Treatments for Hypertrophic cardiomyopathy


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Treatment list for Hypertrophic cardiomyopathy: The list of treatments mentioned in various sources for Hypertrophic cardiomyopathy includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Treatments of Hypertrophic cardiomyopathy discussion: Treatments for hypertrophic cardiomyopathy vary but can include the following:

  • Lifestyle changes. Patients with serious electrical and blood-flow abnormalities must be less physically active.

  • Medications. Various drugs are used to treat the disease. They include beta blockers (to ease symptoms by slowing the heart's pumping action), calcium channel blockers (to relax the heart and reduce the blood pressure in it), antiarrhythmic medications, and diuretics (to ease heart failure symptoms).

    However, drugs do not work in all cases or may cause adverse side effects, such as fluid in the lungs, very low blood pressure, and sudden death. Then, other treatment, such as a pacemaker or surgery, may be needed.

  • Pacemakers. These change the pattern and decrease the force of the heart's contractions. The pacemaker can reduce the degree of obstruction and so relieve symptoms. A pacemaker needs to be carefully monitored after its insertion in order to properly adjust the electrical impulse. Some patients who have a pacemaker inserted feel no relief and go on to have heart surgery.

  • Surgery. This usually calls for removal of part of the thickened septum (the muscle wall separating the chambers) that is blocking the blood flow. Sometimes, surgery also must replace a heart valve--the mitral valve, which connects the left ventricle and the left atrium, the upper chamber that receives oxygen-rich blood from the lungs.

    Surgery to remove the thickening eases symptoms in about 70 percent of patients but results in death in about 1 to 3 percent of patients. Also, about 5 percent of those who have surgery develop a slow heartbeat, which is then corrected with a pacemaker.

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Footnotes:
1. excerpt from NHLBI, Cardiomyopathy: NHLBI

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