What is the treatment for hypertrophic cardiomyopathy?

Heart health is very important for most people because we only have one heart and its function is irreplaceable. It can easily pump blood to all parts of the body and fully realize the blood circulation. Problems with the heart will directly affect the flow of blood, eventually leading to rapid failure of various organs in the body due to lack of nutrition or inability to excrete toxins. There are many types of heart diseases, among which hypertrophic myocardium is a relatively easy to treat disease and its harm is relatively small. Below is an introduction to the treatment of hypertrophic cardiomyopathy.

Hypertrophic cardiomyopathy is characterized by thickening of the myocardium. Depending on whether there is obstruction in the left ventricular outflow tract, it can be divided into obstructive and non-obstructive hypertrophic cardiomyopathy. Asymmetric ventricular septal hypertrophy leading to subaortic stenosis is called idiopathic hypertrophic subaortic stenosis.

There are significant differences in the disease between men and women. Most symptoms appear between the ages of 30 and 40. As age increases, the symptoms become more obvious. The main symptoms include dyspnea, exertional dyspnea, severe orthopnea or paroxysmal nocturnal dyspnea. Angina pectoris: often typical angina pectoris, with onset after exertion. If the chest pain persists for a long time, sublingual nitroglycerin is not only ineffective but may also make the condition worse. Syncope and dizziness; often occur when tired. It is caused by a drop in blood pressure. When tachycardia or bradycardia occurs, it can also cause syncope and dizziness. Palpitations: The patient feels that the heart is beating strongly, especially when lying on the left side, which may be caused by arrhythmia or changes in heart function.

treat:

1. Patients with no symptoms, mild ventricular septal hypertrophy and normal electrocardiogram should be observed temporarily.

2. Avoid strenuous exercise

Especially competitive sports and emotional stress.

3. Medication

Avoid the use of drugs such as digitalis preparations, nitroglycerin, and isoproterenol.

(1) β-blockers: propranolol, atenolol, metoprolol, and bisoprolol.

(2) Calcium channel blockers: verapamil and diltiazem.

(3) Treatment for heart failure (end stage) Diuretics and vasodilators can be used.

(4) Antiarrhythmic amiodarone and disoproxil have antiarrhythmic and negative inotropic effects.

4. Ventricular septal myectomy

It is suitable for patients with severe left ventricular outflow tract obstruction who are unresponsive to drug treatment. Surgical treatment: If the pressure gradient is >60mmHg and drug treatment is ineffective, surgical treatment can be used. Hypertrophic muscle resection is possible. Patients with severe mitral regurgitation can undergo mitral valve replacement.