In January of 2006 I had a fluttery feeling in my chest and thought it prudent to contact a Cardiologist. I have been diagnosed with a right bundle branch blockage previously and a Cardiologist friend years back explained I had a "thick" heart and again was given no subsequent instructions. I went to see the Dr. (the Chief of Cardiology) BP was 120/70 and did a complete blood and physical exam. I was then asked to wear a Holter monitor for 24 hours, do a stress thallium test, EKG, as well as an echo cardiogram. After the first we were told it was Hypertrophic Cardiomyopathy. He then asked the assistant and a second practitioner to do a second echo. After the test he saw me and said "good news” he explained that this was located at "a different portion of the heart" and all I had was a thickening of the septum. He later prescribed Toprol XL and I have been on it for two years now with little or no issues. I decided to go back asking if I might wean off the Toprol XL. I brought along my most recent blood work and EKG - all were good. BP was 110/80. The Dr. said that since I had an EKG recently he would not do one. He said, "I am not going to make more of this than there is." He then added that he wants me to wear the Holter monitor for a day and do another echo and to see him “in a month for the results.” Dr.'s why would he ask for this? Isn't there a good chance that if my echo's were OK previously they will still remain that way, especially in light of the Toprol use? I am seriously nervous about what might happen and in looking up (the worst thing I could do) Hypertrophic Cardiomyopathy. I have imagined my septum situation turning into this illness and all the possible routes it could traverse. I am embarrassed to say it but people like me are somewhat less equipped to handle the fear this causes. Please offer me some information and expertise. I truly appreciate your time and consideration.
I am not clear on what the abnormality was that you have but you should be retested to make sure there has been no progression of the process. Hypertrophic cardiomyopathy can effect various parts of the heart and this is something that needs to be monitored.
I spoke with him today and it would seem that it is HCM but that the location of the "thickness" is not as pressing as he thought. Also after the echo today he stated that the "gradient" was the same from two years ago and everything was "good." I guess this is a positive thing. When I asked him if I should be concerned he simply said that this needs to be monitored annually. Is it your experience that with Toprol XL and proper diet and the like, this situation is able to be treated effectively without surgical intervention? Please advise as I could use some reassurance.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.