Tag: annie varughese

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.


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.


Dr. Annie varughese

Our Houston Cardiologist Dr. Annie explains clearly: A heart attack occurs when an artery that caries oxygen-rich blood to the muscle of the heart (myocardium) gets to be blocked. The ensuing absence of oxygen reasons tissue to die in the piece of the heart supplied by the blocked artery. A heart attack is additionally called a myocardial dead tissue (MI).


Most heart attack are in a roundabout way brought on by coronary artery disease (CAD) or Atherosclerosis, a condition in which fatty deposits (plaque) build up on the walls of an artery. This contracts the arteries and limits blood stream to the muscle of the heart. A heart attack is normally activated by a tear or crack of the plaque, which prompts the development of a blood coagulation that obstructs the blood stream in the vein. Spasm of the artery can likewise add to the blockage.

Our Cardiology Doctors reveals some Risk Factors

The danger elements for showing at least a bit of heart attack are like those for creating CAD.

Wild hazard components include:

  • Early menopause
  • Postmenopausal status
  • Expanding age
  • African American, Mexican American, American Indian, local Hawaiian, or Asian ethnicity
  • Family history of cardiovascular sickness (These are sicknesses that influence the heart and veins.)

Danger calculates that you can control through way of life or treatment includes:

  • Smoking or introduction to used smoke
  • Hypertension
  • Large amounts of low- density lipoprotein (LDL) cholesterol
  • Low levels of high- density lipoprotein (HDL) cholesterol
  • Inactive way of life
  • Diabetes
  • Corpulence and overweight (particularly when concentrated around the waist)
  • Mental anxiety

Meet our heart doctors in Houston and know more side effects

The side effects of a heart attack may be much more inconspicuous in women than in men. Chest pain or inconvenience is commonly the most widely recognized side effect in men and women. On the other hand, women’s may be more prone to experience a portion of the other regular indications, especially shortness of breath, nausea or vomiting, and back or jaw torment.

Regular indications include:

  • Nausea or vomiting
  • Serious exhaustion
  • Dizziness
  • Feelings of heartburn or indigestion in the upper abdomen
  • Pain that radiates into the arms (on the left side more than the right)
  • Pain high in the back, jaw, or neck
  • Heart palpitations
  • Profuse sweating
  • Shortness of breath
  • A fear of impending death

Diagnosis process explained by our top cardiologists in Houston

The accompanying tests may be carried out to affirm the analysis of a heart attack:

  1. Electrocardiogram (ECG) — this test records the electrical movement of the heart. It is utilized to check whether the heart muscle was harmed and where the harm is placed.
  2. Blood tests— these may incorporate checking levels of compounds, troponin levels, and different tests.
  3. Echocardiogram — this test uses high-recurrence sound waves to envision the heart’s structure and capacity.
  4. Myocardial perfusion scan —this output utilizes little measurements of a radioactive substance infused into the circulatory system to envision how well blood is sustaining the heart muscle.
  5. Coronary angiogram —this is an obtrusive test where a catheter is put into the expansive supply route in the crotch and after that exceptional up the aorta and to the heart. Intravenous (IV) complexity is infused into the courses to envision blockages.

Get best treatment by our cardiology doctor in Houston-Dr. Annie

Likewise with men, heart disease is the most obvious killer for women, as well. Women represent about a large portion of the passing from heart attack. This makes it particularly essential for women to perceive the indications and get quick care.

Medicinal consideration inside the first hour after the indications begin can fundamentally diminish the measure of heart harm. An electric shock utilising a defibrillator alongside intravenous pharmaceutical may be managed if the pulse is dangerously irregular. Supplemental oxygen is generally given to increase oxygen in the blood and minimise tissue damage. We Houston cardiologist, provide comprehensive diagnostic evaluations. Trans esophageal echo test services in Houston uses sound waves to make images of the heart.