Signs That Your Heart Is Not Working Properly – Hypertrophic cardiopathy (HCM) is a disease that causes your heart to enlarge (hypertrophy). Most people with the disease can lead normal lives, but for some it can be life-threatening. If this is the case for you, there are many ways to help.
Hypertrophic cardiopathy (HCM) is a serious heart disease that affects the heart muscle. It can cause:
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This usually happens at your septum. The septum is a strong wall that separates the left and right sides of your heart. Problems occur when the septum between the lower chambers (or ventricles) of your heart thickens.
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A thickened septum can cause a narrowing that blocks or reduces blood flow from the left ventricle to the aorta—a condition known as outflow obstruction. The ventricles must be pumped vigorously to prevent contraction or obstruction. This type of hypertrophic cardiopathy is called hypertrophic obstructive cardiopathy (HOCM).
HCM can also enlarge other parts of your heart muscle, such as the base of your heart (called the apex), the right ventricle, or the entire left ventricle. In these cases, it is called non-obstructive hypertrophic cardiopathy. Although this type reduces the amount of blood that your ventricles can handle, it does not stop blood from flowing.
This is due to the cellular changes that occur in the heart muscle as it grows. Your left ventricle can’t relax and fill with blood properly. Because there is less blood at the end of the cycle, less oxygenated blood is pumped to your organs and muscles. Strengthening your left ventricle increases the pressure inside your heart and can cause symptoms such as:
When your left ventricle contracts, your mitral valve is not working properly. This prevents outflow (blockage) and increases pressure in your left ventricle.
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Obstruction (blockage) occurs when your mitral valve hits your septum. When this happens, your mitral valve often leaks, causing blood to back up in your left atrium.
Through the microscope, heart muscle cells appear disorganized and irregular (disorganized) rather than organized and uniform. This disorder can cause changes in the electrical signals that pass through the lower chambers of your heart and cause an abnormal heartbeat called a ventricular arrhythmia.
Hypertrophic cardiopathy affects about 600,000 to 1.5 million Americans, or 1 in 500 people. It is more common than multiple sclerosis, affecting 1 in 700 people.
Pregnant women with hypertrophic cardiopathy may need special care, such as echocardiography, to support multiple pregnancies and deliveries. If you are thinking about becoming pregnant, talk to your health care provider about your risks. Your doctor will tell you which medicines for hypertrophic cardiopathy you can continue to take during pregnancy. You can also get a pacemaker or implantable cardioverter defibrillator (ICD) if you need it during your pregnancy.
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People with hypertrophic cardiopathy may or may not have different symptoms. The most common symptoms of hypertrophic cardiopathy are:
Most people with hypertrophic cardiopathy lead normal lives and do not experience any health problems. They may not even need to take medication for their illness. However, your health care provider may tell you not to exercise, even if you don’t have symptoms.
Some people with hypertrophic cardiopathy may have heart problems that shorten or shorten their lives, including:
A sudden cardiac arrest is a sudden reduction in heart function due to a rapid heartbeat (ventricular tachycardia). When this happens, people need immediate treatment – including CPR and defibrillation – as soon as symptoms start. If people do not receive the necessary treatment, sudden cardiac death can occur.
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Most people with hypertrophic cardiopathy have a low risk of sudden cardiac death. However, hypertrophic cardiopathy is the leading cause of sudden cardiac death in people under the age of 35. Hypertrophic cardiopathy can be a known cause of cardiac arrest and death in some young athletes.
If you have heart problems, it does not mean that your heart has “failed” or stopped working. It means your heart is not pumping as hard as it should. Symptoms of heart failure include:
The goal of your treatment is to reduce or prevent symptoms and reduce the risk of complications such as heart failure and sudden cardiac death.
Hypertrophic cardiopathy (HCM) is a disease that can be passed from generation to generation. If you have a parent, sibling, or child (first-degree relative) with the condition, it is important that you or your family members get tested.
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The first step in checking your heart is an electrocardiogram (ECG) and an echocardiogram (echo). If the test results show signs of hypertrophic cardiopathy, you should see a cardiologist.
It is possible to get test results even if hypertrophic cardiopathy runs in your family. In this case, you should have a follow-up echo and EKG every three years until you turn 30, and every five years after that.
Most people with hypertrophic cardiopathy have a low risk of sudden cardiac death. However, it is important to know if you are in the minority of people with hypertrophic cardiopathy who are at high risk of sudden cardiac death. Your health care provider can help you find ways to reduce your risk.
Ask your healthcare provider about your risks. If you have two or more risk factors for sudden cardiac death, your provider may prescribe preventive measures such as antiarrhythmic drugs or an implantable cardioverter defibrillator (ICD) to reduce your risk.
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Healthcare providers often prescribe medications to treat your condition and prevent further complications. Drugs such as beta blockers and calcium channel blockers relax the heart muscle, allowing it to fill and pump more efficiently. Some medications can help slow your heart rate or reduce the occurrence of arrhythmias.
You may be told to avoid certain medications, such as nitrates (because they lower blood pressure) or digoxin (because they increase heart rate).
You may need to take antibiotics and take other measures to reduce the risk of bacterial endocarditis, a potentially life-threatening condition.
During septal ecto, your surgeon removes a small part of your septum to widen the path your blood takes (the exit) from the left ventricle to your aorta. Your health care provider may consider Acto if medication is not working. This surgery usually fixes the mitral valve problem.
What Causes An Enlarged Heart?
This procedure, also called a septal ablation, is reserved for people who cannot have a septal ablation. During this procedure, your doctor will find a small vein that supplies blood to the upper part of your septum. They insert a balloon catheter into a vein and then inflate the catheter. Then they inject a contrast medium to look for the thickened wall that provides a pathway from the left ventricle to your aorta.
When your doctor finds a tumor, he injects some alcohol through a catheter. Alcohol kills the cells at the junction, allowing your septum to return to normal over the next few months. It increases blood flow.
An ICD can help people at risk for serious arrhythmias or sudden cardiac death. An ICD is a small device that is placed under your skin and connected to wires that run through your heart vein. An ICD continuously monitors your heart rate. When it detects a fast, irregular heartbeat, it gives a shock (a small but strong shock) to your heart muscle so that your heart beats normally again. Your provider will tell you if an ICD is the right medication for you.
There are many ways to manage heart problems, from lifestyle changes to medications that reduce symptoms or help the heart muscle work properly.
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Whether you have symptoms or not, if you have been diagnosed with hypertrophic cardiopathy or it runs in your family, there are changes you can make to improve your heart health.
Bacterial or infectious endocarditis is an infection of the heart valves or lining of your heart (endocardium). It happens when germs (mostly bacteria, but sometimes fungi and other microorganisms) enter your bloodstream and attack the wall of your heart or heart valves. Bacterial endocarditis causes growths or holes in your valves or cracks in your valve mechanism, often causing heart valves. If left untreated, bacterial endocarditis can become a life-threatening condition.
Take good care of your teeth and mouth by visiting the dentist every six months.
Don’t wait to get help. Colds and flu do not cause endocarditis. But infections, which may have similar symptoms, can cause endocarditis. To be safe, contact your healthcare provider.
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Take prophylactic antibiotics before dental treatment. Talk to your doctor about the type and dose of antibiotics you should take, as well as the routes you should take.
Most people with hypertrophic cardiopathy (HCM) lead normal lives, but many treatments are available for people with symptoms or those at risk of serious complications. Your attitude (vritti) depends
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