Hypoenorrhin muscle

Hypoenorrhin muscle's disease overview

What is

What is hypertrophic cardiomyopathy?

Enthetrative cardiomyopathy is classified as a disease of the heart muscle. It is not physiological hypertrophy or secondary hypertrophy as in people with perennial hypertension. In hypertrophic cardiomyopathy, the left ventricular walls are abnormally thick, especially the ventricular walls, which can impair diastolic function, clogged the left ventricular and have dangerous arrhythmia. P>

Causes of Hypoenorrhin muscle's disease

The cause of hypertrophic cardiomyopathy is due to genetic abnormalities, mostly mutations of myosin heavy chain encoding genes.

Symptoms of Hypoenorrhin muscle's disease

Agent hypertrophic cardiomyopathy may be asymptomatic, accidentally discovered through medical examination or screening in families with sick people. The possible symptoms:

Fatigue: In hypertrophic myocardial disease, the heart muscle relaxes very poorly, reducing the diastolic (diastolic failure), leading to a decrease in the heart amount of heart to the great circulation causing Should symptoms fatigue. This situation will be worse when atrial fibrillation occurs

Chest pain: Just due to the heart to work more, just due to the thick heart wall, the imbalance between the needs of the heart muscle and coronary perfusion. The coronary artery decreases, especially in the diastolic because the heart muscle does not stretch (the main perfusion)

Chest drums and fainting: It may be due to atrial arrhythmia, ventricular rhythm can also be caused by congestion of the left ventricular ventricular that reduces the sudden blood reduction. When there is a congestion, the left ventricular is called congested heart muscle disease .

Suddenly: Due to dangerous ventricular arrhythmia and left ventricular congestion

People at risk for Hypoenorrhin muscle's disease

There are parents with hypertrophic cardiomyopathy: If parents are sick, the possibility of children will carry the disease gene is 50%

Prevention of Hypoenorrhin muscle's disease

There is currently no measure to prevent hypertrophic cardiomyopathy, mainly screening to detect early in families with relatives.

Diagnostic measures for Hypoenorrhin muscle's disease

Heart doppler ultrasound: is still a gold standard for diagnosis. The European Cardiovascular Association (ESC) defines hypertrophic myocardial disease in adults when any area of the heart muscle is over 15mm (measured by an echocardiography, magnetic resonance, layered taboos) that cannot be explained. is by increasing the purely burden. And hypertrophic cardiomyopathy in infants , children are diagnosed when the heart wall is thicker than twice. In addition, on the echocardiography, the eccentricity is also seen, which can determine the level of congestion, the difference in the left ventricular, Sam signs ...

Electrolyte: Electrolyte is abnormal in more than 95% of cases. Can see signs of left ventricular thickness, ST-T changes, pathology Q, arrhythmia such as WPW syndrome, atrial fibrill

Magnetic resonance: It is also a very useful means to identify hypertrophic myocardial disease, evidence of scars, myocardial fibrosis

Holter electrocardiogram: To detect dangerous arrhythmias such as ventricular tachycardia. The ventricular tachycardia is the risk of sudden death.

Genetic test: still relatively few in Vietnam

Hypoenorrhin muscle's disease treatments

Treatment of hypertrophic cardiomyopathy includes medical treatment, intervention or surgery depending on the degree of disease.

Medical treatment

Sympathetic beta blockers: is the top recommended drug in improving symptoms in patients with left ventricular congestion

Calcium channel blockers (Verapamil, Diltiazem): also used when intolerant to beta blockers or contraindicated beta blockers

Avoid using vasodilators such as nitroglycerin, PDE inhibitors, inhibitors of receptor inhibitors, avoiding digoxin

Be cautious when using diuretic

Use anti -anticoagulant anti -vitamin K when patients with atrial fibrillation are accompanied by

When the patient has symptoms, the pressure difference is left out of the left ventricle ≥50mmHg, whether the optimal medical treatment has been treated, it is necessary to consider burning alcohol walls or surgery. P>

Suddenly died -prophylactic ICD transplant: It is recommended for patients with durable rapid, ventricular vibration causing fainting or hemodynamic loss, expectation of living over 1 year

See also:

What is a 2 -leaf heart heart valve? Causes, symptoms, how to detect

Is myocardial anemia dangerous?

How is the arrhythmia diagonally?

What should I eat inempliance myocardial disease?

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