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Hypertrophic Cardiomyopathy: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

N/A

How is the treatment done?

The goal of hypertrophic cardiomyopathy treatment is to relieve symptoms and prevent sudden cardiac death in people at high risk. Specific treatment varies depending on the severity of your symptoms. Your doctor will discuss with you the most appropriate treatment for your condition. The options include:

Medications. You may be given medications to relax the heart muscle and to slow the heart rate so that the heart can pump more efficiently. Your doctor may recommend beta blockers such as metoprolol (Lopressor, Toprol), propranolol (Inderal, Innopran) or atenolol (Tenormin), calcium channel blockers such as verapamil (Verelan, Calan, Covera) or diltiazem (Cardizem, Tiazac, Dilacor), or medications to control your heart rhythm such as amiodarone (Pacerone) or disopyramide (Norpace). If you have atrial fibrillation, your doctor may prescribe blood thinners such as warfarin (Coumadin, Jantoven), dabigatran (Pradaxa), rivaroxaban (Xarelto) or apixaban (Eliquis) to reduce your risk of blood clots.

Septal myectomy. A septal myectomy is an open-heart procedure in which the surgeon removes part of the thickened, overgrown septum between the ventricles. Removing part of this overgrown muscle improves blood flow and reduces mitral regurgitation. Surgeons may conduct this procedure using different approaches, depending on the location of the thickened heart muscle. In one type of septal myectomy called apical myectomy, surgeons remove thickened heart muscle from near the tip of the heart. Surgeons may sometimes perform mitral valve repair at the same time as a myectomy. A septal myectomy may be recommended if medications don't relieve your symptoms. Most people who have a myectomy have no further symptoms. Septal myectomy is available only in medical centres that specialize in the treatment of hypertrophic cardiomyopathy.

Septal ablation. In septal ablation, a small portion of the thickened heart muscle is destroyed by injecting alcohol through a long, thin tube (catheter) into the artery supplying blood to that area. This procedure may improve your symptoms. Possible complications with this procedure include heart block — a disruption of the heart's electrical system — which requires implantation of a pacemaker.

Implantableer-defibrillator (ICD). Doctors may recommend an ICD if you have life-threatening heart rhythm disorders (arrhythmias) such as ventricular tachycardia or ventricular fibrillation. An ICD is a small device that continuously monitors your heartbeat. It's implanted in your chest like a pacemaker. If a life-threatening arrhythmia occurs, the ICD delivers precisely calibrated electrical shocks to restore a normal heart rhythm. Your doctor may recommend an ICD if you have hypertrophic cardiomyopathy and you're at high risk of sudden cardiac death because of abnormal heart rhythms.

Who is eligible for the treatment? (When is the treatment done?)

Septal myectomy. A septal myectomy is an open-heart procedure in which the surgeon removes part of the thickened, overgrown septum between the ventricles. Removing part of this overgrown muscle improves blood flow and reduces mitral regurgitation. Surgeons may conduct this procedure using different approaches, depending on the location of the thickened heart muscle. In one type of septal myectomy called apical myectomy, surgeons remove thickened heart muscle from near the tip of the heart. Surgeons may sometimes perform mitral valve repair at the same time as a myectomy. A septal myectomy may be recommended if medications don't relieve your symptoms. Most people who have a myectomy have no further symptoms. Septal myectomy is available only in medical centres that specialize in the treatment of hypertrophic cardiomyopathy.

Septal ablation. In septal ablation, a small portion of the thickened heart muscle is destroyed by injecting alcohol through a long, thin tube (catheter) into the artery supplying blood to that area. This procedure may improve your symptoms. Possible complications with this procedure include heart block — a disruption of the heart's electrical system — which requires implantation of a pacemaker.

Implantableer-defibrillator (ICD). Doctors may recommend an ICD if you have life-threatening heart rhythm disorders (arrhythmias) such as ventricular tachycardia or ventricular fibrillation. An ICD is a small device that continuously monitors your heartbeat. It's implanted in your chest like a pacemaker. If a life-threatening arrhythmia occurs, the ICD delivers precisely calibrated electrical shocks to restore a normal heart rhythm. Your doctor may recommend an ICD if you have hypertrophic cardiomyopathy and you're at high risk of sudden cardiac death because of abnormal heart rhythms.

Who is not eligible for the treatment?

P>Anyone who is diagnosed for hypertrophic cardiomyopathy with tests like Echocardiogram, electrocardiogram, Tredmill stress test, holter monitor, cardiac MRI, cardiac catheterization is eligible for the treatment.

Are there any side effects?

Women who have hypertrophic cardiomyopathy can generally have normal pregnancies. However, if you have symptoms and complications of hypertrophic cardiomyopathy, your doctor may recommend that you see a doctor experienced in caring for women with high-risk conditions during your pregnancy.

What are the post-treatment guidelines?

Including two operative deaths (procedural mortality, 0.8%), 1-, 5-, and 10-year overall survival after myectomy was 98%, 96%, and 83%, respectively, and did not differ from that of the general U.S. population matched for age and gender (p = 0.2) nor from patients with nonobstructive HCM (p = 0.8). Compared to nonoperated obstructive HCM patients, myectomy patients experienced superior survival free from all-cause mortality (98%, 96%, and 83% vs. 90%, 79%, and 61%, respectively; p < 0.001), HCM-related mortality (99%, 98%, and 95% vs. 94%, 89%, and 73%, respectively; p < 0.001), and sudden cardiac death (100%, 99%, and 99% vs. 97%, 93%, and 89%, respectively; p = 0.003). Multivariate analysis showed myectomy to have a strong, independent association with survival (hazard ratio 0.43; p < 0.001).

How long does it take to recover?

Lifestyle changes can reduce your risk of complications related to hypertrophic cardiomyopathy. Your doctor may recommend lifestyle changes, including: Getting physical activity. Competitive sports are generally not recommended for people with hypertrophic cardiomyopathy. Many people with hypertrophic cardiomyopathy may be able to participate in low- to moderate-intensity exercise as part of a healthy lifestyle. Ask your doctor for guidance.Eating a healthy diet. A healthy diet is an important part of maintaining your heart health.Maintaining a healthy weight. Maintaining a healthy weight will prevent excessive stress on your heart and reduce health risks associated with surgery or other procedures. Reducing alcohol use. If you have symptoms or a history of rhythms provoked by alcohol, ask your doctor for guidance about safe levels of alcohol use. Drinking too much alcohol can trigger irregular heart rhythms and can lead to increased blockage of blood flow in your heart. Taking your medications. Make sure to take your medications as prescribed. Having regular medical appointments. Your doctor may recommend regular follow-up appointments to evaluate your condition. Let your doctor know if you have any new or worse symptoms.

What is the price of the treatment in India?

Full recovery from septal myectomy surgery takes about 6 to 8 weeks. Most patients are able to drive in about 3 to 8 weeks after surgery. Your doctor will provide specific guidelines for your recovery and return to work. Your doctor will tell you when you need to have your first follow-up appointment.

Are the results of the treatment permanent?

The treatment can cost anywhere between 10,000 - 50,000

What are the alternatives to the treatment?

The results can be permanent as long as the required lifestyle changes are made.

Popular Questions & Answers

HI, There is hypertrophic cervix in ultrasound report. so what is the process to cure and is it any risk indication please reply.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Noida
Hello, Hypertrophic cervix can be carcinoma cervix. Please get a pap smear and a local per vaginal examination done and review with reports.

Doctor, I am 45 years old female ,i was feeling tiredness even if do small work and shortness of breath. Then I went to doctor he said to do cardiac mri ,after seeing report he said that I have HOCM and septum measures 18 mm, then he told its heredity and he gave medicine named as dilzem 30 and dytor plus 10. And I have thyroid so I need some opinion from the doctors.

MD-Physician, Fellow. Cardiology, Fellow. Diabetology
Cardiologist, Vadodara
Hello, HOCM is a condition when your heart muscles get thickened abnormally and creates issues. Dilzem is not the proper medicine for that, Better to take some other more effective medicines. Need to see your reports to give you exact guidence. Do...

I’m totally confused because of my mild concentric lvh can this go away? What I have to do please can you give me the best answer?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine, DNB - Cardiology
Cardiologist, Ghaziabad
You must be hypertensive as this is one of the most common cause of LVH. If the thickness is not very high and you don't have a high diastolic dysfunction you don't have to worry. In case if you are hypertensive then ace inhibitors or arb are the ...

For mild concentric lvh in 2decho. Whom should I consult? Please suggest me a doctor. thanking you.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
If you have hypertension, or take treatment for hypertension, meet a physician and keep BP under control. If mild hypertrophy is without hypertension, meet a mild cardiologist. Avoid meeting a severe cardiologist for mild hypertrophy.
3 people found this helpful

58 years of age. Having problem of hocm. Taking calaptin sr 120 twice daily. Ecosprin 75 once.& jalra m 50.500. In the morning when I get up I am energyless for almost 2-3 hrs after that things become normal. What to do?

MBBS
General Physician, Mumbai
Get your vital parameters of the body checked from a nearby doctor and follow up with findings and I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest

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