Mayo Clinic doctors trained in heart conditions (cardiologists), heart surgery (cardiac surgeons) and hereditary conditions (medical geneticists) work together to treat hypertrophic cardiomyopathy. Doctors work with you to develop the most appropriate treatment to help you manage your condition.
Your treatment depends on the condition of your heart and the severity of your symptoms.
Sep. 05, 2014
- Septal myectomy. In a septal myectomy, your surgeon removes part of the overgrown heart muscle wall (septum) dividing the two lower heart chambers (ventricles) to improve blood flow and reduce your symptoms.
- Septal ablation. In septal ablation, your doctor injects an alcohol solution into an artery supplying blood to the thickened heart muscle to destroy part of the heart muscle. This procedure may improve blood flow and reduce your symptoms.
- Implantable cardioverter-defibrillator (ICD). Your doctor may place an ICD under the skin in your chest to prevent sudden cardiac arrest due to irregular heart rhythms (arrhythmias). An ICD sends electronic signals to your heart when your heart rate reaches a certain limit or goes very high.
- Pacemaker. Your doctor may place a pacemaker under the skin near your collarbone to control and monitor your heart rhythm.
- Medications. Your doctor may prescribe medications to relax your heart and slow your heart rate.
- Lifestyle considerations. Your doctor will advise you to avoid competitive athletics, intense bursts of extreme exertion and exposure to environmental extremes. However, your doctor likely will recommend that you participate in low- to moderate-intensity aerobic exercise for general cardiovascular health.
- Follow-up care. Your doctor will monitor you over time for any changes in your condition or symptoms. Your doctor will work with you and your family to educate you about your condition and develop an individualized treatment plan to help you manage your condition.
- Maron MS, et al. Overview of hypertrophic cardiomyopathy management including treatment of special problems http://www.uptodate.com/home. Accessed Sept. 26, 2013.
- AskMayoExpert. What tests are needed to confirm the diagnosis of hypertrophic cardiomyopathy (HCM), and what is the role of genetic testing? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Bonow RO, et al. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. Philadelphia, Pa.: Mosby Elsevier; 2012. Accessed Sept. 26, 2013.
- Ferri FF. Ferri's Clinical Advisor 2014: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2014. https://www.clinicalkey.com. Accessed Sept. 26, 2013.
- Jacoby DL, et al. Hypertrophic cardiomyopathy: Diagnosis, risk stratification and treatment. Canadian Medical Association Journal. 2013;185:127.
- Gersh BJ, et al. 2011 ACCF/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy: Executive summary: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2011;124:2761.
- Hypertrophic cardiomyopathy. American Heart Association. http://www.heart.org/idc/groups/heart-public/@wcm/@hcm/documents/downloadable/ucm_312225.pdf. Accessed Sept. 28, 2013.
- Ommen SR (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 3, 2013.
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