Hypertrophic cardiomyopathy

Hypertrophic Cardiomyopathy (HCM) is a condition where the heart muscle becomes abnormally thick (hypertrophied). This thickening can make it harder for the heart to pump blood effectively.


🫀 What happens in HCM?

  • The walls of the heart (especially the left ventricle) become thick.
  • The thick muscle may block or reduce blood flow out of the heart.
  • The heart can also become stiff, affecting how it fills with blood.

⚠️ Symptoms

Some people have no symptoms, but others may experience:

  • Chest pain
  • Shortness of breath (especially during exercise)
  • Fainting (syncope)
  • Heart palpitations (irregular heartbeat)
  • Fatigue

🧬 Causes

  • Most commonly genetic (runs in families)
  • Caused by mutations affecting heart muscle proteins

🚨 Complications

  • Abnormal heart rhythms (arrhythmias)
  • Heart failure
  • Increased risk of sudden cardiac arrest (especially in young athletes)

🧪 Diagnosis

Doctors may use:

  • Echocardiogram (ultrasound of the heart)
  • ECG (electrocardiogram)
  • MRI of the heart
  • Genetic testing (in some cases)

💊 Treatment

Treatment depends on severity:

  • Medications (to reduce symptoms and improve heart function)
  • Lifestyle changes (avoid intense exertion in some cases)
  • Implantable devices (like defibrillators for high-risk patients)
  • Surgery or procedures (to remove thickened muscle in severe cases)

🧠 Important to know

  • Many people with HCM live normal lives with proper care.
  • Early diagnosis is key, especially if there is a family history.

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