A Guide to Hypertrophic Cardiomyopathy: For Patients, Their - download pdf or read online

By Barry J. Maron

Written by means of the authority on hypertrophic cardiomyopathy (HCM) and an HCM sufferer, and entirely recommended by way of the Hypertrophic Cardiomyopathy organization (HCMA), the major advocacy and aid association, the third version of this best-selling advisor deals exceptional perception into all features of dwelling with and treating HCM

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Sample text

LA, left atrium. Therefore, most HCM experts believe that MRI (with contrast) should be routinely performed in all HCM patents, probably also in the screening of family members (Figure 16, Figure 17, and Figure 18). While two-dimensional echocardiography is the most common clinical test used to diagnose HCM, MRI has rapidly penetrated into clinical cardiology providing high-resolution images of the heart, with three-­dimensional reconstruction often superior to echocardiography. MRI may allow more precise measurement of left ventricular wall thickness, including when the echocardiogram is ambiguous, or of insufficient technical quality.

This appearance can represent a separate disease or occur in association with other cardiac ­diseases, including HCM. Because noncompaction is newly described, its natural history and treatment strategies are still being resolved. Systemic hypertension High blood pressure is a common problem in the general population. However, when hypertension is present in a patient suspected of having HCM, it can make the HCM diagnosis difficult. Nevertheless, when this dilemma arises, it is prudent to recommend family screening for HCM as a precaution.

Sudden death during follow-up (% patients) Complications of HCM 49 16 14 12 10 8 6 4 2 0 ≤15 16–19 20–24 25–29 ≥30 Maximal left ventricular wall thickness (in mm) Figure 26 Extreme thickening matters in HCM. (Top) A stop-frame photograph from a two-dimensional echocardiogram of an HCM heart in which the thickness of the ventricular septum (VS) is about five times the normal. Ao = aorta; LA = left atrium; LV = left ventricle; RV = right ventricle. (Bottom) Population study showing that there is little risk for sudden death associated with mild degrees of thickening of the left ventricular wall, while extreme wall thickening of 30 mm or more conveys the highest risk, and can be a reason for your cardiologist to recommend an ICD.

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