Hypertrophic cardiomyopathy surgery: Difference between revisions
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===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]=== | ===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]=== | ||
'''1.''' Patients with advanced [[heart failure]] (end stage) and nonobstructive HCM not otherwise amenable to other treatment interventions, with EF less than or equal to 50% (or occasionally with preserved EF), should be considered for heart transplantation. | '''1.''' Patients with advanced [[heart failure]] (end stage) and nonobstructive HCM not otherwise amenable to other treatment interventions, with EF less than or equal to 50% (or occasionally with preserved EF), should be considered for heart transplantation. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]]) | ||
'''2.''' Symptomatic children with HCM with restrictive physiology who are not responsive to or appropriate candidates for other therapeutic interventions should be considered for heart transplantation. | '''2.''' Symptomatic children with HCM with restrictive physiology who are not responsive to or appropriate candidates for other therapeutic interventions should be considered for heart transplantation. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | ||
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]] (Harm)=== | ===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]] (Harm)=== | ||
'''1.''' Heart transplantation should not be performed in mildly symptomatic patients of any age with HCM. | '''1.''' Heart transplantation should not be performed in mildly symptomatic patients of any age with HCM. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | ||
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Revision as of 19:54, 1 October 2012
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Hypertrophic Cardiomyopathy Microchapters |
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Differentiating Hypertrophic Cardiomyopathy from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Hypertrophic cardiomyopathy surgery On the Web |
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Directions to Hospitals Treating Hypertrophic cardiomyopathy |
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Risk calculators and risk factors for Hypertrophic cardiomyopathy surgery |
Editors-In-Chief: C. Michael Gibson, M.S., M.D. [1], Cafer Zorkun, M.D. [2], Caitlin J. Harrigan [3], Martin S. Maron, M.D., and Barry J. Maron, M.D.
Cardiac transplantation
Cardiac transplantation can be performed in patients with HOCM and has been associated with better post-operative survival than those patients transplanted for ischemic cardiomyopathy [1].
In cases that are refractory to all other forms of treatment, cardiac transplantation is an option.
2011 ACCF/AHA Guideline Recommendations for Selection of Patients for Heart Transplantation (DO NOT EDIT)
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Class I1. Patients with advanced heart failure (end stage) and nonobstructive HCM not otherwise amenable to other treatment interventions, with EF less than or equal to 50% (or occasionally with preserved EF), should be considered for heart transplantation. (Level of Evidence: B)
Class III (Harm)1. Heart transplantation should not be performed in mildly symptomatic patients of any age with HCM. (Level of Evidence: C)
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References
- ↑ Martin S. Maron; Benjamin M. Kalsmith; James E. Udelson; Wenjun Li and David Denofrio.Survival Following Cardiac Transplantation in Patients with Hypertrophic Cardiomyopathy.doi: 10.1161/CIRCHEARTFAILURE.109.922872