By Barry J. Maron
Written by way of the authority on hypertrophic cardiomyopathy (HCM) and an HCM sufferer, and entirely counseled by means of the Hypertrophic Cardiomyopathy organization (HCMA), the major advocacy and aid association, the third variation of this best-selling consultant bargains unheard of perception into all points of residing with and treating HCM
Read Online or Download A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians PDF
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Additional resources for A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians
Example text
Lightheadedness or dizziness), fainting (known as syncope), or the perception that loss of consciousness is imminent, but then does not, in fact, occur (near-syncope). Such episodes may occur in association with exercise, or without apparent provocation, and the reason for these events is not always clear, even after testing. Impaired consciousness may be due to an irregularity of the heartbeat, a fall in blood pressure, or commonly unrelated to HCM and heart disease, that is, vasovagal syncope – in which the vagal nerve is excessively active.
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.
The two populations are not different in terms of survival (mortality risk for both is about 1% per year). Therefore, HCM itself does not add to the overall risk of living. 2%/year, lower than the risk in the general population. Therefore, the risk for sudden death appears to generally decrease after 60 years. Complications of HCM 43 must be assessed individually to determine which subgroup of patients they most likely belong to – for example, high or low risk for sudden death, with or without predisposition to progressive symptoms, or with or without atrial fibrillation (Figure 20).