HYPERTROPHIC

CARDIOMYOPATHY

JENS GIGASE
CONTENT
Cardiomyopathy
Hypertrophic cardiomyopathy
Dilated cardiomyopathy
Cure
Inheritance
Summary
Quiz
End
Sources
CARDIOMYOPATHY
Chronic disease
Contracting/relaxing gets difficult
Bloodflow is not sufficient
Different forms of Cardiomyopathy
Dilated cardiomyopathy (DCM)
Hypertrophic cardiomyopathy (HCM)
Arythmogene Right Ventricular Cardiomyopathy (ARVC)
restrictive cardiomyopathy
Takotsubo cardiomyopathy (broken heart syndrome)
Non-compaction cardiomyopathy
 HYPERTROPHIC CARDIOMYOPATHY

HCM
Young athletes
causes
Asymptonic
Dangerous

Part of the heart muscle thickened

Septum ->
Below aortic valves -> obstructive hypertrophic cardiomyopathy
Smaller ventricles
Insufficient blood flow
Contracting
Lose of elasticity
Ventricle widened -> dilated cardiomyopathy
Apical Hypertrophic
DILATED CARDIOMYOPATHY
Lose of elasticity
High pressure
Widening of ventricles
Valves (leaking)
Blood circulation gets difficult
CURE
No cure
Treatment

Asymptonic patients
Medications
Surgical septal myectomy
Alcohol septal ablation
Implantable pacemaker or defibrillator
Cardiac transplantation
CURE
Asymptonic patients

Normal life expactancies

Screening
Avoid athletic competitives, strenuous activities
People suffering from obstructional hypotrofic cardiomyopathy should
avoid medication such as:
Use of vasodilatory encouraging products.
Diuretic blood pressure medications ( equal situation as bloodthinners )
CURE
Medications
Relieving symptoms
Shortness of breath
Pain in the chest
Many medicines (Beta blockers, calcium channel blockers,
dihydropyridine calcium channel blockers, disopyramide, diuretics,
Intravenous phenylephrine)
Different cirumstances for using medications depends on which form
you have;
Obstructive hypertrofic cardiomyopathy
Nonobstructive hypertrofic cardiomyopathy
CURE
Surgical septal myectomy
When medication does not relief symptons
85% success rate
In easy words:
CURE
Alcohol septal ablation
Same funtion as surgical meyectonomy
Less invasive
scar
CURE
Implantable pacemaker or defibrillator
Less effective than surgical septal myectomy
In short:
CURE
Cardiac transplantation
Last option
Has to be done before symptons occur like:
Pulmonary vessel hypertension
Kidney malfunction
Thromboembolism
INHERITANCE
Inheritance plays a great role
Determined by genes
Has not to be dangerous
SUMMARY
QUIZ | WAIT UNTIL YOU GET PERMISSION
TO ANSWER, DONT YELL THE ANSWER |
1. What part of the heart thickens when you suffer from hypertrophic
cardiomyopathy?
The septum.
2. What is dilated cardiomyopathy?
The widening of the heart ventricles causing a high blood pressure.
3. Is hypertrophic cardiomyopathy a fatal disease?
No, nonobstructive cardiomyopathy has no fatal consequences, for example.
4. Is there a cure for hypertrophic cardiomyopathy?
No, there are some effective treatments, however.
5. Does inheritance play a role in hypertrofic cardiomyopathy?
Yes, Hypertrophic cardiomyopathy is determined by genetics.
6. Which part of the heart is most effected by hypertrophic cardiomyopathy?
(Ventricles, Atria, Valves, Veins/Arteries)
The Left ventricle, aorta, septum (cause) and the left atrio-ventricular valves
(mitral (bicuspid) valves/ bicuspid (mitral) valves).
END
Thanks for your attention
Questions/tips/tops?
SOURCES
https://www.hartstichting.nl/hartziekten/cardiomyopathie
http://www.heart.org/HEARTORG/Conditions/More/Cardiomyop
athy/Hypertrophic-Cardiomyopathy_UCM_444317_Article.jsp
#
http://www.mayoclinic.org/diseases-conditions/hypertrophic
-cardiomyopathy/home/ovc-
20122102
https://www.bhf.org.uk/heart-health/conditions/cardiomyopat
hy/hypertrophic-
cardiomyopathy
http://www.health.harvard.edu/heart-health/hypertrophic-ca
rdiomyopathy-who-has-an-inherited-
risk
https://en.wikipedia.org/wiki/Hypertrophic_cardiomyopathy
https://ghr.nlm.nih.gov/condition/familial-hypertrophic-
cardiomyopathy