How is hypertrophic cardiomyopathy treated?

Written by Tang Li
Cardiology
Updated on September 09, 2024
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The treatment of hypertrophic cardiomyopathy aims to improve symptoms, reduce complications, and prevent sudden death. The methods include improving ventricular compliance by reducing outflow tract obstruction, preventing thromboembolic events, and identifying high-risk patients for sudden death. Treatment needs to be individualized, and the main treatments include the following aspects: 1. Medication treatment. Drug treatment is fundamental, and drugs targeting outflow tract obstruction mainly include receptor blockers and non-dihydropyridine calcium channel blockers. For patients with congestive heart failure, targeted treatment is required. Anticoagulation treatment is necessary for patients with atrial fibrillation, and it is worth noting that for patients with chest discomfort, care should be taken to exclude outflow tract obstruction when using nitrate drugs to avoid exacerbation after use. Non-drug treatments include: 1. Surgical treatment: For patients with ineffective drug treatment and heart function class three to four, if there is severe outflow tract obstruction, septal myectomy should be considered. Currently, surgery is listed as the preferred treatment for suitable patients in consensus guidelines in both America and Europe. 2. Alcohol septal ablation; 3. Pacing therapy.

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Written by Zhang Yue Mei
Cardiology
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Can people with cardiomyopathy eat beef?

Patients with myocarditis can eat beef, but not too much. They should consume beef in small amounts. Beef is a type of meat with very high nutritional value, and it is a major source of high-quality protein, trace elements, and minerals for the human body. Eating beef regularly can improve the body's immunity and disease resistance. For patients with myocarditis, eating beef can help accelerate the repair of myocardial tissue. However, it is advisable not to eat fatty beef but instead choose lean meat and consume it in moderation. It is also important to pay attention to dietary structure, preferably eating easily digestible, high-protein nutritional foods, and increase the intake of vegetables and fruits, which can aid in the recovery from myocarditis.

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Written by Li Hai Wen
Cardiology
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The difference between cardiomyopathy and coronary heart disease

Cardiomyopathy refers to a type of disease characterized primarily by organic changes in the myocardium, such as dilated cardiomyopathy, hypertrophic cardiomyopathy, and restrictive cardiomyopathy. These diseases are characterized mainly by pathological changes in the myocardium itself, forming a category of heart diseases. In contrast, coronary heart disease often refers to a type of heart disease caused by the narrowing of the coronary arteries due to atherosclerosis, leading to insufficient blood supply to the heart. Cardiomyopathy often manifests as damage to the myocardium, while coronary heart disease often manifests as blockage of the blood vessels. This is the fundamental difference between these two categories of heart diseases.

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Written by Zhang Yue Mei
Cardiology
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What department should I register for cardiomyopathy?

Myocardial disease is a common and frequently occurring disease in clinical practice, caused by various reasons leading to pathological changes in the myocardium. Common causes include viral infections, immune system disorders, and other factors, which can lead to degeneration, necrosis, fibrosis, and interstitial edema of the myocardium. This can cause heart failure, arrhythmias, and in severe cases, even death. Therefore, early diagnosis and timely treatment can save patients' lives and alleviate their suffering. It is necessary to consult with a psychiatrist, undergo relevant examinations under the guidance of a psychiatrist, make a clear diagnosis, and actively treat and rescue the patients.

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Written by Zhang Yue Mei
Cardiology
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What should patients with cardiomyopathy pay attention to?

Patients with cardiomyopathy need to rest adequately, avoid overexerting themselves, and not get overly emotional to keep their mood calm and prevent an increased burden on the heart, which could trigger heart failure. In their diet, they should consume easily digestible foods that are high in superior protein and eat plenty of fruits and vegetables. These foods can provide the high-quality proteins, vitamins, and trace elements needed by the body, enhancing immunity and disease resistance. In the event of thrombosis and myocardial cell repair, systematic medication treatment under a doctor's guidance is essential to promote myocardial repair.

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Written by Xie Zhi Hong
Cardiology
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How to recover from decreased physical fitness due to dilated cardiomyopathy?

Dilated cardiomyopathy is diagnosed after excluding conditions such as hyperthyroidism, hypertension, coronary heart disease, cardiac hypertrophy, or myocarditis as underlying causes. Generally, the exact cause of dilated cardiomyopathy is unknown, rendering causal treatment impossible. Once diagnosed with dilated cardiomyopathy, it is impossible to completely cure the condition. The only approach is to manage symptoms and prevent further progression of the disease. Typically, this involves the use of beta-blockers, ACE inhibitors, and diuretics. If the patient has severe cardiac dysfunction, drugs like digoxin, which strengthen heart function, may be considered. If medication does not adequately control the condition, other treatments like CRT might be considered, as well as the use of phosphodiesterase inhibitors, diuretics, or intravenous cardiotonic glycosides.