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and what side effects would you have

2007-10-27 07:40:34 · 4 answers · asked by Anonymous in Health Diseases & Conditions Heart Diseases

4 answers

TREATMENTS AND SIDE EFFECTS ARE GIVEN.
Treatments for hypertrophic cardiomyopathy, depending on the heart condition and the severity of symptoms, are intended to decrease the stress on the heart and relieve symptoms.

Medication

Enlarged heart muscle in HCM obstructs circulation of blood.

Medications help relax the heart and reduce the degree of obstruction so the heart can pump more efficiently. Beta-blockers and calcium channel blockers are common families of drugs that are prescribed. For more information, see common medications for treatment of hypertrophic cardiomyopathy.

Antibiotics are used to prevent bacterial endocarditis. Precautions to prevent bacterial endocarditis should always be followed by any person who has hypertrophic cardiomyopathy and outflow obstruction or leakage of the mitral valve. See a detailed description.
Myectomy (Surgery)

This is the surgical removal of part of the overgrown septal muscle to decrease the outflow tract obstruction. Myectomy is open-heart surgery and should be done at an experienced medical center by specialized teams, including cardiovascular surgeons, cardiologists and anesthesiologists. It is used when medication no longer relieves symptoms.

In a myectomy part of the overgrown septal muscle is removed to decrease obstruction.
A successful operation has been shown to dramatically improve symptoms in over 90 percent of patients. The documented long-term outcome is excellent. Important information suggests that a subset of patients who have symptoms and who have a myectomy live longer than they would have without the operation. For patients who have a myectomy, the survival rate at one year is 99 percent, at five years, 98 percent and at 10 years, 95 percent. By comparison, patients who do not have a myectomy, survival at one year is 94 percent, at five years, 89 percent and at 10 years, 73 percent.

The risk of open heart surgery is dependent upon the patient's general health and age. However, in a younger, otherwise healthy person, the overall risk in experienced centers such as Mayo is less then 1 percent. At Mayo Clinic in Minnesota, more than 700 operations for myectomy have been performed, and Mayo Clinic is one of the most experienced centers in the world.

Septal Ablation
This is a new technique in which an alcohol solution is injected into an artery supplying the part of the thickened muscle that causes the obstruction. The result is a localized "heart attack" of this region of the heart muscle and will decrease the degree of obstruction.

While this procedure is relatively new, information from research studies suggests that its results are close to those of surgical myectomy. However, long-term safety issues need to be resolved, and not all patients have heart anatomy that would allow them to be candidates for septal ablation.

Within the three Mayo Clinc sites, septal ablation is offered only at Mayo Clinic in Minnesota.
Automatic Defibrillator (AICD)

In some patients who are considered very "high risk," an automatic implantable cardiac defibrillator (AICD) might be recommended. Through new advances in technology, this device can now be placed similar to a pacemaker. Usually, implantation is done in the hospital and requires an a short overnight stay.

A small device is placed under the skin just below the collarbone and is connected to wire leads threaded through the vein into the heart chamber. The AICD monitors heart rhythms constantly. It can restore a normal heart rhythm using pacemaker functions and/or small electric shocks.
Pacemaker

Pacemakers have been used to relieve symptoms from outflow tract obstruction; unfortunately, the results from this therapy have not been consistent. In general, pacemakers do not provide the same degree of relief as the other options. Pacemakers are now used only in special circumstances in the treatment of hypertrophic cardiomyopathy.

2007-10-27 08:46:29 · answer #1 · answered by Dr.Qutub 7 · 1 0

1

2016-05-20 00:37:17 · answer #2 · answered by Latasha 3 · 0 0

There's a new procedure now, although I'm not sure it's available to the general public yet, that involves opening the chest and actually cutting out a section of the enlarged part and sewing it back together. Results have been promising. There are also some promising results from a drug being used in the UK, though I don't know how soon it will be available here. If you put cardiac hypertrophy treatments in the search line, you'll get a lot of results.

2007-10-27 07:53:46 · answer #3 · answered by mommanuke 7 · 0 0

Cure For Enlarged Heart

2016-10-16 10:06:06 · answer #4 · answered by ? 4 · 0 0

Well, there is a lot of pollen in the air today. Maybe some Claritan would help.

2016-03-13 07:34:50 · answer #5 · answered by Anonymous · 0 0

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