Pronounced: hi-per-TRO-fik car-DEE-o-my-AH-pah-thee
Hypertrophic cardiomyopathy, or HCM, is a form of cardiomyopathy . This is a condition in which the heart muscle thickens. As the muscle thickens, it must work harder to pump blood, which strains the heart muscle. HCM usually causes only one side of the heart to thicken, making the heart pump unevenly.
There are three main types of cardiomyopathy:
HCM can occur in people of all ages. But, it is usually most severe when it occurs in younger people.
Those with HCM are at an increased risk of sudden death. However, many individuals with HCM live a normal, healthy life with very few symptoms.
Causes of HCM include:
In people over age 60, HCM is likely to be caused by or related to high blood pressure .
These factors increase your chance of developing this condition. Tell your doctor if you have any of these risk factors:
Symptoms include:
These symptoms can be caused by some of the side effects of the condition, including arrhythmias (abnormal heartbeats). The blocked or reduced blood flow is usually the cause of symptoms like dizziness, fainting, and difficulty breathing.
Your doctor will ask about your symptoms and medical history, and perform a physical exam.
Tests may include the following:
Treatment focuses on controlling symptoms and preventing complications. Talk with your doctor about the best treatment plan for you. Treatment options include:
Medications may be used to help maintain proper and regular heart function. These may include beta-blockers and calcium channel blockers.
If you have an arrhythmia, you may need anti-arrhythmic drugs. You may also need blood-thinning medication.
The thickened portion of the heart muscle is cut and removed. This may be needed if you have a severely blocked blood flow from the heart.
If the mitral valve is leaking, surgery may also be done to repair or replace the mitral valve.
Alcohol is injected into the arteries of the thickened portion of the heart. This helps to reduce the blockage in the heart and improve blood flow out of the heart.
This ICD is implanted if you are at heightened risk for sudden death.
To help reduce your chance of getting HCM, take the following steps:
RESOURCES:
American Heart Association
http://www.americanheart.org/presenter.jhtml?identifier=1200000
Cardiomyopathy Association
http://www.cardiomyopathy.org/index.php?id=1
CANADIAN RESOURCES:
Canadian Cardiovascular Society
http://www.ccs.ca/home/index_e.aspx
Heart and Stroke Foundation of Canada
http://ww2.heartandstroke.ca/Page.asp?PageID=24
References:
Cardiomyopathy. The American Heart Association website. Available at: http://www.americanheart.org/presenter.jhtml?identifier=4468 . Accessed June 26, 2007.
Cardiomyopathy. EBSCO DynaMed website. Available at: http://dynamed102.ebscohost.com/Detail.aspx?id=115426 . Accessed June 26, 2007.
Erwin JP, Nishimura RA, et al. Dual chamber pacing for patients with hypertrophic obstructive cardiomyopathy: a clinical perspective in 2000. Mayo Clin Proc . 2000;75:173-180.
The HCM Program. St. Luke's Roosevelt Hospital Center website. Available at: http://www.hcmny.org/whatis/index.html . Accessed June 26, 2007.
Hypertrophic cardiomyopathy. The Cleveland Clinic Heart and Vascular Institute website. Available at: http://www.clevelandclinic.org/heartcenter/pub/guide/disease/hcm/default.htm . Accessed June 26, 2007.
Hypertrophic cardiomyopathy. Medline Plus Medical Encyclopedia. US National Library of Medicine website. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/000192.htm . Accessed June 26, 2007.
Maron BJ, Nishimura RA, McKenna WJ, et al. Assessment of permanent dual chamber pacing for patients with hypertrophic cardiomyopathy. Circulation . 1999;99:2927-2933.
McCully RB, Nishimura RA, Tajik AJ, Schaff HV, Danielson GK. Extent of clinical improvement after surgical treatment of hypertrophic obstructive cardiomyopathy. Circulation . 1996;94:467-471.
Last reviewed November 2008 by Michael J. Fucci, DO
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2007 EBSCO Publishing All rights reserved.