By Barry J. Maron
Written by means of the authority on hypertrophic cardiomyopathy (HCM) and an HCM sufferer, and entirely counseled via the Hypertrophic Cardiomyopathy organization (HCMA), the major advocacy and aid association, the third version of this best-selling advisor bargains remarkable perception into all facets of residing with and treating HCM
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Additional resources for A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians
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. If you have limiting shortness of breath, but no obstruction at rest, your cardiologist may want to perform a stress echocardiogram to determine whether you develop obstruction while engaged in physical activity which produces symptoms.
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.
We know that sudden death occurs most commonly in young people (under 30–35 years old), but on the other hand there is no particular age 48 A Guide to Hypertrophic Cardiomyopathy Sudden death in young athletes Po s sib le HC HCM (36%) M Oth er † *( 8% ) (5% ) WPW (2 %) Dilated CM (2%) AS (3%) (6%) Coronary anomalies (17%) Myocarditis %) l (4 (4%) M Ion ARVC ) % br cha D LA e idg ) % (3 nne ) (3% (4 D CA ) % re (3 uptu VP r Aor tic Figure 25 Sudden death in young trained athletes. HCM accounts for about one-third of these tragic events.
A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians by Barry J. Maron