By Barry J. Maron
Written by way of the authority on hypertrophic cardiomyopathy (HCM) and an HCM sufferer, and completely counseled by way of the Hypertrophic Cardiomyopathy organization (HCMA), the best advocacy and help association, the third variation of this best-selling consultant bargains extraordinary perception into all points of residing with and treating HCM
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Additional info for A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians
How is HCM diagnosed and what tests are used? 37 Interpretation of this test can be complex, but here is how the use of genetic testing plays out. First, knowing your mutation has no role in predicting prognosis, the clinical course of your disease, or risk of sudden death. Second, the principal value of genetic testing is in family screening – that is, in identifying family members who may be genetically affected but have a normal echocardiogram (or MRI), and may be at risk for developing the disease.
However, each patient with HCM Benign/stable (normal longevity) Profiles in prognosis for HCM Sudden death Progressive heart failure Advanced (end-stage) heart failure AF and stroke Figure 20 Profiles in prognosis. Most patients with HCM can be placed in one of these pathways for the purpose of judging prognosis, and eventually formulating treatment strategies. This diagram emphasizes the necessity of viewing HCM in terms of such subgroups so that treatment can be tailored to a particular clinical profile.
Having no risk factors is not an absolute guarantee against the very small possibility of sudden death. Endocarditis Endocarditis is an infection of the heart which occurs very uncommonly in HCM. Nevertheless, it is important to be protected from the unlikely disease complication since severe tissue damage of the heart valve can result, sometimes necessitating surgical replacement. Bacteria which gain access 52 A Guide to Hypertrophic Cardiomyopathy to the bloodstream can stick to the inside of the heart (specifically on the mitral valve) after it has been roughened by turbulent blood flow.
A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians by Barry J. Maron