How to treat hypertrophic cardiomyopathy

summary

A relative of my family has suffered from hypertrophic cardiomyopathy. He is only in his 40s this year. Although he is undergoing treatment now, his family are very worried. Let's talk about how to treat hypertrophic cardiomyopathy.

How to treat hypertrophic cardiomyopathy

First, general treatment, to avoid intense physical activity or emotional excitement, even if the rest of the hypertrophic myocardial disease patients without obvious obstruction, in emotional or physical labor, may also appear obstruction symptoms or original obstruction symptoms aggravation. It is different from other heart diseases to use drugs and measures to reduce cardiac preload and afterload with caution. Especially when cardiac insufficiency occurs, digitalis preparations and diuretics can strengthen ventricular contractility and reduce blood volume, and on the contrary, they can increase ventricular obstruction. Digitalis can be used if atrial fibrillation with rapid ventricular rate occurs in heart failure.

Second, the treatment of heart failure, for patients with hypertrophic myocardial disease with severe heart failure symptoms, on the basis of the application of beta blockers or verapamil, appropriate diuretics can be added to improve the symptoms of pulmonary congestion, but due to the existence of cardiac diastolic dysfunction, attention should be paid to avoid excessive diuresis, affecting ventricular filling.

Third, the treatment of atrial fibrillation, about 20% of adult patients with hypertrophic cardiomyopathy can be combined with atrial fibrillation, which is an important complication of hypertrophic cardiomyopathy, and also one of the reasons leading to thromboembolism, heart failure and increased death; in addition, too fast ventricular rate during atrial fibrillation can reduce ventricular diastolic filling, reduce cardiac output, thus leading to the deterioration of the disease, so it should be actively treated. In order to improve the symptoms of most patients with hypertrophic cardiomyopathy, cardioversion should be performed immediately or at least ventricular rate should be controlled. Amiodarone is effective in restoring and / or maintaining sinus rhythm. Beta blockers or verapamil can also effectively control ventricular rate.

matters needing attention

The patients with hypertrophic cardiomyopathy should pay attention to the diet. They should eat the food with low sugar and less salt, ensure the low salt diet, and properly control the water and food intake, so as to reduce the heart load. Requirements of high protein, high vitamin, rich in nutrients, easy to digest, avoid stimulating food, such as fruits, vegetables, meat, fish, etc. Eat less and eat more.