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Hypertrophic Cardiomyopathy
From WikiSM
Contents
Other Names
- Hypertrophic Obstructive Cardiomyopathy
- HOCM
Background
- Most common cause of congenital sudden cardiac death in athletes
- HOCM occurs in about 1 in 500 people.
Pathophysiology
Risk Factors
- Most causes are genetic
- Freidreich's ataxia
- Tacrolimus use
Differential Diagnosis
Clinical Features
- Murmur
- Valsalva increases left ventricular outflow tract obstruction of hypertrophic cardiomyopathy, increasing intensity of murmur.
Evaluation
- Echocardiogram
- Electrocardiogram
- ECG screening may be done but echocardiogram and cardiac MRI are needed for a diagnosis.
Classification
Management
- Treatment varies depending on the patient.
- Avoiding dehydration
- Avoiding diuretics
- Avoiding aggravating
- Beta blockers are also used commonly for medical management.
- Invasive treatment options include
- Septal myectomy
- ICD placement
- Heart transplant
Return to Play
Joint decision between the patient and physician.
Complications
- Syncope
- Presyncope
- Shortness of breath, especially with exertion
- Chest Pain
- Cardiac Arrest
- Sudden Cardiac Death
See Also
References
Created by:
John Kiel on 13 June 2019 09:01:06
Authors:
Last edited:
13 July 2021 17:22:57
Category: