A Guide to Hypertrophic Cardiomyopathy: For Patients, Their by Barry J. Maron

By Barry J. Maron

Written by means of the authority on hypertrophic cardiomyopathy (HCM) and an HCM sufferer, and entirely recommended by means of the Hypertrophic Cardiomyopathy organization (HCMA), the major advocacy and aid association, the third variation of this best-selling advisor deals unprecedented perception into all elements of residing with and treating HCM.

Accessible and functional, A advisor to Hypertrophic Cardiomyopathy For sufferers, Their households and Physicians third Edition:

  • Answers the main urgent questions posed through sufferers, their households, and non-specialists
    health pros keen on their care
  • Covers every thing from what's HCM and preliminary prognosis of this more and more prevalent
    condition to the newest therapy options
  • Reflects the first-ever HCM instructions released by means of the yank middle organization in 2011

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Sample text

HCM has always been uncommonly diagnosed in African-Americans in clinical settings. Paradoxically, previously unsuspected HCM has proved to be a common cause of sudden death in young black male athletes on the athletic field. This suggests that the rarity of an HCM diagnosis in young African-Americans is probably due largely to socioeconomic factors which create more limited access to the subspecialty medical establishment (which is a prerequisite for obtaining an echocardiogram and thereby an HCM diagnosis).

When this scarring is extensive (but only when extensive), it may represent a new marker for sudden death, even when other more conventional risk factors are absent. In this regard, the term “risk stratification” is used to describe those tests, symptoms, and disease characteristics which are conventionally used to determine whether a given patient should be regarded at “high risk” or increased risk for sudden cardiac arrest (SCA) (Figure 23). Patients with one or more major risk factors are encouraged to discuss ICD therapy with their cardiologist.

Atrial fibrillation is much less common in younger patients, and is exceedingly rare in children. Enlargement of the left atrium appears to predispose to atrial fibrillation. Because the atria “fibrillate” there is risk for clot formation due to stagnant blood flow. This can result in a stroke if the blood clot travels to the brain. The risk of such an event is about 1% per year in HCM patients with atrial fibrillation. However, anticoagulation, to protect against stroke, is an important consideration, and the pros and cons of this treatment should be discussed in detail with your cardiologist.

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