By Barry J. Maron
Written by way of the authority on hypertrophic cardiomyopathy (HCM) and an HCM sufferer, and completely counseled via the Hypertrophic Cardiomyopathy organization (HCMA), the prime advocacy and help association, the third variation of this best-selling consultant bargains unprecedented perception into all features of dwelling with and treating HCM
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Extra resources for A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians
The tertiary referral centers) and media attention to HCM as the cause of sudden death in trained athletes. The reality is that only a very small fraction of all HCM patients are at risk to die suddenly. Nevertheless, understandingly, sudden unexpected collapse remains a devastating consideration for many patients living with this disease. Unfortunately, there are no reliable clinical warning signs and the assignment of high-risk status is not dependent on the prior occurrence of symptoms. Therefore, the absence of symptoms can represent a false sense of security for patients with respect to sudden death risk.
However, this is a different form of heart failure than occurs in patients with coronary artery disease, or other cardiac conditions. Usually in HCM, heart failure is paradoxically present in a heart in which the ventricles are not dilated and show normal contraction. In other more common diseases, congestive heart failure can be a profound and chronic condition, generally occurring after a myocardial infarction (“heart attack”), and producing enlarged or dilated ventricles that contract poorly.
Exercise testing can Other tests that may be useful in assessing HCM in selected patients 39 also provide an objective measurement of improvement, stability, or deterioration over time. However, a carefully taken personal history can often represent the best barometer of your physical capabilities. Of note, the exercise test is often combined with an echocardiogram (stress echocardiogram) to determine whether outflow obstruction occurs physiologically with exertion. This particular test is used with increasing frequency on a routine basis since knowledge of such provoked obstruction may have clinical relevance, that is, to replicate the circumstances under which patients typically experience exertion-related symptoms.
A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians by Barry J. Maron