Treatment FAQ

what is the treatment for hypertrophic cardiomyopathy

by Ms. Jacquelyn Barton Jr. Published 3 years ago Updated 2 years ago
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Medications to treat hypertrophic cardiomyopathy and its symptoms may include: Beta blockers such as metoprolol (Lopressor, Toprol-XL), propranolol (Inderal, Innopran XL) or atenolol (Tenormin) Calcium channel blockers such as verapamil (Verelan, Calan SR,) or diltiazem (Cardizem, Tiazac)Jun 2, 2020

Medication

Feb 19, 2020 · Hypertrophic cardiomyopathy (HCM) is an inherited disease of the cardiac sarcomere that results in left ventricular hypertrophy, hyperdynamic function, microvascular dysfunction, impaired relaxation, and myocardial fibrosis. 1 Clinical hallmarks include left ventricular outflow tract obstruction (LVOTO), arrhythmias, and heart failure. 2,3 To date, no …

Procedures

Treatment may include a combination of medications, procedures, lifestyle changes, and ongoing follow-up visits and tests. Your care team will talk to you about the testing and treatment options, including the risks and benefits. The overall goal of treatment will be to: Ease any symptoms for example, chest pain, heart failure, palpitations

Self-care

Apr 01, 2011 · Symptomatic treatment of patients with HNCM corresponds to specific treatment of heart failure. For symptomatic HOCM septal ablation and septal myectomy are now comparable procedures. The choice of method depends on the individual findings.

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Jan 03, 2022 · Treatment Options for Hypertrophic Cardiomyopathy. Treatment options for HCM include lifestyle modification, medication, and surgery, as well as the use of noninvasive procedures and implantable devices (such as pacemakers).

What is the life expectancy of someone with hypertrophic cardiomyopathy?

Medical treatments for hypertrophic cardiomyopathy include beta-blockers or calcium channel blockers to help relax the hypertrophied heart muscle and to slow the heart rate which allows for better heart function. Patients with arrhythmias (irregular heartbeat) may require special medications to correct this.

How to effectively treat cardiomyopathy?

Treatments. Treating hypertrophic cardiomyopathy (HCM) depends on the presence and severity of a patient's symptoms, how a patient's heart is functioning, if a patient is suffering from abnormal heart rhythms and a patient's age and activity level. Treatment ranges from medications to surgery or ablation. Treatment of abnormal heart rhythms may include surgically implanting …

What are the treatments for cardiac hypertrophy?

Procedures for the treatment of hypertrophic obstructive cardiomyopathy include: Septal myectomy During a septal myectomy , your surgeon removes a small amount of your thickened septal wall to widen the path your blood takes (outflow tract) from your left ventricle to your aorta.

Is there any natural treatment for cardiomyopathy?

Nov 16, 2020 · Treatment and Management of HCM. There are currently no disease-specific medications for hypertrophic cardiomyopathy. For people with HCM who don’t have symptoms, lifestyle changes and medications for conditions that may contribute to cardiovascular disease are recommended.

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Can hypertrophic cardiomyopathy be cured?

There is no cure for hypertrophic cardiomyopathy (HCM). However, several treatments are available to relieve or eliminate symptoms and provide protection against sudden death, providing the vast majority of HCM patients the opportunity to achieve normal longevity with an excellent quality of life.Jan 3, 2020

How serious is hypertrophic cardiomyopathy?

The thickened heart muscle can eventually become too stiff to effectively fill the heart with blood. As a result, your heart can't pump enough blood to meet your body's needs. Sudden cardiac death. Rarely, hypertrophic cardiomyopathy can cause heart-related sudden death in people of all ages.Jun 2, 2020

What is the life expectancy of someone with hypertrophic cardiomyopathy?

Mean age at HCM death was 56 years (range, 7-87 years); 21 deaths (72%) were considered premature, occurring before age 75 years (Figure 1). The other 8 patients (28%) died of HCM at age 76 to 87 years and, therefore, achieved statistical life expectancy (Figure 1).

What is the treatment for thickening of the heart?

Alcohol septal ablation (nonsurgical procedure): Ethanol (a type of alcohol) is injected through a tube into the small artery that supplies blood to the area of heart muscle thickened by hypertrophic cardiomyopathy. The alcohol causes these cells to die.

Can you live a normal life with hypertrophic cardiomyopathy?

Research has shown that with proper treatment and follow-ups, most people with HCM live a normal life. A database of 1,297 patients with HCM from the Minneapolis Heart Institute Foundation identified that 2% of the patients can live past 90 years, and 69% of them were women.Mar 2, 2021

Does hypertrophic cardiomyopathy get worse with age?

HCM is a chronic disease that can get worse over time. This can lead to poorer function and quality of life, long-term complications and more financial and social burden. People with HCM often need to make lifestyle changes, such as limiting their activity, to adjust for their disease.Nov 17, 2020

What medications should be avoided with hypertrophic cardiomyopathy?

Agents to reduce pre- or afterload (such as nitrate, ACE inhibitors, nifedipine-type calcium antagonists) are contraindicated with HOCM due to possible aggravation of the outflow tract obstruction.Apr 1, 2011

What is end stage hypertrophic cardiomyopathy?

The burned-out phase of hypertrophic cardiomyopathy refers to the end-stage of hypertrophic cardiomyopathy and is characterized by myocardial fibrosis, systolic dysfunction and left ventricular wall thinning.May 25, 2021

How long can you live with hypertrophy?

Hypertrophic cardiomyopathy (HCM) is consistent with survival to normal life expectancy, including particularly advanced age into the tenth decade of life, with demise ultimately largely unrelated to this disease, according to a study being presented Nov.Nov 13, 2011

How do you reverse hypertrophic cardiomyopathy?

Lifestyle Changes for Hypertrophic Cardiomyopathy
  1. Exercise as Recommended. Regular exercise reduces heart rate and blood pressure and provides overall health benefits. ...
  2. Monitor Blood Pressure. ...
  3. Eat Healthfully. ...
  4. Limit Alcohol Consumption. ...
  5. Control Diabetes. ...
  6. Manage Stress. ...
  7. Quit Smoking.

Can you exercise with hypertrophic cardiomyopathy?

Current guidelines recommend restricting competitive sports participation for individuals with HCM to low-static/low-dynamic sports such as golf or bowling,1-3 and vigorous recreational exercise has also been recommended against.Feb 23, 2017

How to treat a heart attack?

The overall goal of treatment will be to: 1 Ease any symptoms for example, chest pain, heart failure, palpitations 2 Prevent or lessen complications, such as blood clots, heart failure, or dangerous heart rhythms that can lead to sudden cardiac death

What is the goal of a cardiac care team?

The overall goal of treatment will be to: Prevent or lessen complications, such as blood clots, heart failure, or dangerous heart rhythms that can lead to sudden cardiac death.

Is HCM screening clear cut?

With HCM, screening and treatment decisions are not always clear cut. What might be the right choice for one person may not be the one for another. Shared decision-making can help you work with your care team to find the right option for you.

What is shared decision making?

In shared decision-making, you should speak up and let your care team know what is most important to you.

What is the best treatment for hypertrophic cardiomyopathy?

Medical Therapy. Medical treatments for hypertrophic cardiomyopathy include beta-blockers or calcium channel blockers to help relax the hypertrophied heart muscle and to slow the heart rate which allows for better heart function.

What is the treatment for irregular heartbeat?

Depending on the type of arrhythmia, other treatments may include blood thinners, a pacemaker, or an implantable defibrillator (to reduce risk of sudden death).

Is sternotomy invasive?

For one, it is very minimally invasive compared to procedure s perform ed at other institutions (most do sternotomy). More importantly, it allows incredible visualization of the septum from the aortic valve all the way to the apex (tip) of the heart.

How to treat abnormal heart rhythms?

Treatment of abnormal heart rhythms may include surgically implanting a pacemaker or an implantable cardioverter defibrillator into the patient. In rare cases of severe heart failure, a heart transplant may be needed.

What is HCM in medical terms?

Treating hypertrophic cardiomyopathy (HCM) depends on the presence and severity of a patient's symptoms, how a patient's heart is functioning, if a patient is suffering from abnormal heart rhythms and a patient's age and activity level.

How many people are affected by hypertrophic cardiomyopathy?

Hypertrophic cardiomyopathy affects an estimated 600,000 to 1.5 million Americans, or one in 500 people. It is more prevalent than multiple sclerosis, which affects one in 700 people.

What is the treatment for arrhythmias?

Treatment is aimed at minimizing or preventing symptoms and reducing the risk of complications, such as heart failure and sudden cardiac death. Treatment includes risk identification and regular follow-up, lifestyle changes, medications and procedures, as needed.

What is the name of the disease that affects the heart muscle?

Hypertrophic cardiomyopathy (HCM) is a complex type of heart disease that affects the heart muscle. It causes thickening of the heart muscle (especially the ventricles, or lower heart chambers), left ventricular stiffness, mitral valve changes and cellular changes. Thickening of the heart muscle (myocardium) occurs most commonly at the septum.

What is the HOCM?

This type of hypertrophic cardiomyopathy may be called hypertrophic obstructive cardiomyopathy (HOCM). HCM also may cause thickening in other parts of the heart muscle, such as the bottom of the heart called the apex, right ventricle, or throughout the entire left ventricle. Normal Heart. Stiffness in the left ventricle occurs as a result ...

Can you die from HCM?

Unless emergency treatments, including CPR and defibrillation, are initiated immediately after the onset of symptoms, sudden cardiac death can occur. Most people with HCM have a low risk for sudden cardiac death. However, HCM is the most common cause of sudden cardiac death in people under age 30.

Can HCM cause sudden cardiac death?

Most people with HCM have a low risk for sudden cardiac death. However, HCM is the most common cause of sudden cardiac death in people under age 30. HCM may be best known for its role in cardiac arrest and subsequent death in some young professional athletes.

What are the symptoms of ventricular tachycardia?

Symptoms associated with the presence of ventricular tachycardia or heart failure include: Chest pain or pressure that usually occurs with exercise or physical activity, but also may occur with rest or after meals. Shortness of breath and fatigue, especially with exertion.

Is there a medication for hypertrophic cardiomyopathy?

There are currently no disease-specific medications for hypertrophic cardiomyo pathy.#N#For people with HCM who don’t have symptoms, lifestyle changes and medications for conditions that may contribute to cardiovascular disease are recommended.#N#For those with symptoms, the focus is on symptom management using medications and procedures.

Do people with hypertrophic cardiomyopathy have symptoms?

Some people with hypertrophic cardiomyopathy don’t have symptoms. Others may not have signs or symptoms in the early stages of the disease but may develop them over time. Knowing the signs and symptoms of HCM is important. It can help with getting an early diagnosis, when treatment may be most effective.

Is hypertrophic cardiomyopathy inherited?

Hypertrophic cardiomyopathy is most often inherited. HCM is the most common form of genetic heart disease. It can happen at any age, but most receive a diagnosis in middle age.

What causes a heart muscle to become thicker?

Hypertrophic cardiomyopathy is most often caused by abnormal genes in the heart muscle. These genes cause the walls of the heart chamber (left ventricle) to contract harder and become thicker than normal.

What is obstructive HCM?

Obstructive and Nonobstructive HCM. In obstructive HCM, the wall (septum) between the two bottom chambers of the heart thickens. The walls of the pumping chamber can also become stiff. It may block or reduce the blood flow from the left ventricle to the aorta. Most people with HCM have this type.

How do you know if you have HCM?

Signs and symptoms of HCM include: Chest pain, especially with physical exertion. Shortness of breath, especially with physical exertion. Fatigue. Arrhythmias (abnormal heart rhythms) Dizziness. Lightheadedness. Fainting (syncope) Swelling in the ankles, feet, legs, abdomen and veins in the neck.

What is the pain in the chest?

Chest pain, especially with physical exertion. Shortness of breath, especially with physical exertion. Fatigue. Arrhythmias (abnormal heart rhythms) Dizziness. Lightheadedness. Fainting (syncope) Swelling in the ankles, feet, legs, abdomen and veins in the neck. HCM is a chronic disease that can get worse over time.

What causes cardiomyopathy?

Cardiomyopathy can be caused by: 1 myocarditis, an inflammation of the heart muscle, often due to a viral infection or a chronic inflammatory condition such as lupus. 2 coronary artery disease, the accumulation of cholesterol-filled plaque in the arteries that nourish the heart. It can weaken the heart muscle by reducing blood flow to much of the heart. 3 drinking too much alcohol (alcoholic cardiomyopathy) can result from a lifetime of binge drinking or the cumulative effects of daily heavy drinking.

Does cardiomyopathy cause heart failure?

Cardiomyopathy often leads to heart failure. In some forms of cardiomyopathy, the weakened heart muscle becomes thinned; in other forms it becomes abnormally thickened. In both cases, the ventricles of the heart have trouble pumping blood as effectively as they should.

What causes a thickening of the heart muscle?

an inherited condition called hypertrophic cardiomyopathy which causes a thickening of the heart muscle, especially the wall between the two ventricles. In severe cases, the extra muscle obstructs the passage of blood out of the heart and may cause fainting or even sudden death.

Can blood clots cause strokes?

Blood can stagnate in the heart, making it more likely to form clots. If a clot breaks free and enters the circulation, it can cause a stroke if it lodges in an artery that nourishes the brain, or a pulmonary embolism if it lodges in an artery to the lungs.

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