ypertrophic cardiomyopathy

[HARAM]

My husband is 29 and just got the results from his echo. The results read:
- Right Ventrical enlarged
- Mitral Redgurgitation
- Biscupid Regurgitation
- Pulmonary Regurgitation
- Proximal Septal Thickening
- left Atrium enlarged

Does this mean he's got "Hypertrophic Cardiomoypathy"?

[kenkeith]

Hi Haram, yes , your husband can have HCM, but rather than attempting to label your husband's condition from a single echo report, it may be more productive to relate thoughts and actions to your husband's symptoms, proposed treatment if any, etc.  Sometimes measurements and parameters that APPEAR to be abnormal (inaccurate estimate, error, insignificant, etc.).  Also, the values, measurments, paramters in the report may be normal for your husband.

Do you have the estimated sizes of the heart walls, chambers, etc.  You should get a copy of the report and maintain it for your records and a basis to establish a history of any concerns.  Your husband is young and active, and that is important.  Please don't become stressed by what has been said or implied because there really isn't enough information to rely on to determine any significant medical problems. Take care.

[HARAM]

Not sure of the specifics on sizes, mild or trace? His heart rate would often go from 60 - 70 to 40. His BP is normal. He is not atheletic but he is active. He sees a cardiologist in the next month or so.

His echo said there was no outflow obstruction? Could this be non-obstructive HCM?

[grendslori]

To answer your question, I would say yes, your husband has HCM (Hypertrophic Cardiomyopathy) The increased septal wall thickening is probably the most common of the wall thickenesses. How is it that he has not been diagnosed and you find yourself asking about this on the forums? I have written quite a bit about this on these forums just today, so you may want to read some of the other answers I've written on here. There are a few thigs that can cause thickened walls, things such as high blood pressure. If that is your husband's problem, getting that under control will help matters. If however this is HCM in the truest form than it can be sporadic or more commonly, genetic in nature. If he receives a formal diagnosis, than his parents, siblings and any children he parents need to be evaluated with EKGs and Echoes. I would not be in too big of a hurry to be exercising with this disease without having a full cardiac workup, especially having an EP Specialist checking out his electrical system as sudden death can result with HCM. It's a very small percentage, about 2%, small unless you happen to be the unlucky one. Please read my other posts as well.  

[kenkeith]

QUOTE:
- Right Ventrical enlarged
- Mitral Redgurgitation
- Biscupid Regurgitation
- Pulmonary Regurgitation
- Proximal Septal Thickening
- left Atrium enlarged

Does this mean he's got "Hypertrophic Cardiomoypathy"?
____________________

<<<<In addition to what Flycaster has stated, and agreed the relevent information needed is size of heart chambers., etc.  Mild, slight, trivial, trace, etc. is not uncommon description for an individual's valves and those adjectives do not indicate any significant medical problems and almost never progress or cause symptoms.

Specifically noteworthy is an enlarged septum (wall separating right and left chambers) and that could be hypertrophic cardiomyopathy.  An enlarged septum can cause AF (abnormal rhythm of the atrium). And an enlarged atrium can cause valve problems.

There are no specific symptoms someone may experience with an enlarged atria.   If there are symptoms, it would relate more to the reason why the atrium is enlarged (increased intracardiac pressures, etc.) rather than the enlarged atrium itself.  Need more information.

Thanks for your question, and if you have any follow-up questions you are welcome to respond. Take care.  

[Flycaster305]

Was the procedure report more specific?  The size of th right ventrical, the degree of the mitral valve regurgitation, etc is important and there are people who frequent this site can explain these values if you give more specifics.  The fact that he is 29 and has these issues, however, suggests a need for diet, exercise and medication is in order.  Keep us informed.