Therapies, Treatments and management HCM

Medical and surgical therapies can be administered to a patient with hypertrophic cardiomyopathy if the condition has not advanced to severe stages.

What the therapies do

Moreover, the therapies are used to reduce ventricular contractility or increase ventricular volume; increase ventricular compliance; as well as outflow tract dimensions of aortic mitral heart valves.

However, medication includes the use of beta blockers, calcium channel blockers as well as antitussives to avoid coughing; thus reducing chest pain or pressure.

Also if a patient suffers from high blood pressure; its treatment of can greatly reduce the chances of sudden death through them.

Prevention

Furthermore, patients should completely abstain from strenuous exercises and activities. Simply because these can increase the likelihood of heart attack.

Meanwhile, incase of any symptoms of HCM; especially to patients with high blood pressure or have a family history of HCM; prior and early consultation is vital to diagnose; as well as mitigate chances of sudden death. One is advised to see a cardiologist, or a cardiothoracic surgeon; or a cardiac electrophysiologist or a geneticist.

Diet

Moreover, no special diet is required. But a patient with HCM should avoid excessive salt; and weight gain. Also smoking, drinking alcohol or any using drugs or any other foodstuff; which may induce HCM or any heart condition should be avoided.

Some of the most common therapies administered include:

Left Ventricular Myomectomy

Left Ventricular Myomectomy is done to HCM patients whose symptoms are refractory to therapies. As well as have an outflow gradient of more than 50 mm Hg, at any time; i.e. during sleep or after any physical activity.

Nonetheless, the procedure is used to abolish the outflow gradient. The improvements can be seen for at least several years.

Normally the reduction in left ventricular outflow gradient may not reduce the risk of sudden death. But may lengthen the life of the patient. With time, maybe after 5 or so years; the gradient may increase again; and left ventricular myomectomy procedure may have to be done again. Therefore, this may be the case as long as the patients lives.

Mitral Valve Replacement

Mitral valve replacement procedure is best for patients with severe mitral regurgitation; due to systolic anterior movement of the mitral valve.. Especially when mitral regurgitation; (large regurgitant fraction) is associated with the development of congestive heart failure; or severe pulmonary hypertension. This surgical procedure is very delicate. The health provider may not easily recommend it.

 

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