17K views · 172 reactions | Would you give this patient an ICD? Do you know the guidelines? 😳💡Do you know the risk marker? Answer here 👇 A) LV apical aneurysms is correct! LV apical aneurysms are dangerous because they: Form areas of scar and fibrosis → perfect substrate for ventricular tachyarrhythmias. Create electrical instability with re-entry circuits → higher SCD risk. Indicate advanced disease and adverse remodeling in HCM. Carry additional thromboembolic risk due