By Barry J. Maron
Written by way of the authority on hypertrophic cardiomyopathy (HCM) and an HCM sufferer, and completely recommended via the Hypertrophic Cardiomyopathy organization (HCMA), the best advocacy and aid association, the third variation of this best-selling consultant deals remarkable perception into all elements of dwelling with and treating HCM
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Additional info for A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians
31 How is HCM diagnosed and what tests are used? Physical examination In many patients with HCM, the physical examination is unremarkable. Only a soft heart murmur or no murmur at all may be heard. This fact is surprising to many people, but only reflects the fact that under resting conditions most HCM patients do not have obstruction to flow of blood from the left ventricle (as discussed previously). This infrequency with which a loud heart murmur occurs accounts, in part, for the difficulty in identifying HCM during the routine preparticipation screening of competitive athletes.
HCM occurs equally in men and women. • HCM is under-recognized in minority communities. • Women with HCM are diagnosed less commonly, later in life, and experience symptoms later. What are the symptoms of HCM? It is important to realize that HCM is unusual by virtue of affecting people at virtually any age. Patients from infants (as young as the first day of life) to the elderly (as old as 90 years of age) may develop HCM-related symptoms. It is very common to have HCM and no noticeable symptoms.
Patients often relate “good and bad days” during which symptoms may be perceived as quite different in degree. The precise basis for this variability is uncertain. , the best or worst), but rather provide the complete spectrum of complaints which you experience on a daily basis. It is particularly important to advise your cardiologist of any new or consistently increased symptoms. Shortness of breath Exercise capacity may be limited by shortness of breath (also called exertional dyspnea) and fatigue.
A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians by Barry J. Maron