Hypertrophic Cardiomyopathy

Los cambios en el estilo de vida pueden ayudar a proteger su corazón y reducir el riesgo de problemas cardíacos que puede causar la cardiomiopatía hipertrófica. Su médico puede sugerir lo siguiente:

• Be moderately active: Exercise is good for your heart, but talk to your doctor about which activities are right for you, especially if you’re an athlete.
• Maintain adequate hydration: Drinking too much fluid or not having enough fluid can cause the heart to function poorly, leading to feelings of lightheadedness or leg swelling.
• Manage chronic health conditions: If you have heart failure, high blood pressure, sleep apnea or another long-term health problem, ensure you manage it appropriately to reduce the risk of complications.
• See your doctor regularly: They will monitor you for new or worsening symptoms. They will also want to assess how well your treatment is working.

Varios medicamentos pueden ayudarle a controlar los síntomas y mejorar la función cardíaca al disminuir la frecuencia cardíaca, incluyendo:

• Beta blockers: These medications can improve the heart’s pumping ability. They can also treat certain arrhythmias by slowing your heart rate.
• Calcium channel blockers: These medications relax the heart muscle and can help your heart pump more efficiently.
• Diuretics: These medications can reduce the strain on your heart by helping your body flush out excess fluids and potassium–but only if you have too much fluid in your body.
• Mavacamten: This medication can reduce strain on the heart and improve its function in people with symptomatic hypertrophic cardiomyopathy. It targets myosin, a protein involved in muscle contraction. Careful monitoring of the heart’s function is required for this medication.

La cirugía y otros procedimientos pueden tratar la cardiomiopatía hipertrófica que causa síntomas graves o que se ha vuelto muy avanzada. Su médico puede ayudarle a decidir si la cirugía es adecuada para usted. Si decide proceder, sus opciones pueden incluir:

• Alcohol septal ablation: This is a nonsurgical procedure in which your interventional cardiologist injects ethanol, a type of alcohol, into an artery that sends blood to a damaged area of heart muscle. The ethanol reduces the thickened tissue.
• Implantable devices: You may need a pacemaker, an implantable cardioverter defibrillator or a cardiac resynchronization therapy device to stop arrhythmias or improve heart function.
• Septal myectomy: A surgeon will remove a portion of the thickened septum to improve blood flow in the heart.
• Transplante de corazón: Si su corazón está gravemente dañado, es posible que necesite un corazón donado para reemplazarlo.