Kardiomiopatia przerostowa
Charakterystyka, pielęgnacja i opieka

Kardiomiopatia przerostowa (HCM) to najczęstsza genetyczna choroba serca, dotykająca około 1 na 500 osób, będąca główną przyczyną nagłej śmierci sercowej u młodych dorosłych i sportowców. Charakteryzuje się nieprawidłowym przerostem mięśnia lewej komory, prowadzącym do zmniejszenia pojemności minutowej serca, sztywności ścian i zaburzeń hemodynamicznych. Objawy kliniczne obejmują ból w klatce piersiowej, duszność wysiłkową, zmęczenie, arytmie (w tym migotanie przedsionków), omdlenia oraz obrzęki. Diagnostyka opiera się na echokardiografii, rezonansie magnetycznym oraz badaniach genetycznych, które potwierdzają mutacje w genach kodujących białka mięśnia sercowego. Kluczowa jest stratyfikacja ryzyka nagłej śmierci sercowej, uwzględniająca wywiad osobisty i rodzinny oraz badania nieinwazyjne. Leczenie farmakologiczne obejmuje przede wszystkim beta-blokery, blokery kanału wapniowego (werapamil), dizopyramid oraz nowoczesny inhibitor miozyny – mavacamten, a także leki przeciwzakrzepowe i przeciwarytmiczne. W przypadku oporności na leczenie farmakologiczne stosuje się inwazyjne metody redukcji przegrody, takie jak septal myectomy czy ablacja alkoholem, a w zaawansowanych przypadkach rozważany jest wszczepialny kardiowerter-defibrylator (ICD) lub przeszczep serca.

Wprowadzenie do kardiomiopatii przerostowej

Kardiomiopatia przerostowa (Hypertrophic cardiomyopathy, HCM) to najczęstsza genetyczna choroba serca, występująca u około 1 na 500 osób w populacji ogólnej. Jest główną przyczyną nagłej śmierci sercowej u młodych dorosłych i sportowców. Schorzenie to charakteryzuje się nieprawidłowym przerostem mięśnia sercowego, zwykle lewej komory, co powoduje zmniejszenie jej zdolności do pompowania krwi do serca i reszty ciała.123

W kardiomiopatii przerostowej ściany serca stają się sztywne, grube lub rozszerzone, co wpływa na funkcję serca i prowadzi do słabej wydajności serca. Może to prowadzić do migotania przedsionków lub innych arytmii, niewydolności serca i udaru mózgu. Objawy kliniczne obejmują omdlenia, duszność wysiłkową, ból w klatce piersiowej i zmęczenie.123

Patofizjologia i objawy

Kardiomiopatia przerostowa jest najczęściej wynikiem nieprawidłowych genów w mięśniu sercowym. Te geny powodują, że ściany komory serca (lewej komory) stają się grubsze niż normalnie. Pogrubione ściany mogą stać się sztywne, co zmniejsza ilość krwi przyjmowanej i pompowanej do organizmu z każdym uderzeniem serca.12

Główne objawy kardiomiopatii przerostowej obejmują:12

  • Ból w klatce piersiowej, nasilający się podczas aktywności fizycznej
  • Duszność, szczególnie podczas wysiłku fizycznego
  • Zmęczenie
  • Kołatanie serca lub trzepotanie (arytmie)
  • Zawroty głowy lub uczucie lekkości
  • Omdlenia
  • Obrzęk nóg, kostek, stóp i brzucha

Kardiomiopatia przerostowa jest chorobą przewlekłą, która może się pogarszać z czasem. Może to prowadzić do gorszej funkcji i jakości życia, długoterminowych powikłań oraz większego obciążenia finansowego i społecznego. U osób z HCM istnieje zwiększone ryzyko rozwoju migotania przedsionków, które może prowadzić do zakrzepów krwi, udaru mózgu i innych powikłań związanych z sercem. HCM może również prowadzić do niewydolności serca.12

Diagnostyka i ocena ryzyka

Diagnoza kardiomiopatii przerostowej opiera się na wywiadzie medycznym, wywiadzie rodzinnym, badaniu fizykalnym i wynikach badań diagnostycznych. Lekarze często diagnozują HCM za pomocą nieinwazyjnych badań obrazowych serca, w tym echokardiografii i/lub obrazowania serca metodą rezonansu magnetycznego.12

Kardiomiopatia przerostowa może również być identyfikowana poprzez historię rodzinną i molekularne badania genetyczne. Testy te dokładnie diagnozują HCM u pacjenta. Badania genetyczne w kierunku HCM można wykonać za pomocą próbki krwi. Test jest objęty większością polis ubezpieczeniowych.1

Ocena ryzyka jest kluczowym elementem opieki nad pacjentem z HCM. Każdy pacjent z HCM powinien przejść stratyfikację ryzyka w celu oceny ryzyka nieprawidłowych rytmów serca, które mogą prowadzić do nagłej śmierci. Określenie ryzyka pacjenta odbywa się poprzez zebranie bardzo dokładnego wywiadu osobistego i rodzinnego, przeprowadzenie badania fizykalnego i wykonanie różnych badań nieinwazyjnych.12

Cele leczenia kardiomiopatii przerostowej

Celem leczenia kardiomiopatii przerostowej jest złagodzenie objawów i zapobieganie nagłej śmierci sercowej u osób z wysokim ryzykiem. Leczenie zależy od nasilenia objawów.12

U pacjentów, którzy mają objawy z powodu kardiomiopatii przerostowej, pierwszą linią terapii jest zawsze leczenie zachowawcze, czyli leki. Jednak septal myectomy okazała się bardzo udaną operacją dla wielu pacjentów. Zabieg ten leczy objawy kardiomiopatii przerostowej, gdy usuwa przeszkodę. Oczywiście pacjenci nadal mają kardiomiopatię przerostową, nadal muszą być pod kontrolą lekarza w związku z innymi problemami związanymi z kardiomiopatią przerostową. Ale miejmy nadzieję, że objawy duszności, bólu w klatce piersiowej lub zawrotów głowy, które prowadzą do operacji, ustąpią.1

Leczenie farmakologiczne

Personel medyczny często przepisuje leki w celu leczenia objawów i zapobiegania dalszym powikłaniom. Jedna lub więcej leków może być stosowanych w leczeniu ograniczających objawów. Opcje obejmują beta-blokery, werapamil, dizopyramid i inhibitor miozyny mavacamten.123

Podstawą leczenia farmakologicznego pacjentów z kardiomiopatią przerostową jest blokada receptorów beta. Celem stosowania beta-blokerów jest zmniejszenie szumu odpływu, co zmniejszyłoby prawdopodobieństwo objawów związanych z dynamiczną obstrukcją odpływu. W przypadku pacjentów, którzy nie mogą tolerować beta-blokerów, można stosować również blokery kanału wapniowego, takie jak werapamil, który działa bardzo dobrze.12

Dodatkowymi lekami stosowanymi w leczeniu HCM są:1234

  • Blokery kanału wapniowego, aby rozluźnić naczynia krwionośne (ciśnienie krwi) i ułatwić sercu pompowanie krwi
  • Leki przeciwzakrzepowe (rozcieńczające krew) w celu zapobiegania zakrzepom krwi
  • Leki przeciwarytmiczne do regulacji rytmu serca
  • Diuretyki w celu usunięcia nadmiaru sodu i płynów z organizmu

Objętość płynów jest ostrożnie zarządzana u pacjentów z rozpoznaniem HCM i HFpEF, łagodna diureza za pomocą spironolaktonu, SGLT-2 lub diuretyków w małych dawkach.1

Zabiegi medyczne i chirurgiczne

Osoby z HCM, które mają poważne objawy i nie poprawiają się po zastosowaniu leków lub które decydują się nie stosować eskalującego leczenia lekami, mogą otrzymać poradę dotyczącą inwazyjnych terapii redukcji przegrody, takich jak ablacja przegrody alkoholem lub operacja serca, taka jak myektomia.1

Dostępne są różne zabiegi chirurgiczne i niechirurgiczne:1234

  • Septal myectomy – podczas tego zabiegu chirurg usuwa niewielką ilość pogrubionej ściany przegrody, aby poszerzyć drogę, którą krew przepływa (trakt odpływu) z lewej komory do aorty.
  • Ablacja przegrody alkoholem – to minimalnie inwazyjna procedura, w której specjalista wstrzykuje alkohol do tętnic, aby zniszczyć pogrubiały mięsień sercowy. Poprawia to przepływ krwi i łagodzi objawy.
  • Wszczepialny kardiowerter-defibrylator (ICD) – te małe, wszczepiane urządzenia zmniejszają ryzyko nagłej śmierci sercowej, jeśli masz nieregularne bicie serca. Dostarczają one małe, bezbolesne wstrząsy elektryczne, aby przywrócić regularne bicie serca.
  • Przeszczep serca – niewielka liczba pacjentów z HCM ma zaawansowaną niewydolność serca. W takich przypadkach przeszczep serca może pomóc.

Modyfikacje stylu życia

Dla osób z HCM zalecany jest zdrowy styl życia, który obejmuje aktywność fizyczną, zdrową dietę, utrzymanie prawidłowej wagi, dobrej jakości sen i niepalenie. Jeśli masz inne schorzenia medyczne, takie jak wysokie ciśnienie krwi lub cukrzyca, ważne jest, aby były one kontrolowane, aby uniknąć powikłań sercowych, które mogą się rozwinąć, jeśli pozostaną nieleczone.12

Zalecane modyfikacje stylu życia dla pacjentów z HCM obejmują:123

  • Regularne ćwiczenia fizyczne zmniejszają częstość akcji serca i ciśnienie krwi oraz zapewniają ogólne korzyści zdrowotne. Jednak ważne jest, aby przestrzegać zaleceń lekarzy dotyczących poziomów aktywności, ponieważ ekstremalne ćwiczenia mogą być szkodliwe dla niektórych osób z HCM.
  • Jeśli ćwiczenia lub aktywność powodują objawy, takie jak ból w klatce piersiowej lub duszność, należy natychmiast przerwać i zgłosić je lekarzowi.
  • Nadciśnienie może pogorszyć objawy HCM, więc ważne jest, aby osiągnąć lub utrzymać zdrowe ciśnienie krwi.
  • Zdrowa dieta może poprawić zdrowie serca. Dieta zdrowa dla serca obejmuje różnorodne owoce, warzywa, pełne ziarna i chude mięsa i ryby.
  • Ograniczenie spożycia soli, alkoholu i kofeiny.
  • Unikanie intensywnych sportów i ćwiczeń o wysokiej intensywności.
  • Rzucenie palenia, które może pogorszyć niektóre objawy HCM, powodując zwężenie tętnic wieńcowych.

Opieka pielęgniarska w kardiomiopatii przerostowej

Pielęgniarki odgrywają kluczową rolę w opiece nad pacjentami z kardiomiopatią przerostową, od oceny i identyfikacji osób z grupy ryzyka po zapewnienie leczenia, takiego jak farmakoterapia i interwencje chirurgiczne. Po zidentyfikowaniu przez pielęgniarkę rozpoznań pielęgniarskich dla kardiomiopatii, plany opieki pielęgniarskiej pomagają ustalić priorytety oceny i interwencji zarówno dla krótko-, jak i długoterminowych celów opieki.1

Diagnozy pielęgniarskie

Najczęstsze diagnozy pielęgniarskie u pacjentów z kardiomiopatią przerostową obejmują:12

  • Nietolerancja aktywności – klasyczny objaw u pacjentów z kardiomiopatią wraz z innymi objawami, takimi jak duszność w spoczynku lub podczas wysiłku, zmęczenie i ortopnoe. Jest to bezpośredni wynik zmniejszonej funkcji serca.
  • Zmniejszona pojemność minutowa serca – związana z dysfunkcją lewej komory i zaburzeniami rytmu. Gdy mięśnie serca stają się sztywne, grube lub rozszerzone w kardiomiopatii, funkcja serca zmniejsza się, powodując słaby rzut serca.
  • Zaburzenia wymiany gazowej – związane z kardiomiopatią mogą być spowodowane przerywanym dopływem krwi do mięśni serca, zmieniając funkcję płuc i zakłócając wymianę gazową.
  • Nieskuteczna perfuzja tkankowa – pacjenci z kardiomiopatią mogą wykazywać nieskuteczną perfuzję tkankową, gdy funkcja serca pogarsza się, utrudniając perfuzję innych narządów.
  • Ryzyko niestabilnego ciśnienia krwi – związane z kardiomiopatią może być spowodowane pogrubieniem, rozciąganiem i twardnieniem serca, wpływając na skurcz serca i powodując niestabilne ciśnienie krwi, niewystarczający przepływ krwi i słabo natlenowaną krew do serca.

Interwencje pielęgniarskie

Kluczowe interwencje pielęgniarskie w opiece nad pacjentami z HCM obejmują:1234

  • Monitorowanie stanu sercowo-naczyniowego i parametrów życiowych – Kardiomiopatia może naśladować niewydolność serca i jest często spowodowana nadciśnieniem. Bardzo ważne jest monitorowanie stanu sercowo-naczyniowego pacjenta i parametrów życiowych, aby określić wszelkie oznaki dekompensacji.
  • Ocena stanu utlenowania – Ocena stanu utlenowania pacjenta jest również niezwykle ważna, ponieważ w przypadku kardiomiopatii pojemność minutowa serca jest zagrożona, a utlenowanie jest również zagrożone z powodu słabej perfuzji i cofania się płynu do płuc. Należy ocenić SpO2 i w razie potrzeby zastosować suplementację tlenem.
  • Podawanie leków przeciwnadciśnieniowych – Inna interwencja pielęgniarska obejmuje podawanie leków przeciwnadciśnieniowych w celu kontrolowania nadciśnienia, kontrolowania objawów i zapobiegania dalszym uszkodzeniom serca.
  • Zachęcanie do odpoczynku i minimalizowanie stresu – Ze względu na słaby rzut serca, pacjenci będą odczuwać duszność i łatwo się męczyć. Zachęcaj do częstych okresów odpoczynku i grupowanych aktywności.
  • Monitorowanie objawów niewydolności serca – Kardiomiopatia może naśladować niewydolność serca. Pacjent może doświadczać oznak słabej perfuzji, takich jak osłabienie, blada, wilgotna skóra i diaporeza, a także duszność i różowa, pienista plwocina z powodu obrzęku płuc.
  • Edukacja pacjenta na temat diety o niskiej zawartości sodu (dieta DASH) – Dieta o niskiej zawartości sodu powinna być przestrzegana, aby pomóc zmniejszyć nadciśnienie i zatrzymywanie wody (przeciążenie objętościowe). Obejmuje to unikanie przetworzonych lub puszkowanych pokarmów, niesolenie żywności i unikanie napojów gazowanych.

Edukacja pacjenta i jego rodziny

Kształcenie pacjentów i rodzin jest kluczowym elementem opieki nad osobami z HCM. Obejmuje ono:123

  • Zapewnienie edukacji na temat modyfikacji stylu życia, przestrzegania przyjmowania leków i praktyk samoopieki, aby umożliwić pacjentowi zarządzanie swoim stanem i podejmowanie świadomych decyzji dotyczących swojego zdrowia.
  • Oferowanie wsparcia emocjonalnego i psychospołecznego pacjentowi i jego rodzinie, zajmując się potencjalnym wpływem kardiomiopatii na zdrowie psychiczne i wzmacniając odporność w trakcie drogi opieki.
  • Częste wskazówki i przegląd z pacjentami i ich systemem wsparcia na temat sposobów, w jakie mogą odnieść sukces w samoopiece i powtarzanie oznak ostrzegawczych pogarszających się objawów, może zapobiec zaostrzeniom objawów i ponownym przyjęciom do szpitala.

Niektórzy pacjenci z HCM i niewydolnością serca uznają grupy wsparcia pacjentów za pomocne. Oprócz czegoś więcej niż tylko oferowanego wsparcia emocjonalnego, grupy wsparcia zapewniają również edukację pacjentów i wskazówki.1

Rehabilitacja kardiologiczna

W celu odbudowy sił fizycznych i emocjonalnych może być zalecana rehabilitacja kardiologiczna. Rehabilitacja kardiologiczna jest nadzorowana przez pracownika służby zdrowia, zapewniającego program ćwiczeń dostosowany do indywidualnego pacjenta, wsparcie emocjonalne i edukację w zakresie modyfikacji stylu życia. Rehabilitacja kardiologiczna może pomóc pacjentowi uniknąć zaostrzenia choroby.12

Specjaliści od rehabilitacji kardiologicznej tworzą dostosowane plany, które integrują właściwe odżywianie, ćwiczenia i, jeśli to konieczne, zaprzestanie palenia tytoniu w stylu życia pacjentów, aby poprawić ich zdrowie sercowo-naczyniowe.1

Multidyscyplinarne podejście do opieki

Podejście do zespołowej opieki nad pacjentami z HCM obejmuje lekarzy, pielęgniarki, doradców i farmaceutów, którzy będą wspierać pacjenta i jego rodzinę. Eksperci będą prowadzić przez każdy krok, w tym: rozpoznawanie objawów i oznak HCM, diagnozowanie HCM, opcje leczenia HCM, badania kliniczne dotyczące HCM.12

Warto zbadać znaczenie podejścia opartego na współpracy w opiece, angażującego pracowników służby zdrowia, w tym kardiologów, pielęgniarki i innych specjalistów. Zrozumienie ról i obowiązków każdego członka zespołu w zarządzaniu kardiomiopatią i promowaniu optymalnych wyników pacjenta.1

Zespół opieki nad HCM może obejmować:123

  • Kardiologów
  • Chirurgów kardiologicznych
  • Elektrofizjologów serca
  • Specjalistów od niewydolności serca
  • Specjalistów od obrazowania
  • Zaawansowanych praktykujących pielęgniarki
  • Pielęgniarki
  • Doradców genetycznych
  • Farmaceutów
  • Psychologów (specjalnie przeszkolonych w zakresie potrzeb pacjentów z chorobami układu krążenia)

Rola pielęgniarki w zespole multidyscyplinarnym

Pielęgniarki odgrywają kluczową rolę w zespole multidyscyplinarnym, zapewniając kompleksową opiekę pacjentom z HCM. Ich obowiązki obejmują:123

  • Zadawanie odpowiednich pytań, które mogą pomóc w diagnozie HCM i wydobywanie objawów od pacjentów.
  • Przeprowadzanie badania fizykalnego, które jest zawsze ważnym aspektem opieki.
  • Utrzymywanie dobrego nawodnienia pacjentów, aby serce było ładne i pełne krwi, a krew mogła krążyć wokół obszaru pogrubienia.
  • Omawianie życia z kardiomiopatią przerostową po postawieniu diagnozy, zarządzania, przyjmowania leków, utrzymywania nawodnienia, próby jedzenia mniejszych posiłków częściej.
  • Powracanie do zespołu opieki i omawianie stanu pacjenta.
  • Rozumienie HCM jako diagnozy, objawów, które będą prezentować pacjenci, opcji leczenia i jak nimi zarządzać.
  • Bycie pierwszymi osobami odbierającymi telefony od pacjentów, zatem możliwość wydobycia tych objawów i zrozumienia, jak są one wskaźnikami kardiomiopatii przerostowej, jest niezbędna.
  • Koordynowanie wszystkich wizyt pacjenta, służenie jako punkt kontaktowy i przeprowadzanie przez każdy etap diagnozy i leczenia.

Jakość życia i długookresowa opieka

Kardiomiopatia przerostowa to choroba przewlekła, która wymaga stałego nadzoru i opieki. Większość osób z HCM może prowadzić normalne życie, ale regularne wizyty kontrolne i monitorowanie są kluczowe dla zarządzania chorobą.12

Długoterminowa opieka obejmuje:123

  • Regularne wizyty lekarskie w celu monitorowania stanu
  • Przyjmowanie leków dokładnie zgodnie z zaleceniami
  • Aktywność fizyczna na poziomie i w rodzaju bezpiecznym dla pacjenta
  • Uważną obserwację zmian w zdrowiu i szybkie kontaktowanie się z lekarzem w przypadku jakichkolwiek problemów
  • Dbanie o zdrowy styl życia

Przy regularnej opiece kardiologicznej większość osób z HCM prowadzi długie, zdrowe życie. Można zachować zdrowie dzięki następującym zmianom stylu życia: łagodne do umiarkowanych niewysiłkowych ćwiczeń, takich jak chodzenie lub jazda na rowerze, dieta o niskiej zawartości soli i tłuszczów nasyconych.1

Wsparcie psychospołeczne

Istotne jest, aby rozpoznać, że pacjenci mogą czuć się przeciążeni swoim reżimem leków, ograniczeniami z powodu objawów i wykazywać objawy depresji. Opieka pielęgniarska powinna być zindywidualizowana, ponieważ każdy pacjent może mieć specyficzne potrzeby, pytania lub luki w wiedzy, które wymagają oceny przez jego lekarzy.12

Wczesna ocena potrzeb psychologicznych może zapewnić wczesne zapewnienie odpowiedniego wsparcia. Poradnictwo w żałobie i specjalistyczne wsparcie w przypadku stresu pourazowego mogą być potrzebne osobom, które zostały dotknięte nagłą śmiercią sercową/zatrzymaniem krążenia.1

Opieka zdrowotna zapewniana z szacunkiem, w oparciu o potrzeby pacjentów i ich rodzin, może promować pozytywne wyniki poprzez ciągłe zapewnianie opieki skoncentrowanej na pacjencie. Poprzez włączenie edukacji skoncentrowanej na pacjencie w rozwój zawodowy, pielęgniarki mogą poprawić swoje zdolności komunikacyjne i zapewnić wysokiej jakości opiekę osobom z niewydolnością serca i HCM.1

Podsumowanie i przyszłość leczenia

Kardiomiopatia przerostowa jest najczęstszą genetyczną chorobą serca i główną przyczyną nagłej śmierci sercowej u młodych dorosłych. Jednak dzięki postępom w diagnostyce, stratyfikacji ryzyka nagłej śmierci sercowej, badaniom przesiewowym rodziny, farmakoterapii, urządzeniom i inwazyjnej terapii redukcji przegrody, większość osób dotkniętych HCM żyje do przeciętnej długości życia.1

Chociaż interwencje te poprawiły śmiertelność, wiążą się one ze znacznymi kosztami i zachorowalnością. Oprócz tych względów ekonomicznych, pacjenci z HCM mogą doświadczać zmniejszonej jakości życia związanej ze zdrowiem.1

Wspólne podejmowanie decyzji między pacjentem a lekarzem, korzystanie z zespołów multidyscyplinarnych w centrach HCM i rozważne stosowanie ćwiczeń, gdy jest to właściwe, wykazało poprawę wyników pacjentów. Obecnie leczenie HCM nie leczy choroby podstawowej, ale nowe terapie są w fazie badań klinicznych.12

Badania są ważną częścią pracy w opiece nad HCM. Badania kliniczne nowych leków pomagają lekarzom znaleźć nowe sposoby leczenia choroby i poprawy zdrowia pacjentów. Wiele centrów medycznych prowadzi badania nad kardiomiopatią przerostową, testując nowe leki i terapie, które mogą poprawić jakość życia pacjentów z HCM.12

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Cardiomyopathy: Nursing Diagnoses & Care Plans | NurseTogether
    https://www.nursetogether.com/cardiomyopathy-nursing-diagnosis-care-plan/
    Hypertrophic This type of cardiomyopathy involves left ventricular thickening, reducing the ability to pump blood into the heart and the rest of the body. This can lead to atrial fibrillation or other arrhythmias, heart failure, and stroke. This is a major cause of sudden cardiac death in young adults. Clinical manifestations include syncope, exertional dyspnea, angina, and fatigue. This type of cardiomyopathy is rare and is often inherited. […] Nurses plan an essential role in caring for patients with cardiomyopathy from assessment and identification of at-risk individuals to providing treatment such as drug therapy and surgical interventions. […] Once the nurse identifies nursing diagnoses for cardiomyopathy, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care.
  • #1 Hypertrophic Cardiomyopathy (HCM) | American Heart Association
    https://www.heart.org/en/health-topics/cardiomyopathy/what-is-cardiomyopathy-in-adults/hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy is most often caused by abnormal genes in the heart muscle. These genes cause the walls of the heart chamber (left ventricle) to become thicker than normal. […] The thickened walls may become stiff and this can reduce the amount of blood taken in and pumped out to the body with each heartbeat. […] HCM is a chronic disease that can get worse over time. This can lead to poorer function and quality of life, long-term complications and more financial and social burden. […] As HCM progresses, it can cause other health problems. People with HCM are at higher risk for developing atrial fibrillation, which can lead to blood clots, stroke and other heart-related complications. HCM may also lead to heart failure. […] HCM is diagnosed based on your medical history, family history, a physical exam and diagnostic test results.
  • #1 Hypertrophic Cardiomyopathy: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/heart/hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy (HCM) is the most common type of heart disease. This condition causes the heart muscle to thicken, making it difficult for the heart to circulate blood. […] Hypertrophic cardiomyopathy typically involves the thickening of the heart’s left ventricle, although it could also affect the right ventricle. […] Hypertrophic cardiomyopathy is sometimes referred to as a hidden disease because in some people, the condition may remain symptomless for years. […] Common hypertrophic cardiomyopathy symptoms include: Chest pain, worsening with activity; Shortness of breath, especially when physically active; Fatigue; Heart palpitations or fluttering (arrhythmias); Dizziness or feeling lightheaded; Fainting; Swelling of the legs, ankles, feet, and abdomen. […] Hypertrophic cardiomyopathy is an inherited condition.
  • #1 Hypertrophic Cardiomyopathy: Symptoms & Causes | University of Utah Health | University of Utah Health
    https://healthcare.utah.edu/cardiovascular/programs/hypertrophic-cardiomyopathy-program
    Hypertrophic cardiomyopathy (HCM) affects one in 500 people in the general population. In most cases, HCM is caused by genetic mutations. […] The Hypertrophic Cardiomyopathy (HCM) Program at University of Utah Health is the first in the state of Utah and one of the nations few comprehensive programs for evaluating and managing HCM. […] We understand that hypertrophic cardiomyopathy is a complex disease. By bringing doctors from multiple specialties together, we can provide leading-edge evaluation and a therapeutic plan that best suits your individual needs. […] Doctors often diagnose HCM by using noninvasive cardiac imaging, including echocardiography and/or cardiac magnetic resonance imaging. […] HCM can also be identified through family history and molecular genetic testing. These tests accurately diagnose HCM in a patient. […] You can have genetic testing for HCM with a blood sample. The test is covered by most insurance policies. […] Hypertrophic cardiomyopathy is a genetic disease that causes the heart muscle to become thicker, making it harder for the heart to pump blood.
  • #1 Leadership in hypertrophic cardiomyopathy care, research | Department of Medicine News
    https://mednews.uw.edu/node/696
    HCM symptoms can be tricky. The most common signs, shortness of breath and chest pain or pressure with exercise, can frequently mimic symptoms of other conditions. Paying attention to and addressing these symptoms is vital. […] Patients with HCM have an increased risk of sudden death. While it isnt as likely as once believed, Owens says all patients with HCM should undergo a risk stratification to assess their risk for abnormal heart rhythms, which can lead to death. […] Because HCM is a genetic disease, clinicians should proactively screen other family members once they identify a patient with the condition. […] The data suggests having these specialized centers improves outcomes from the procedural standpoint, he says. By bringing our team together, we have all the expertise to deliver the highest quality care. […] Thanks to this level of coordination, Owens says, UW Medicine has applied for a Center of Excellence designation from the Hypertrophic Cardiomyopathy Association. The recognition would come by the end of 2023.
  • #1 Hypertrophic cardiomyopathy – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hypertrophic-cardiomyopathy/diagnosis-treatment/drc-20350204
    Our caring team of Mayo Clinic experts can help you with your hypertrophic cardiomyopathy-related health concerns […] The goals of hypertrophic cardiomyopathy treatment are to ease symptoms and prevent sudden cardiac death in people at high risk. Treatment depends on how severe the symptoms are. […] For patients who have symptoms due to hypertrophic cardiomyopathy, the first line of therapy is always to use medical management, medications. […] Surgical myectomy has been a very successful operation for many of our patients. […] Septal myectomy cures the symptoms of hypertrophic cardiomyopathy when it relieves the obstruction. But of course, patients still have hypertrophic cardiomyopathy, still need to be followed by their physician for the other problems related to hypertrophic cardiomyopathy. But hopefully, are relieved of the shortness of breath, chest pain, or light-headedness that leads to the operation.
  • #1 Hypertrophic Cardiomyopathy: Causes, Symptoms & Treatments
    https://my.clevelandclinic.org/health/diseases/17116-hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy (HCM) is a disease that causes your heart muscle to enlarge (hypertrophy). […] The goal of your treatment is to minimize or prevent symptoms and reduce the risk of complications, such as heart failure and sudden cardiac death. […] Your healthcare provider will base their recommendations for treatment on the following: Whether you have narrowing in the path that blood travels as it leaves your heart (the outflow tract). […] Healthcare providers often prescribe medications to treat your symptoms and prevent further complications. […] Procedures for the treatment of hypertrophic obstructive cardiomyopathy include: Septal myectomy. […] During a septal myectomy, your surgeon removes a small amount of your thickened septal wall to widen the path your blood takes (outflow tract) from your left ventricle to your aorta.
  • #1 Cardiovascular Nursing and Hypertrophic Cardiomyopathy: The Basics – PCNA
    https://pcna.net/podcast/cardiovascular-nursing-and-hypertrophic-cardiomyopathy-the-basics/
    The goal of therapy for patients with hypertrophic cardiomyopathy once we have the diagnosis confirmed, its really management of symptoms. And so symptom management is the number one thing we want to do. And then the second most important thing is a prevention of sudden cardiac death. […] Prevention of symptoms, prevention of sudden cardiac death, and identifying that patients individual risk factors for sudden cardiac death are very important and really paramount to the management of that patient. […] The mainstay of medical therapy for patients with hypertrophic cardiomyopathy is beta-blockade. […] So the goal with beta-blockade is to decrease the outflow murmur, which would decrease the likelihood of symptoms associated with a dynamic outflow obstruction. […] For patients unable to tolerate beta blockers we might also use calcium channel blockers such as Verapamil works really well. […] The genetic testing really what it does is it I think informs us to better treat our first-degree relatives and certainly has been, I think, helpful in pre-pregnancy counseling so that people know.
  • #1 Nursing Care Plan (NCP) for Cardiomyopathy | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-cardiomyopathy
    Assessing the oxygenation status of your patient is also super important because with cardiomyopathy, cardiac output is compromised and oxygenation is also compromised due to poor perfusion and also fluid backing up in the lungs. So, assess SP02 and apply supplemental oxygenation as needed. […] Another nursing intervention includes administering anti-hypertensives to control hypertension, to control the symptoms and to prevent any further damage to the heart. […] A low sodium diet should be followed to help decrease hypertension as well as water retention and volume overload. So, this type of diet invoice involves avoiding processed or canned foods, soda and also not adding salt to food.
  • #1 Enhancing Nurse-Patient Communication: Managing Heart Failure and Hypertrophic Cardiomyopathy – PCNA
    https://pcna.net/enhancing-nurse-patient-communication-managing-heart-failure-and-hypertrophic-cardiomyopathy/
    Fluid volume is managed cautiously in patients diagnosed with HCM and HFpEF, mild diuresis with spironolactone, SGLT-2, or low-dose diuretics. […] It is essential to recognize that patients may feel burdened or overwhelmed with their medication regime, limitations due to symptoms, and exhibit symptoms of depression. […] Nursing care should be individualized, as each patient may have specific needs, questions, or gaps in knowledge that require assessment by their providers. […] Frequent guidance and review with the patients and their support system on ways they can be successful with self-care and reiterating the warning signs of worsening symptoms may prevent symptom exacerbations and hospital readmissions. […] Some patients with HCM and heart failure find patient support groups helpful. In addition to more than just the emotional support offered, support groups also provide patient education and guidance.
  • #1 Patient education: Hypertrophic cardiomyopathy (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hypertrophic-cardiomyopathy-beyond-the-basics
    Medications […] One or more medications may be used to treat limiting symptoms. Options include a beta blocker, verapamil, disopyramide, and the myosin inhibitor mavacamten. […] Procedures to relieve left ventricular outflow tract obstruction — People with HCM who are severely symptomatic and who do not improve with medications, or who choose not to pursue escalating drug therapy, may be advised to consider invasive septal reduction therapies such as alcohol septal ablation or heart surgery such as myectomy. […] Management of surgical procedures — Because people with HCM have alterations in the heart function, special care may be needed before, during and after surgical procedures to reduce the risk of complications such as heart failure or low blood pressure (hypotension). […] Comprehensive hypertrophic cardiomyopathy centers — HCM is a relatively uncommon disease, and centers that have more experience with the management of HCM may offer the broadest range of therapies and have the lowest risk of adverse outcomes with invasive procedures such as cardiac surgery or catheter procedures.
  • #1 Hypertrophic Cardiomyopathy (HCM) | American Heart Association
    https://www.heart.org/en/health-topics/cardiomyopathy/what-is-cardiomyopathy-in-adults/hypertrophic-cardiomyopathy
    For people with HCM, a heart healthy lifestyle which includes staying active, eating a healthy diet, maintaining a normal weight, getting good quality sleep and not smoking is recommended. […] If you have other medical conditions like high blood pressure or diabetes, it’s important that these are managed to avoid heart complications which can develop if left unchecked. […] For those with symptoms, the focus is on symptom management using medications and procedures. […] It’s important to take the medications that have been prescribed by your health care professional. These medications may help improve symptoms and function, but may have side effects. […] A range of surgical and nonsurgical procedures can be used to treat HCM. […] Most children have no symptoms, while others may have mild to severe symptoms including heart failure or sudden cardiac arrest. […] Many children with HCM can lead relatively normal lives once they are diagnosed and appropriate treatments are started. However, an HCM diagnosis does affect several areas of a child’s life. Specific recommendations should be developed by the child’s health care team.
  • #1 Lifestyle Changes for Hypertrophic Cardiomyopathy | NYU Langone Health
    https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/treatments/lifestyle-changes-for-hypertrophic-cardiomyopathy
    NYU Langone heart specialists often recommend certain lifestyle guidelines for people with hypertrophic cardiomyopathy (HCM). Your doctor may ask you to lose weight if you are overweight, quit smoking, and limit your alcohol intake. […] Exercise is essential for health and wellbeing, and we encourage people with HCM to exercise. However, because this condition can cause serious heart problems during very strenuous exercise, your doctor may recommend limiting competition in athletics and extreme levels of exertion. Each person has recommendations for exercise tailored to their age and overall health. […] These lifestyle changes can help improve symptoms and prevent the condition from worsening. […] Regular exercise reduces heart rate and blood pressure and provides overall health benefits. However, it is important to follow your doctors recommendations regarding activity levels because extremes of exercise can be harmful to some people with HCM.
  • #1 Cardiomyopathy: Nursing Diagnoses & Care Plans | NurseTogether
    https://www.nursetogether.com/cardiomyopathy-nursing-diagnosis-care-plan/
    Activity intolerance is a classic sign of patients with cardiomyopathy along with other symptoms like dyspnea at rest or on exertion, fatigue, and orthopnea. This is a direct result of decreased cardiac function. […] When the heart muscles become stiff, thick, or dilated in cardiomyopathy, cardiac function decreases causing poor cardiac output. […] Impaired gas exchange associated with cardiomyopathy can be caused by the interrupted blood supply to the heart muscles altering pulmonary function and compromising gas exchange. […] Patients with cardiomyopathy may display ineffective tissue perfusion as the cardiac function worsens, making it difficult to perfuse other organs. […] Risk for unstable blood pressure (BP) associated with cardiomyopathy can be caused by thickening, stretching, and hardening of the heart, affecting the heart contraction and resulting in unstable blood pressure, insufficient blood flow, and poorly oxygenated blood to the heart.
  • #1 Nursing Care Plan (NCP) for Cardiomyopathy | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-cardiomyopathy
    Prevention of Disease Progression: Implement measures to prevent the progression of cardiomyopathy, addressing underlying causes and risk factors to minimize further damage to the heart muscle. […] Patient Education and Empowerment: Provide education on lifestyle modifications, medication adherence, and self-care practices to empower the patient in managing their condition and making informed decisions about their health. […] Psychosocial Support: Offer emotional and psychosocial support to the patient and their family, addressing the potential impact of cardiomyopathy on mental health and fostering resilience throughout the care journey. […] Monitor cardiovascular status, as well as vital signs. Cardiomyopathy can mimic heart failure and is often caused by hypertension. It’s super important to monitor the patient’s cardiovascular status and vital signs to determine any signs of decompensation.
  • #1 Enhancing Nurse-Patient Communication: Managing Heart Failure and Hypertrophic Cardiomyopathy – PCNA
    https://pcna.net/enhancing-nurse-patient-communication-managing-heart-failure-and-hypertrophic-cardiomyopathy/
    To rebuild physical and emotional strength, cardiac rehab may be recommended. Cardiac rehab is supervised by a health care professional, providing an exercise program designed for the individual patient, emotional support, and education on lifestyle modifications. Cardiac rehab can help the patient avoid an exacerbation. […] Healthcare provided respectfully based on the patients and their familys needs can promote positive outcomes by continually providing patient-centered care (PCC). […] Enhancing nurse-patient communication is essential in managing heart failure and hypertrophic cardiomyopathy. […] Nursing education equips nurses with the necessary knowledge and skills to communicate effectively with patients and improve outcomes. […] By incorporating patient-centered education in professional development, nurses can enhance their communication abilities and provide high-quality care to individuals with heart failure and HCM. […] Patients will experience better understanding, increased adherence to treatment plans, higher satisfaction levels, and improved overall outcomes.
  • #1 Hypertrophic Cardiomyopathy | Clinical Heart and Vascular Center | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/hcm/
    The role of exercise in HCM has changed dramatically over the past 10 years due to research showing exercise is safe and effective for patients with the condition. […] At UT Southwestern, we thoroughly assess every patient with HCM for their risk of arrhythmias, and we provide evaluation and personalized approaches for patients with or at risk for abnormal heart rhythms. […] UT Southwesterns cardiac rehabilitation specialists create customized plans that integrate proper nutrition, exercise, and, if necessary, nicotine cessation into patients lifestyles to improve their cardiovascular health.
  • #1 Hypertrophic Cardiomyopathy (HCM) Center | OHSU
    https://www.ohsu.edu/knight-cardiovascular-institute/hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy is a genetic heart condition that causes a muscle in the heart to thicken. […] Hypertrophic cardiomyopathy (HCM) is the most common genetic heart condition. It occurs when a muscle in your heart thickens and makes it harder for your heart to pump blood. […] Many people with HCM live long and healthy lives. […] The Hypertrophic Cardiomyopathy Center at OHSU is the only HCM Center of Excellence in Oregon. […] Our doctors, nurses, counselors and pharmacists are trained in the latest medications and treatments, so you can get the most effective treatment for you. […] Your care team will include doctors, nurses, counselors and pharmacists who will support you and your family. […] Our experts will walk you through every step, including: Recognizing HCM signs and symptoms, Diagnosing HCM, HCM treatment options, HCM clinical trials. […] Research is an important part of the work we do at OHSU. Clinical trials of new medicines help doctors find new ways to treat disease and improve your health.
  • #1 Nursing Care Plan (NCP) for Cardiomyopathy | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-cardiomyopathy
    Monitoring and Assessment Skills: Develop skills in monitoring and assessing patients with cardiomyopathy, including the use of diagnostic tests, echocardiography, and interpretation of cardiac biomarkers. This involves recognizing changes in cardiac function and adjusting care plans accordingly. […] Collaborative Care Approach: Explore the importance of a collaborative care approach involving healthcare professionals, including cardiologists, nurses, and other specialists. Understand the roles and responsibilities of each team member in managing cardiomyopathy and promoting optimal patient outcomes. […] Improved Cardiac Function: Enhance and optimize cardiac function to ensure effective pumping of blood throughout the body, reducing symptoms of heart failure. […] Symptom Management: Alleviate symptoms such as shortness of breath, fatigue, and edema, promoting a better quality of life for the patient.
  • #1
    https://atriumhealth.org/medical-services/specialty-care/heart-care/hypertrophic-cardiomyopathy-care?skill=specialty-274-thoracic-and-cardiac-surgery
    Hypertrophic cardiomyopathy (HCM) is an inherited condition that causes thickening (or hypertrophy) of the heart muscle. This thickening can make it harder for the heart to pump blood properly and can cause problems with rhythm disturbances of the heart. […] At Atrium Health Sanger Heart Vascular Institutes Hypertrophic Cardiomyopathy Center of Excellence, we offer specialized care for HCM, including evaluation, diagnosis and treatment. […] We tailor your hypertrophic cardiomyopathy care to fit your specific needs, considering your overall health, including medical history, family history and lifestyle. Our goal is to support you as you make lifestyle changes to reduce your risk and provide treatment options. […] Your care may involve: Comprehensive, HCM-specific care plan from a multidisciplinary team using novel treatments or therapies, Family screening and genetic counseling testing, Personalized support from pharmacists and social workers, Advanced imaging, Clinical research trial enrollment, Multiple options for septal reduction therapies (including surgical and catheter-based), Disease-specific education, Personalized exercise prescriptions, Risk assessment and arrhythmia management, Advanced heart failure therapies, including heart transplantation and ventricular assist device.
  • #1 Nursing Perspectives in Hypertrophic Cardiomyopathy
    https://www.medscape.org/viewarticle/nursing-perspectives-hypertrophic-cardiomyopathy-2024a1000mx8
    Did you know that asking the right questions can help diagnose hypertrophic cardiomyopathy (HCM)? […] The goal of this activity is for learners to be better able to improve outcomes for patients with HCM by empowering nurses and the interprofessional team to confidently identify and manage the condition. […] Role of nursing professionals to help patients manage HCM and optimize quality of life. […] It is very important that we know what questions to ask or what symptoms, when they’re elicited, should make us immediately think, 'Hmm, could this be hypertrophic cardiomyopathy?’ […] Eliciting these from patients is very important. […] Physical exam is always an important aspect of care. […] The first thing we do is keep them well hydrated, so that that heart is nice and plump and full with blood, and the blood can move around that area of thickening.
  • #1 Hypertrophic Cardiomyopathy: Causes, Symptoms & Treatments
    https://my.clevelandclinic.org/health/diseases/17116-hypertrophic-cardiomyopathy
    If you have hypertrophic cardiomyopathy, you should follow up regularly with your cardiologist to monitor your condition. […] Most people with hypertrophic cardiomyopathy (HCM) lead normal lives, but several treatments are available for people who develop symptoms or are at risk for serious problems.
  • #1 Hypertrophic Cardiomyopathy: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.hypertrophic-cardiomyopathy-care-instructions.ut2772
    Hypertrophic cardiomyopathy (say „hy-per-TROH-fik kar-dee-oh-my-AWP-uh-thee”) is a disease in which the heart muscle grows too thick. […] Good care at home can help you cope with symptoms and manage the condition. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] Be active. Ask your doctor what level and types of exercise are safe for you. You may need to avoid strenuous activity. […] Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.
  • #1 Hypertrophic Cardiomyopathy (HCM) | University of Iowa Health Care
    https://uihc.org/services/hypertrophic-cardiomyopathy-hcm
    If you have any of these symptoms, see a primary care provider or a cardiac specialist right away. HCM can cause sudden death, even in people who dont have symptoms, so early evaluation and treatment are essential. […] Many people with HCM need very little treatment or dont need care beyond regular monitoring. […] HCM treatment can include medication to slow down your heart rate and help your heart pump more effectively. […] If your heart muscle is abnormally thick, a procedure to trim it down might be an option. […] Your providers will customize a plan to monitor your HCM to see whether it remains stable. […] With regular heart care, most people with HCM live long, healthy lives. You can stay healthy with the following lifestyle changes: Mild to moderate nonstrenuous exercise like walking or biking, a diet low in salt and saturated fat.
  • #1 Top Tips for Nurses & Allied Professionals with Hypertrophic Cardiomyopathy patients
    https://www.escardio.org/Sub-specialty-communities/Association-of-Cardiovascular-Nursing-&-Allied-Professions/News/top-tips-for-nurses-allied-professionals-with-hypertrophic-cardiomyopathy-pati
    Providing comprehensive, evidence-based patient and family education is key to supporting informed consent and shared-decision making (Ingles et al., 2021). Nurses and allied professionals may be involved in aspects of HCM care including implantation of devices, medicines management and genetic counselling. […] Early assessment of psychological needs can ensure early provision of appropriate support. Bereavement counselling and specialist input for post-traumatic stress may be needed in those who have been impacted by a SCD/A. […] For example, there is more work to do in ensuring genomic tests are implemented in the standard care pathway. […] By adopting these top tips for HCM in our everyday practice as nurses and allied professionals, this will facilitate the shortening of the diagnostic odyssey patients undergo to get to a definitive diagnosis and treatment in one of the most common rare diseases. Having increased knowledge and skill in HCM will also help us manage and support HCM patients and their families in clinical decision making and in adjusting to their condition physically and psychologically. Alongside signposting and working with patient groups, the ambition of holistic care can be achieved.
  • #1 Hypertrophic cardiomyopathy considerations for the managed care pharmacist – PubMed
    https://pubmed.ncbi.nlm.nih.gov/33861536/
    Hypertrophic cardiomyopathy (HCM) is often seen in patients as an autosomal dominant genetic heart disease with a variable clinical course. […] Young age at diagnosis and the presence of a pathogenic or likely pathogenic sarcomere variant predict greater lifelong risk for stroke, heart failure, ventricular arrhythmia, atrial fibrillation, or mortality. […] Most individuals affected with HCM live to an average lifespan due to improvements in earlier diagnosis, sudden cardiac death risk stratification, family screening, pharmacologic therapy, devices, and invasive septal reduction therapy. […] Although these interventions have improved mortality, they are associated with significant costs and morbidities. […] In addition to these economic considerations, patients with HCM may experience a diminished health-related quality of life.
  • #1 Hypertrophic cardiomyopathy considerations for the managed care pharmacist – PubMed
    https://pubmed.ncbi.nlm.nih.gov/33861536/
    Shared decision making between the patient and physician, use of multidisciplinary teams at HCM centers, and judicious use of exercise when appropriate have been shown to improve patient outcomes. […] Currently, treatments for HCM do not treat the underlying illness. […] If approved by the FDA, managed care pharmacists should be ready to assess their safety and efficacy to improve the clinical burden and quality of life of those affected by HCM and reduce medical costs for these patients against standard of care. […] Long-term safety and efficacy data showing reductions in hospitalizations, morbidity, and mortality will be needed to determine their actual utility in managing HCM and ultimate place in therapy.
  • #2 Cardiovascular Nursing and Hypertrophic Cardiomyopathy: The Basics – PCNA
    https://pcna.net/podcast/cardiovascular-nursing-and-hypertrophic-cardiomyopathy-the-basics/
    Hypertrophic Cardiomyopathy (HCM) is the most common genetic heart disease in the United States, with 1 in 500 (0.2%) diagnosed with the condition worldwide. […] In HCM the wall of the hearts left ventricle is thicker than normal, reducing the hearts ability to pump blood efficiently, and in severe cases can obstruct blood flow to the rest of the body. […] Diagnosis can be challenging as symptoms of HCM are variable, even within the same family. Some people who have HCM are asymptomatic and the disease does not affect their lives. Other individuals have severe symptoms and complications often during exertion. […] Patients that present with symptoms or have clues in their family that makes you be concerned that they may have hypertrophic cardiomyopathy sometimes will present with an abnormal ECG or a heart murmur. Symptoms that might be associated with hypertrophic cardiomyopathy might include exertional dyspnea, syncope, dizziness, lightheadedness, sometimes fainting in some individuals.
  • #2 Cardiomyopathy: Nursing Diagnoses & Care Plans | NurseTogether
    https://www.nursetogether.com/cardiomyopathy-nursing-diagnosis-care-plan/
    Activity intolerance is a classic sign of patients with cardiomyopathy along with other symptoms like dyspnea at rest or on exertion, fatigue, and orthopnea. This is a direct result of decreased cardiac function. […] When the heart muscles become stiff, thick, or dilated in cardiomyopathy, cardiac function decreases causing poor cardiac output. […] Impaired gas exchange associated with cardiomyopathy can be caused by the interrupted blood supply to the heart muscles altering pulmonary function and compromising gas exchange. […] Patients with cardiomyopathy may display ineffective tissue perfusion as the cardiac function worsens, making it difficult to perfuse other organs. […] Risk for unstable blood pressure (BP) associated with cardiomyopathy can be caused by thickening, stretching, and hardening of the heart, affecting the heart contraction and resulting in unstable blood pressure, insufficient blood flow, and poorly oxygenated blood to the heart.
  • #2 Cardiomyopathy
    https://www.nhs.uk/conditions/cardiomyopathy/
    In hypertrophic cardiomyopathy, the heart muscle cells enlarge and the walls of the heart chambers thicken. […] The heart chambers are reduced in size so they cannot hold much blood, and the walls cannot relax properly and may stiffen. Also, the flow of blood through the heart may be obstructed. […] In most cases, hypertrophic cardiomyopathy will not have an impact on daily life. Some people do not have any symptoms and do not need treatment. […] But that does not mean the condition cannot be serious. Hypertrophic cardiomyopathy is the most common cause of sudden unexpected death in childhood and in young athletes. […] The main heart chambers can become stiff, leading to back pressure on the smaller collecting chambers. This can sometimes worsen the symptoms of heart failure and lead to abnormal heart rhythms (atrial fibrillation).
  • #2 Hypertrophic Cardiomyopathy | Pauley Heart Center | VCU Health | VCU Healthic_closeGroup
    https://www.vcuhealth.org/pauley-heart-center/programs-and-expertise/hypertrophic-cardiomyopathy/
    Hypertrophic cardiomyopathy (HCM) is a heart condition that tends to run in families. It causes the heart muscle to become too thick, making it harder for your heart to pump blood. This increases your risk of certain complications, including: […] You can prevent or treat these problems by seeking care from HCM specialists — like those at VCU Health. We offer advanced testing that can diagnose HCM early, before you develop complications. And we’ll help you manage any symptoms that occur so you feel (and stay) healthy. […] In many cases, HCM doesn’t cause any symptoms. However, if your condition is severe or causes complications, you may develop one or more of the following: […] See your doctor right away if you have any of these symptoms. It’s important to find out whether you have HCM or another cardiovascular condition. That’s because HCM can cause sudden cardiac death in people of all ages — even those who are young, active and otherwise healthy.
  • #2
    https://atriumhealth.org/medical-services/specialty-care/heart-care/hypertrophic-cardiomyopathy-care?skill=specialty-274-thoracic-and-cardiac-surgery
    Hypertrophic cardiomyopathy (HCM) is an inherited condition that causes thickening (or hypertrophy) of the heart muscle. This thickening can make it harder for the heart to pump blood properly and can cause problems with rhythm disturbances of the heart. […] At Atrium Health Sanger Heart Vascular Institutes Hypertrophic Cardiomyopathy Center of Excellence, we offer specialized care for HCM, including evaluation, diagnosis and treatment. […] We tailor your hypertrophic cardiomyopathy care to fit your specific needs, considering your overall health, including medical history, family history and lifestyle. Our goal is to support you as you make lifestyle changes to reduce your risk and provide treatment options. […] Your care may involve: Comprehensive, HCM-specific care plan from a multidisciplinary team using novel treatments or therapies, Family screening and genetic counseling testing, Personalized support from pharmacists and social workers, Advanced imaging, Clinical research trial enrollment, Multiple options for septal reduction therapies (including surgical and catheter-based), Disease-specific education, Personalized exercise prescriptions, Risk assessment and arrhythmia management, Advanced heart failure therapies, including heart transplantation and ventricular assist device.
  • #2 Hypertrophic Cardiomyopathy: Symptoms & Causes | University of Utah Health | University of Utah Health
    https://healthcare.utah.edu/cardiovascular/programs/hypertrophic-cardiomyopathy-program
    Hypertrophic cardiomyopathy (HCM) affects one in 500 people in the general population. In most cases, HCM is caused by genetic mutations. […] The Hypertrophic Cardiomyopathy (HCM) Program at University of Utah Health is the first in the state of Utah and one of the nations few comprehensive programs for evaluating and managing HCM. […] We understand that hypertrophic cardiomyopathy is a complex disease. By bringing doctors from multiple specialties together, we can provide leading-edge evaluation and a therapeutic plan that best suits your individual needs. […] Doctors often diagnose HCM by using noninvasive cardiac imaging, including echocardiography and/or cardiac magnetic resonance imaging. […] HCM can also be identified through family history and molecular genetic testing. These tests accurately diagnose HCM in a patient. […] You can have genetic testing for HCM with a blood sample. The test is covered by most insurance policies. […] Hypertrophic cardiomyopathy is a genetic disease that causes the heart muscle to become thicker, making it harder for the heart to pump blood.
  • #2 Top Tips for Nurses & Allied Professionals with Hypertrophic Cardiomyopathy patients
    https://www.escardio.org/Sub-specialty-communities/Association-of-Cardiovascular-Nursing-&-Allied-Professions/News/top-tips-for-nurses-allied-professionals-with-hypertrophic-cardiomyopathy-pati
    As nurses and allied professionals we can all play a part in ensuring we give the best possible care to our patients impacted by HCM by following these top tips. […] During assessments, it is crucial that we ask specific questions about a patients family history. A family history of HCM, cardiac transplantation, early onset heart failure and SCD in a relative 40 y/o would warrant request for further information on these relatives. This will help determine whether further referrals or tests are required to rule out HCM in the patient. […] Current cardiomyopathy guidelines recommend early referral to a specialist inherited cardiac conditions clinic if you suspect an HCM diagnosis to ensure expert evaluation, management and risk stratification by a multi-disciplinary team. […] Updated guidelines now recommend a tailored approach to exercise and physical activity (Pelliccia et al., 2020). The majority of patients are able to partake in mild to moderate exercise which is essential to general health and well-being.
  • #2 Hypertrophic Cardiomyopathy: Causes, Symptoms & Treatments
    https://my.clevelandclinic.org/health/diseases/17116-hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy (HCM) is a disease that causes your heart muscle to enlarge (hypertrophy). […] The goal of your treatment is to minimize or prevent symptoms and reduce the risk of complications, such as heart failure and sudden cardiac death. […] Your healthcare provider will base their recommendations for treatment on the following: Whether you have narrowing in the path that blood travels as it leaves your heart (the outflow tract). […] Healthcare providers often prescribe medications to treat your symptoms and prevent further complications. […] Procedures for the treatment of hypertrophic obstructive cardiomyopathy include: Septal myectomy. […] During a septal myectomy, your surgeon removes a small amount of your thickened septal wall to widen the path your blood takes (outflow tract) from your left ventricle to your aorta.
  • #2 Patient education: Hypertrophic cardiomyopathy (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hypertrophic-cardiomyopathy-beyond-the-basics
    Medications […] One or more medications may be used to treat limiting symptoms. Options include a beta blocker, verapamil, disopyramide, and the myosin inhibitor mavacamten. […] Procedures to relieve left ventricular outflow tract obstruction — People with HCM who are severely symptomatic and who do not improve with medications, or who choose not to pursue escalating drug therapy, may be advised to consider invasive septal reduction therapies such as alcohol septal ablation or heart surgery such as myectomy. […] Management of surgical procedures — Because people with HCM have alterations in the heart function, special care may be needed before, during and after surgical procedures to reduce the risk of complications such as heart failure or low blood pressure (hypotension). […] Comprehensive hypertrophic cardiomyopathy centers — HCM is a relatively uncommon disease, and centers that have more experience with the management of HCM may offer the broadest range of therapies and have the lowest risk of adverse outcomes with invasive procedures such as cardiac surgery or catheter procedures.
  • #2 Nursing Care Plan (NCP) for Cardiomyopathy | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-cardiomyopathy
    Assessing the oxygenation status of your patient is also super important because with cardiomyopathy, cardiac output is compromised and oxygenation is also compromised due to poor perfusion and also fluid backing up in the lungs. So, assess SP02 and apply supplemental oxygenation as needed. […] Another nursing intervention includes administering anti-hypertensives to control hypertension, to control the symptoms and to prevent any further damage to the heart. […] A low sodium diet should be followed to help decrease hypertension as well as water retention and volume overload. So, this type of diet invoice involves avoiding processed or canned foods, soda and also not adding salt to food.
  • #2
  • #2 Hypertrophic Cardiomyopathy Treatment at Emory Heart & Vascular
    https://www.emoryhealthcare.org/services/heart-vascular/treatments/hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy (HCM) increases your risk of sudden cardiac death and irregular heartbeats. You need specialty care to protect your heart. […] The hypertrophic cardiomyopathy care team at Emory Heart Vascular is here to help. Our team includes cardiologists, cardiothoracic surgeons and cardiac electrophysiologists. They work with you to create a personalized treatment plan based on your unique needs. […] Your expert care team will work with you to create a plan that may include: […] Medication: Some medicines relax your heart muscle to improve function. Others fix irregular heartbeats. For example, our experts may prescribe a blood thinner to lower your blood clot risk if you have atrial fibrillation. […] Implantable cardiac defibrillators (ICDs): These small, implanted devices lower your risk of sudden cardiac death if you have an irregular heartbeat. They deliver small, painless electric shocks to get your heart back into a regular rhythm.
  • #2 Cardiomyopathy: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/16841-cardiomyopathy
    Cleveland Clinic offers personalized diagnosis and the latest treatments for hypertrophic cardiomyopathy. […] Lifestyle choices can affect how quickly cardiomyopathy progresses. To manage symptoms and increase your heart health, your provider may recommend: Achieving and maintaining an ideal weight for your height and age. Eating a heart-healthy diet, including reducing your sodium intake. Exercising regularly. Limiting alcohol intake. Managing and reducing stress. Quitting smoking. […] Cardiomyopathy treatments dont cure the condition. However, they can help you manage your symptoms and slow down the diseases progression. Your healthcare provider may recommend lifestyle changes, medications, devices or procedures. Theyll decide your treatment based on which type of cardiomyopathy you have and how advanced it is.
  • #2 Lifestyle Changes for Hypertrophic Cardiomyopathy | NYU Langone Health
    https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/treatments/lifestyle-changes-for-hypertrophic-cardiomyopathy
    If exercise or activity causes symptoms, such as chest pain or shortness of breath, stop immediately and report them to your doctor. […] Hypertension can worsen the symptoms of HCM, so its important to achieve or maintain a healthy blood pressure. […] Eating a healthy diet can improve heart health. A heart-healthy diet includes a variety of fruits, vegetables, whole grains, and lean meats and fish. […] NYU Langone doctors recommend that people with this condition limit or avoid alcohol. […] If you have diabetes, youre at risk for coronary artery disease, which can worsen HCM symptoms. […] Excessive stress can raise your blood pressure, which can increase the risk of cardiomyopathy. […] Smoking tobacco can worsen some HCM symptoms. It causes a narrowing of the coronary arteries.
  • #2 Cardiomyopathy Nursing Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cardiomyopathy/
    Hypertrophic cardiomyopathy (HC) is characterized by inappropriate myocardial hypertrophy without ventricular dilation. Obstruction to left ventricular outflow may or may not be present. […] Nursing Diagnosis: Decreased cardiac output related to left ventricular dysfunction and dysrhythmias. […] Patient Management: Administer diuretic as prescribed to reduce preload and afterload.
  • #2 Enhancing Nurse-Patient Communication: Managing Heart Failure and Hypertrophic Cardiomyopathy – PCNA
    https://pcna.net/enhancing-nurse-patient-communication-managing-heart-failure-and-hypertrophic-cardiomyopathy/
    Fluid volume is managed cautiously in patients diagnosed with HCM and HFpEF, mild diuresis with spironolactone, SGLT-2, or low-dose diuretics. […] It is essential to recognize that patients may feel burdened or overwhelmed with their medication regime, limitations due to symptoms, and exhibit symptoms of depression. […] Nursing care should be individualized, as each patient may have specific needs, questions, or gaps in knowledge that require assessment by their providers. […] Frequent guidance and review with the patients and their support system on ways they can be successful with self-care and reiterating the warning signs of worsening symptoms may prevent symptom exacerbations and hospital readmissions. […] Some patients with HCM and heart failure find patient support groups helpful. In addition to more than just the emotional support offered, support groups also provide patient education and guidance.
  • #2 Hypertrophic Cardiomyopathy | Clinical Heart and Vascular Center | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/hcm/
    The role of exercise in HCM has changed dramatically over the past 10 years due to research showing exercise is safe and effective for patients with the condition. […] At UT Southwestern, we thoroughly assess every patient with HCM for their risk of arrhythmias, and we provide evaluation and personalized approaches for patients with or at risk for abnormal heart rhythms. […] UT Southwesterns cardiac rehabilitation specialists create customized plans that integrate proper nutrition, exercise, and, if necessary, nicotine cessation into patients lifestyles to improve their cardiovascular health.
  • #2 Nursing Care Plan (NCP) for Cardiomyopathy | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-cardiomyopathy
    Monitoring and Assessment Skills: Develop skills in monitoring and assessing patients with cardiomyopathy, including the use of diagnostic tests, echocardiography, and interpretation of cardiac biomarkers. This involves recognizing changes in cardiac function and adjusting care plans accordingly. […] Collaborative Care Approach: Explore the importance of a collaborative care approach involving healthcare professionals, including cardiologists, nurses, and other specialists. Understand the roles and responsibilities of each team member in managing cardiomyopathy and promoting optimal patient outcomes. […] Improved Cardiac Function: Enhance and optimize cardiac function to ensure effective pumping of blood throughout the body, reducing symptoms of heart failure. […] Symptom Management: Alleviate symptoms such as shortness of breath, fatigue, and edema, promoting a better quality of life for the patient.
  • #2 Hypertrophic Cardiomyopathy | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/hypertrophic-cardiomyopathy.html
    Hypertrophic cardiomyopathy (HCM) occurs when the heart muscle thickens over time. HCM may affect the heart in various ways. […] With the right care, most people can have a full life and avoid the life-threatening complications that can arise when hypertrophic cardiomyopathy is not properly identified and managed. […] Our team of cardiologists, electrophysiologists, genetic counselors, advanced practice providers, nurses, and other specialists work together to thoroughly evaluate your heart and your medical and family histories. […] We tailor your treatment recommendations to your hearts specific needs. […] We work with you to find the right oral medications at the right doses to address your specific symptoms. […] Our center leads the world in exploring the safety of exercise for people with HCM.
  • #2 Nursing Perspectives in Hypertrophic Cardiomyopathy
    https://www.medscape.org/viewarticle/nursing-perspectives-hypertrophic-cardiomyopathy-2024a1000mx8
    Our nursing team is involved in discussing living with hypertrophic cardiomyopathy now that she has a known diagnosis, in management, taking medications, staying hydrated, trying to eat smaller meals more regularly. […] The nurses come back to the care team and discuss that this patient’s doing well. […] This triage nurse was very familiar with hypertrophic cardiomyopathy and in the discussion was quite concerned that this patient had new onset heart failure symptoms. […] So it’s important to know that patient care in HCM is individualized, that HCM can look different in different patients. […] Having trained nurses who understand HCM as a diagnosis, what symptoms patients will present with, what their treatment options are, and how to manage them results in better overall comprehensive health care. […] Nurses are often the first people getting those phone calls from the patients, so being able, like our triage nurse, to elicit those symptoms well and understand how they are indicative of hypertrophic cardiomyopathy is imperative.
  • #2 Hypertrophic Cardiomyopathy (HCM) | University of Iowa Health Care
    https://uihc.org/services/hypertrophic-cardiomyopathy-hcm
    If you have any of these symptoms, see a primary care provider or a cardiac specialist right away. HCM can cause sudden death, even in people who dont have symptoms, so early evaluation and treatment are essential. […] Many people with HCM need very little treatment or dont need care beyond regular monitoring. […] HCM treatment can include medication to slow down your heart rate and help your heart pump more effectively. […] If your heart muscle is abnormally thick, a procedure to trim it down might be an option. […] Your providers will customize a plan to monitor your HCM to see whether it remains stable. […] With regular heart care, most people with HCM live long, healthy lives. You can stay healthy with the following lifestyle changes: Mild to moderate nonstrenuous exercise like walking or biking, a diet low in salt and saturated fat.
  • #2
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2772
    Hypertrophic cardiomyopathy (say „hy-per-TROH-fik kar-dee-oh-my-AWP-uh-thee”) is a disease in which the heart muscle grows too thick. Many people have no symptoms and live a normal life with few problems. But some people can have problems. The thickened heart muscle can make it hard for the heart to pump blood well. This can cause shortness of breath, chest pain, dizziness, fainting, and fatigue. It also can affect the heart’s electrical system. For some people, this can increase the risk for life-threatening abnormal heartbeats. Based on your risk, a device called an ICD (implantable cardioverter-defibrillator) may be an option. This device can stop these abnormal heartbeats. […] Good care at home can help you cope with symptoms and get the best results. It is very important that you follow up with your doctor.
  • #2 Top Tips for Nurses & Allied Professionals with Hypertrophic Cardiomyopathy patients
    https://www.escardio.org/Sub-specialty-communities/Association-of-Cardiovascular-Nursing-&-Allied-Professions/News/top-tips-for-nurses-allied-professionals-with-hypertrophic-cardiomyopathy-pati
    Providing comprehensive, evidence-based patient and family education is key to supporting informed consent and shared-decision making (Ingles et al., 2021). Nurses and allied professionals may be involved in aspects of HCM care including implantation of devices, medicines management and genetic counselling. […] Early assessment of psychological needs can ensure early provision of appropriate support. Bereavement counselling and specialist input for post-traumatic stress may be needed in those who have been impacted by a SCD/A. […] For example, there is more work to do in ensuring genomic tests are implemented in the standard care pathway. […] By adopting these top tips for HCM in our everyday practice as nurses and allied professionals, this will facilitate the shortening of the diagnostic odyssey patients undergo to get to a definitive diagnosis and treatment in one of the most common rare diseases. Having increased knowledge and skill in HCM will also help us manage and support HCM patients and their families in clinical decision making and in adjusting to their condition physically and psychologically. Alongside signposting and working with patient groups, the ambition of holistic care can be achieved.
  • #2 Hypertrophic Cardiomyopathy (HCM) Center | OHSU
    https://www.ohsu.edu/knight-cardiovascular-institute/hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy is a genetic heart condition that causes a muscle in the heart to thicken. […] Hypertrophic cardiomyopathy (HCM) is the most common genetic heart condition. It occurs when a muscle in your heart thickens and makes it harder for your heart to pump blood. […] Many people with HCM live long and healthy lives. […] The Hypertrophic Cardiomyopathy Center at OHSU is the only HCM Center of Excellence in Oregon. […] Our doctors, nurses, counselors and pharmacists are trained in the latest medications and treatments, so you can get the most effective treatment for you. […] Your care team will include doctors, nurses, counselors and pharmacists who will support you and your family. […] Our experts will walk you through every step, including: Recognizing HCM signs and symptoms, Diagnosing HCM, HCM treatment options, HCM clinical trials. […] Research is an important part of the work we do at OHSU. Clinical trials of new medicines help doctors find new ways to treat disease and improve your health.
  • #2 Hypertrophic Cardiomyopathy Center | Stanford Health Care
    https://stanfordhealthcare.org/medical-clinics/hypertrophic-cardiomyopathy-center.html
    We specialize in the care of patients and families with hypertrophic cardiomyopathy (HCM) and other forms of familial cardiomyopathy. From the latest imaging techniques, to sophisticated genetic profiling of hypertrophic cardiomyopathy, our team emphasizes compassion and communication when it comes to your care. […] At the Hypertrophic Cardiomyopath Center at Stanford, you can expect: […] A variety of hypertrophic cardiomyopathy treatment options including implantable cardioverter defibrillator devices, our innovative myectomy procedure, and alcohol septal ablation. […] Many new diagnostic tools and therapies are developed here and Stanford patients are often among the first to benefit when new treatments come to clinical trials. […] In addition, Stanford cardiologists were among the first to perform alcohol septal ablation, a less invasive technique to remove thickened heart muscle which many patients consider.
  • #3 Hypertrophic cardiomyopathy: New hope for an old disease – PubMed
    https://pubmed.ncbi.nlm.nih.gov/31365456/
    Hypertrophic cardiomyopathy (HCM), a common congenital heart disease, is the leading cause of sudden cardiac death in adolescents, young adults, and athletes. […] This article discusses diagnostic criteria, treatments, and nursing interventions, including patient teaching, for adults with HCM.
  • #3 Hypertrophic Cardiomyopathy (HCM) | American Heart Association
    https://www.heart.org/en/health-topics/cardiomyopathy/what-is-cardiomyopathy-in-adults/hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy is most often caused by abnormal genes in the heart muscle. These genes cause the walls of the heart chamber (left ventricle) to become thicker than normal. […] The thickened walls may become stiff and this can reduce the amount of blood taken in and pumped out to the body with each heartbeat. […] HCM is a chronic disease that can get worse over time. This can lead to poorer function and quality of life, long-term complications and more financial and social burden. […] As HCM progresses, it can cause other health problems. People with HCM are at higher risk for developing atrial fibrillation, which can lead to blood clots, stroke and other heart-related complications. HCM may also lead to heart failure. […] HCM is diagnosed based on your medical history, family history, a physical exam and diagnostic test results.
  • #3 Cardiovascular Nursing and Hypertrophic Cardiomyopathy: The Basics – PCNA
    https://pcna.net/podcast/cardiovascular-nursing-and-hypertrophic-cardiomyopathy-the-basics/
    The goal of therapy for patients with hypertrophic cardiomyopathy once we have the diagnosis confirmed, its really management of symptoms. And so symptom management is the number one thing we want to do. And then the second most important thing is a prevention of sudden cardiac death. […] Prevention of symptoms, prevention of sudden cardiac death, and identifying that patients individual risk factors for sudden cardiac death are very important and really paramount to the management of that patient. […] The mainstay of medical therapy for patients with hypertrophic cardiomyopathy is beta-blockade. […] So the goal with beta-blockade is to decrease the outflow murmur, which would decrease the likelihood of symptoms associated with a dynamic outflow obstruction. […] For patients unable to tolerate beta blockers we might also use calcium channel blockers such as Verapamil works really well. […] The genetic testing really what it does is it I think informs us to better treat our first-degree relatives and certainly has been, I think, helpful in pre-pregnancy counseling so that people know.
  • #3 Enhancing Nurse-Patient Communication: Managing Heart Failure and Hypertrophic Cardiomyopathy – PCNA
    https://pcna.net/enhancing-nurse-patient-communication-managing-heart-failure-and-hypertrophic-cardiomyopathy/
    Effective communication between nurses and patients is crucial in managing heart failure and hypertrophic cardiomyopathy (HCM). Nurse-patient communication plays a significant role in promoting patient understanding, treatment plan adherence, and overall care satisfaction. […] Nursing education is vital in preparing nurses to provide high-quality care and support to individuals with these conditions. […] If HCM is suspected, providers need to pay close attention to the patients symptoms, family history, and diagnostic testing that has been conducted. HCM patients may have a normal life expectancy, while others may have complications such as atrial and ventricular arrhythmias, including atrial fibrillation, non-sustained ventricular tachycardia, and ventricular tachycardia. […] Patients with both conditions often live with symptoms of shortness of breath, chest pain, fatigue, dizziness, edema, and decreased exercise tolerance. They require specific medications to control and help improve their heart function and symptoms. HCM patients often require beta-blockers or calcium channel blockers to improve the contraction and allow for appropriate filling of their hearts.
  • #3 Hypertrophic Cardiomyopathy Treatment at Emory Heart & Vascular
    https://www.emoryhealthcare.org/services/heart-vascular/treatments/hypertrophic-cardiomyopathy
    Catheter-based therapy (alcohol septal ablation): This is a minimally invasive procedure. Our expert injects alcohol into your arteries to destroy thickened heart muscle. This improves your blood flow and relieves your symptoms. […] Cardiac Surgery (septal myectomy): Our experts may recommend heart surgery if other treatments don’t work. In this surgery, we remove part of your thickened heart muscle to improve blood flow. […] The Hypertrophic Cardiomyopathy Program at Emory Heart Vascular is the only clinic in Georgia dedicated to care for this condition. […] We offer a wide range of treatments that aren’t available anywhere else. At Emory Healthcare, you can find all the care you need in one place.
  • #3
    https://www.aurorahealthcare.org/services/heart-vascular/conditions/hypertrophic-cardiomyopathy
    At Aurora Health Care, our dedicated team of experts are known for providing the highest quality care and improved outcomes in treating hypertrophic cardiomyopathy (HCM). […] If youre diagnosed with HCM, our team of experts will work together to develop a treatment plan thats right for you. […] We may recommend lifestyle changes to improve your health, such as quitting smoking, avoiding high-intensity sports and limiting salt, alcohol and caffeine. […] Medications to lower your blood pressure, regulate your heart rate or rhythm, decrease water retention, prevent infection or help your heart pump better. […] Your doctor may prescribe a combination of prescriptions that include beta blockers, calcium channel blockers, angiotensin receptor blockers, disopyramide, statins, diuretics or antibiotics. […] Implantable cardioverter defibrillator (ICD) to help control an irregular heartbeat. […] Septal reduction therapies to improve your symptoms and blood flow, such as alcohol septal ablation and septal myectomy.
  • #3 Nursing Care Plan for Cardiomyopathy | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-cardiomyopathy-2
    Cardiomyopathy Nursing Care Plan […] Monitor CV status VS […] Its important to monitor the patients cardiovascular status and vital signs to be alert to any evidence of decompensation. […] Assess Oxygenation, Apply O2 as needed […] Because cardiac output is compromised, oxygenation may be compromised as well due to poor perfusion and fluid backing up in the lungs. Assess SpO2 and give supplemental oxygen […] Administer antihypertensives […] Controlling hypertension is important to control symptoms as well as to prevent any further damage to the heart muscle. […] Encourage rest and minimize stress […] Because of the poor cardiac output, patients will be short of breath and easily fatigued. Encourage frequent rest periods and clustered activities. […] Monitor for s/s heart failure
  • #3 Enhancing Nurse-Patient Communication: Managing Heart Failure and Hypertrophic Cardiomyopathy – PCNA
    https://pcna.net/enhancing-nurse-patient-communication-managing-heart-failure-and-hypertrophic-cardiomyopathy/
    To rebuild physical and emotional strength, cardiac rehab may be recommended. Cardiac rehab is supervised by a health care professional, providing an exercise program designed for the individual patient, emotional support, and education on lifestyle modifications. Cardiac rehab can help the patient avoid an exacerbation. […] Healthcare provided respectfully based on the patients and their familys needs can promote positive outcomes by continually providing patient-centered care (PCC). […] Enhancing nurse-patient communication is essential in managing heart failure and hypertrophic cardiomyopathy. […] Nursing education equips nurses with the necessary knowledge and skills to communicate effectively with patients and improve outcomes. […] By incorporating patient-centered education in professional development, nurses can enhance their communication abilities and provide high-quality care to individuals with heart failure and HCM. […] Patients will experience better understanding, increased adherence to treatment plans, higher satisfaction levels, and improved overall outcomes.
  • #3 Hypertrophic Cardiomyopathy Treatment at Emory Heart & Vascular
    https://www.emoryhealthcare.org/services/heart-vascular/treatments/hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy (HCM) increases your risk of sudden cardiac death and irregular heartbeats. You need specialty care to protect your heart. […] The hypertrophic cardiomyopathy care team at Emory Heart Vascular is here to help. Our team includes cardiologists, cardiothoracic surgeons and cardiac electrophysiologists. They work with you to create a personalized treatment plan based on your unique needs. […] Your expert care team will work with you to create a plan that may include: […] Medication: Some medicines relax your heart muscle to improve function. Others fix irregular heartbeats. For example, our experts may prescribe a blood thinner to lower your blood clot risk if you have atrial fibrillation. […] Implantable cardiac defibrillators (ICDs): These small, implanted devices lower your risk of sudden cardiac death if you have an irregular heartbeat. They deliver small, painless electric shocks to get your heart back into a regular rhythm.
  • #3 Hypertrophic Cardiomyopathy (HCM) | University of Iowa Health Care
    https://uihc.org/services/hypertrophic-cardiomyopathy-hcm
    When you choose the UI Heart and Vascular Center for HCM treatment, you receive leading-edge care and coordinated services all at one location. Our nurse manager will coordinate all your appointments, serve as your point of contact, and walk you through every step of diagnosis and treatment. […] If other members of your family have HCM, well work to coordinate your appointments with those of your parents, siblings, and children. We also coordinate care with the pediatric cardiology team if your child is diagnosed with HCM.
  • #3
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2772
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Be active. Ask your doctor what level and types of exercise are safe for you. You may need to avoid strenuous activity. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.
  • #4 Hypertrophic Cardiomyopathy (HCM) | Conditions & Treatments | UR Medicine
    https://www.urmc.rochester.edu/conditions-and-treatments/hypertrophic-cardiomyopathy
    Hypertrophic Cardiomyopathy (HCM) is a complex heart disease that causes abnormally thick or stiff heart muscle. This means the heart needs to pump harder against the thickened muscle, leading to heart rhythm problems and heart valve disease. […] HCM leads to two separate problems: […] Our team includes cardiologists, cardiac surgeons, and cardiac radiologists who are experts in diagnosing and treating hypertrophic cardiomyopathy (HCM) as well as expert nurses, advanced practice providers, sonographers, and genetic counselors. […] We follow a shared decision-making model involving the patient in the decision-making process for testing and treatment. Together, we balance risks and outcomes with your preferences and values. […] Treatments include: […] HCM is a genetic disease. Genetic testing is offered to all patients with a diagnosis of HCM.
  • #4
    https://atriumhealth.org/medical-services/specialty-care/heart-care/hypertrophic-cardiomyopathy-care?skill=specialty-274-thoracic-and-cardiac-surgery
    Hypertrophic cardiomyopathy (HCM) is an inherited condition that causes thickening (or hypertrophy) of the heart muscle. This thickening can make it harder for the heart to pump blood properly and can cause problems with rhythm disturbances of the heart. […] At Atrium Health Sanger Heart Vascular Institutes Hypertrophic Cardiomyopathy Center of Excellence, we offer specialized care for HCM, including evaluation, diagnosis and treatment. […] We tailor your hypertrophic cardiomyopathy care to fit your specific needs, considering your overall health, including medical history, family history and lifestyle. Our goal is to support you as you make lifestyle changes to reduce your risk and provide treatment options. […] Your care may involve: Comprehensive, HCM-specific care plan from a multidisciplinary team using novel treatments or therapies, Family screening and genetic counseling testing, Personalized support from pharmacists and social workers, Advanced imaging, Clinical research trial enrollment, Multiple options for septal reduction therapies (including surgical and catheter-based), Disease-specific education, Personalized exercise prescriptions, Risk assessment and arrhythmia management, Advanced heart failure therapies, including heart transplantation and ventricular assist device.
  • #4 Nursing Care Plan for Cardiomyopathy | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-cardiomyopathy-2
    Cardiomyopathy can mimic heart failure. The patient may experience signs of poor perfusion such as weakness, pale, clammy skin, and diaphoresis, as well as shortness of breath and pink frothy sputum due to pulmonary edema. […] Educate patient on low-sodium diet (DASH diet) […] A low sodium diet should be followed to help decrease hypertension and water retention (volume overload). This involves avoiding processed or canned foods, not adding salt to food, and avoiding sodas.