hocm

[das12375]

I AM A 45 YEAR OLD MALE PREVIOUSLY DIAGNOSED WITH CORONARY ARTERY DISEASE (LAD STENOSIS OF 65%)...ABOUT 2 YEARS AGO MY CARDIOLOGIST INFORMED ME THAT I ALSO HAVE HOCM (BASED ON A STRESS ECHO) SEPTAL WALL THICKNESS OF 1.5 AND LVOT OF 126 WITH EXERCISE...HE DID NOT PROSCRIBE ANYTHING OTHER THAN TELLING ME TO STAY ON ALTACE...RECENTLY (ABOUT 6 MONTHS AGO) I BEGAN GETTING INCREASINGLY TIRED, CONSISTENTLY LIGHTHEADED AND OVERLY FATIGUED...I WAS TOLD I HAVE CELIAC DISEASE AND WENT BACK TO WORK...ABOUT 3 MONTHS AGO THE FATIGUE BEGAN TO GET UNBEARABLE WENT TO THE HOSPITAL HAD A CATHERITIZATION AND WAS TOLD MY STENOSIS DID NOT CHANGE, HAVE NO RESTING LVOT, CONTINUE TO HAVE A PROVOCABLE LVOT AND THAT AN MRI REVEALED ASEPTAL THICKNESS OF 1.9 (ALTHOUGH AN ECHO REVEALED 1.4). CURRENTLY, MY NEW CARDIOLOGIST ORDERED A 30 DAY EVENT STUDY (23 DAYS IN MILD NOCTURNAL BRADYCARDIA) AND TOLD ME TO BEGIN BETA BLOCKER...MY FAIGUE AND LIGHTHEADEDNESS IS OVERWHELMING...SOME DOCTORS ARE TELLING ME THE FAIGUE IS NOT ONLY A CARDIAC SYMPTOM (IE SOMETHING IS CAUSING MY RESTING FATIGUE)...I WOULD DO ANYTHING TO GET RID OF  THIS FATIGUE

[CCF HeartMD6]

If you have a true diagnosis of HCM and are having symptoms, you should seek out a cardiologist who specializes in this for further work-up. While beta blockers are indicated in HCM, this may not adequately control your symptoms (as it seems) and there are other therapeutic options including other medications in addition to surgical treatments. Regardless, you should have a complete and thorough work-up which might include a stress test (echocardiogram) and/or MRI.  

[das12375]

I HAVE NOT BEGUN BETA BLOCKERS YET....WHICH IMAGE IS MORE ACCURATE MRI OR ECHO (ONE SHOWED 1.9 THE OTHER 1,4) AND I HAD THE AFOREMENTIONED STRESS ECHO A YEAR AND A HALF AGO...can beta blockers controlling resting fatigue