Hypertrophic cardiomyopathy history and symptoms: Difference between revisions
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*[[Chest pain]] (sometimes known as ''[[Angina pectoris|angina]]'') | *[[Chest pain]] (sometimes known as ''[[Angina pectoris|angina]]'') | ||
*[[Dizziness]] | *[[Dizziness]] | ||
*[[Dyspnea]] ([[shortness of breath]]) | *[[Dyspnea]] ([[shortness of breath]]) which is due to increased stiffness of the [[hypertrophied left ventricle]]. This [[hypertrophy of the left ventricle]] impairs filling of the left ventricle and leads to elevated filling pressure in the [[left ventricle]] and the [[left atrium]]. Symptoms are not closely related to the presence or severity of a the left ventricular outflow tract gradient. | ||
*[[Fainting]] or [[syncope]], especially during exercise | *[[Fainting]] or [[syncope]], especially during exercise | ||
*[[Fatigue]] | *[[Fatigue]] | ||
Revision as of 00:26, 13 August 2011
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Hypertrophic Cardiomyopathy Microchapters |
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Differentiating Hypertrophic Cardiomyopathy from other Diseases |
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Editor(s)-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The symptoms associated with hypertrophic cardiomyopathy are quite variable and range from no symptoms, to the development of heart failure, to the occurrence of sudden cardiac death. The symptoms may vary tremendously from individual even within a family. The timing of symptom onset is quite variable as well and may range from infancy to adulthood.
Symptoms
- Chest pain (sometimes known as angina)
- Dizziness
- Dyspnea (shortness of breath) which is due to increased stiffness of the hypertrophied left ventricle. This hypertrophy of the left ventricle impairs filling of the left ventricle and leads to elevated filling pressure in the left ventricle and the left atrium. Symptoms are not closely related to the presence or severity of a the left ventricular outflow tract gradient.
- Fainting or syncope, especially during exercise
- Fatigue
- Heart failure (in some patients)
- High blood pressure (hypertension)
- Light-headedness, especially with or after activity or exercise, or when standing up suddenly
- Palpitations or the sensation of feeling the heart beat
- Shortness of breath
- Reduced activity tolerance
- Shortness of breath when lying down (orthopnea)
- Sudden cardiac death
Specific Symptoms
Dyspnea is largely
Oftentimes, symptoms mimic those of congestive heart failure (esp. activity intolerance & dyspnea), but it must be noted that treatment is very different. To treat with diuretics (a mainstay of CHF treatment) will exacerbate symptoms in hypertrophic cardiomyopathy by decreasing ventricular volume and increasing outflow resistance.