Implantable Cardioverter Defibrillator wire in a Hypertrophic Cardiomyopathy patient. An echocardiographic apical four chamber view showing the wire of an Implantable Cardioverter Defibrillator in the right ventricle, passing through tricuspid valve. Defibrillator was implanted in a male HCM patient presenting with previous syncope episodes and positive family history for sudden death.