Hypertrophic cardiomyopathy (HCM)

Hypertrophic cardiomyopathy (HCM) is a disease in which the heart muscle (myocardium) becomes abnormally thick (hypertrophied). The thickened heart muscle can make it harder for the heart to pump blood. Hypertrophic cardiomyopathy is very common and can affect people of any age. About one out of every 500 people has HCM. It affects men and women equally.

Other Names for Hypertrophic Cardiomyopathy

  • Asymmetric Septal Hypertrophy
  • Familial Hypertrophic Cardiomyopathy
  • Hypertrophic Obstructive Cardiomyopathy
  • Hypertrophic Non-obstructive Cardiomyopathy
  • Idiopathic Hypertrophic Sub-aortic Stenosis (IHSS)

Causes of Hypertrophic Cardiomyopathy:

HCM is a genetic condition caused by a change or mutation in one or more genes and is passed on through families. Each child of someone with HCM has a 50 per cent chance of inheriting the condition. HCM is a common cause of sudden cardiac arrest (SCA) in young people, including young athletes.

HCM also can affect the heart’s mitral valve, causing blood to leak backward through the valve. Sometimes, the thickened heart muscle doesn’t block blood flow out of the left ventricle. This is called non-obstructive hypertrophic cardiomyopathy. The entire ventricle may thicken, or the thickening may happen only at the bottom of the heart. The right ventricle also may be affected.

hcm_english

Symptoms of HCM:

Many people with HCM don’t experience any symptoms. However, the following symptoms may occur during physical activity:

You may find that you never have any serious problems related to your condition, and with treatment, your symptoms should be controlled. However some people may find that their symptoms worsen or become harder to control in later life.

The area of heart muscle that is affected by HCM and the amount of stiffening that occurs will determine how the symptoms affect you.

For some people, a number of other conditions can develop as a result of having HCM. These may include abnormal heart rhythms, or arrhythmias, including heart block and endocarditis.

Other symptoms that might occur, at any time, include:

  • Chest pain
  • Palpitations
  • Shortness of breath
  • High blood pressure
  • Light headedness and fainting

 

Diagnosis of Hypertrophic Cardiomyopathy:

The health care provider will perform a physical exam and listen to the heart and lungs with a stethoscope. Signs may include abnormal heart sounds or a heart murmur. These sounds may change with different body positions, High blood pressure, the pulse in your arms and neck will also be checked. The doctor may feel an abnormal heartbeat in the chest.

Close family members of people who have been diagnosed with hypertrophic cardiomyopathy may be screened for the condition. Tests used to diagnose heart muscle thickness, problems with blood flow, or leaky heart valves (mitral valve regurgitation) may include:

  • Echocardiography, ECG
  • Cardiac catheterization
  • MRI of the heart, Chest X-ray
  • Transesophageal echocardiogram (TEE)
  • 24-hour Holter monitor (heart rhythm monitor)

Risk Factors include:

Any strenuous exercise that increases after load (i.e., heavy weight lifting/training) can theoretically increase the magnitude of LV hypertrophy over time and thus worsen obstruction in subjects with pre-existing HCM. Risk factors for the development of end-stage HCM (manifesting as LV systolic dysfunction and LV dilation) include younger age of onset/presentation of HCM, a family history of HCM, increased ventricular wall thickness, along with the presence of certain genetic mutations in certain individuals.

Treatment of HCM:

At present there is no cure for HCM, but treatments are available to help control your symptoms and prevent complications. Your treatment will depend on how your heart is affected and what symptoms you have. You may need:

  • A Pacemaker – to control your heart rate
  • Medicines – to help control your blood pressure, abnormal heart rhythms
  • An ICD – if you are at risk of having a life threatening abnormal heart rhythm

Seek counsel from our Houston Cardiologist if you suspect you are suffering from Hypertrophic Cardiomyopathy (HCM) for the best treatment options for you.

Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701.

Advertisements

Advanced Lipid Test in Houston

We trust that cardiovascular threat decrease and counteractive action is one of our most imperative occupations. The most well-known reason for death in our patients with and without diabetes is heart attack or stroke takes after not a long ways behind. We work with a straightforward blood test we have the capacity to tell patients their precise lipoprotein molecule checks, and in addition search for hereditary and different variations from the norm that build danger of cardiovascular sickness.

 This takes into consideration significantly more precise and custom-made treatment which is intended to prevent cardiovascular infection. This test likewise measures the high risk protein, lipoprotein (an), and tests for inflammation and absorption and synthesis. At the point when patient have elevated cholesterol, patient may create fatty deposits in patient veins. In the end, these stores make it troublesome for enough blood to flow through patient arteries. Understanding heart may not get as much oxygen-rich blood as it needs, which builds the risk of a heart attack. Diminished blood stream to patient cerebrum can bring about a stroke.

 Elevated cholesterol (hypercholesterolemia) can be acquired, yet it’s frequently the consequence of undesirable way of life decisions, and along these lines preventable and treatable. A healthy diet, general activity and here and there prescription can go far toward reducing high cholesterol.

 Our Advanced Lipid Testing goes far from standard lipid tests. Advanced lipid test recognizes different identifies may acquire, that expand patient threat for cardiovascular illness, stroked and/or diabetes. The after-effects of these lipid tests help Heart Specialists include a treatment plan to incorporate the most amazing healthy and exercise recommendations.

Advanced Lipid Testing Services

At Texas we offer cardiovascular risk assessment with advanced lipid testing. We believe that cardiovascular risk reduction and prevention is one of our most important jobs. The most common cause of death in our patients with and without diabetes is heart attack and stroke follows not far behind. We work with a simple blood test we are able to tell patients their exact lipoprotein particle counts, as well as look for genetic and other abnormalities that increase risk of cardiovascular disease.

 

This allows for much more accurate and tailored treatment which is designed to prevent cardiovascular disease. This test also measures the high risk protein, lipoprotein (a), and tests for inflammation and cholesterol absorption and synthesis. When patient have high cholesterol, patient may develop fatty deposits in patient blood vessels. Eventually, these deposits make it difficult for enough blood to flow through patient arteries. Patient heart may not get as much oxygen-rich blood as it needs, which increases the risk of a heart attack. Decreased blood flow to patient brain can cause a stroke.

 

High cholesterol (hypercholesterolemia) can be inherited, but it’s often the result of unhealthy lifestyle choices, and thus preventable and treatable. A healthy diet, regular exercise and sometimes medication can go a long way toward reducing high cholesterol.

 

Our advanced lipid testing goes away from standard lipid tests. The advanced lipid test identifies other factors may inherited, that increase patient risk for cardiovascular disease, stroked and /or diabetes. The results of these lipid tests help doctors develop a treatment plan to include the most excellent nutritional and exercise recommendations. With the personalized plan, the success of our treatment will be monitored over time. Patient will be able to see patient continued progress in disease risk reduction. Even inherited traits, once identified, can be treated happily.