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Heart Disease (Expert Forum)
Re: hypertrophic obstructive cardiomyopathy
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Re: hypertrophic obstructive cardiomyopathy
by CCF CARDIO MD DLB, Jan 01, 1995 12:00AM
Posted By CCF CARDIO MD - DLB on November 25, 1998 at 19:44:45:
In Reply to: hypertrophic obstructive cardiomyopathy posted by Mike on November 25, 1998 at 17:32:52:
I recently underwent my yearly echo. I now have a septal wall dimension of 1.9 . My resting gradiant is 0 and I have a provocable gradient of over 150 using amyl nitrate inhalation. I have minimal mitral regurgitation. I must also add that I am totally asymptomatic. Please give me your opinion on my situation and would I be a candidate for septal myectomy yet. Thank you. Mike
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Dear Mike
If you are completely asymptomatic, even with exercise, I would be hard pressed to recommend surgery at this point. It wouldnt make you feel any better (since you already feel well). You should continue to be followed periodically for symptoms and for any change in your echo, in particular the development of more mitral regurgitation. If you eventually do need treatment, you will hopefully be a candidate for the catheterization-based ablation procedure.
I hope this has been useful. Feel free to write back with further questions. Good luck.
Information provided here is of a general nature. Specific diagnoses and treatments can only be made by your doctor. If you would like to be seen at the Cleveland Clinic, please call 1-800-CCF-CARE for an appointment with a cardiologist at Desk F15.
In Reply to: hypertrophic obstructive cardiomyopathy posted by Mike on November 25, 1998 at 17:32:52:
I recently underwent my yearly echo. I now have a septal wall dimension of 1.9 . My resting gradiant is 0 and I have a provocable gradient of over 150 using amyl nitrate inhalation. I have minimal mitral regurgitation. I must also add that I am totally asymptomatic. Please give me your opinion on my situation and would I be a candidate for septal myectomy yet. Thank you. Mike
---------------------------------------------------------------------------------------------------
Dear Mike
If you are completely asymptomatic, even with exercise, I would be hard pressed to recommend surgery at this point. It wouldnt make you feel any better (since you already feel well). You should continue to be followed periodically for symptoms and for any change in your echo, in particular the development of more mitral regurgitation. If you eventually do need treatment, you will hopefully be a candidate for the catheterization-based ablation procedure.
I hope this has been useful. Feel free to write back with further questions. Good luck.
Information provided here is of a general nature. Specific diagnoses and treatments can only be made by your doctor. If you would like to be seen at the Cleveland Clinic, please call 1-800-CCF-CARE for an appointment with a cardiologist at Desk F15.
