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Published on: August 8, 2022
Hypertrophic cardiomyopathy in adults: an overview
1(ARNP Graduate Student), Venice Regional Medical Center, Gulf Coast Cardiovascular Consultants, University of Cincinnati, Sarasota, Florida.
Insights
Hypertrophic cardiomyopathy (HCM) is a common genetic heart disorder often diagnosed late. Early recognition and treatment of HCM in adults can prevent sudden cardiac death, stroke, and heart failure, improving quality of life.
Area of Science:
- Cardiology
- Genetics
- Internal Medicine
Background:
- Hypertrophic cardiomyopathy (HCM) is the most prevalent genetic disorder affecting the heart.
- HCM often remains undiagnosed until midlife, presenting after symptoms of myocardial remodeling appear.
- Adults with HCM face risks of sudden cardiac death (SCD), stroke, and heart failure.
Purpose of the Study:
- To provide a comprehensive overview of clinical issues in adults with HCM.
- To detail presenting symptoms, diagnostic methods, and physical examination findings for HCM.
- To outline current treatment strategies and follow-up care for adult patients with HCM.
Main Methods:
- A systematic literature search was conducted using Medline (PubMed) and CINAHL.
- Key search terms included HCM, treatment, diagnosis, sudden cardiac death (SCD), and complications.
- Twenty-one relevant articles and three reference books informed the content.
Main Results:
- HCM is frequently diagnosed late, often after the onset of symptoms.
- Untreated HCM can lead to serious adverse events, including SCD, stroke, and heart failure.
- Early diagnosis and intervention are crucial for managing HCM.
Conclusions:
- Early diagnosis of HCM in adults is critical for preventing SCD.
- Prompt recognition and management of HCM can significantly improve patients' quality of life.
- Timely intervention can slow disease progression, reducing the incidence of heart failure and stroke.
Purpose:
To present an overview of clinical issues related to adults with hypertrophic cardiomyopathy (HCM), their presenting symptoms, diagnosis, physical examination findings, treatment, and follow-up care.
Data Sources:
A comprehensive search of Medline (PubMed) and CINAHL was conducted using the key terms HCM, treatment, diagnosis, sudden cardiac death (SCD), and complications. This search yielded 21 articles used for this article. There were three reference books used for background, diagnosis, and treatment information as well.
Conclusions:
Although HCM is the most prevalent genetic disorder affecting the heart, it often goes undiagnosed until midlife after patients show symptoms of myocardial remodeling. Adults with cardiomyopathy suffer SCD or adverse events such as stroke and heart failure from HCM. Early diagnosis will prevent SCD, improve quality of life, and slow patient's progression to heart failure.
Implications For Practice:
Early recognition of HCM in adults by their primary care providers will improve patients' quality of life and reduce incidence of SCD, heart failure, and stroke.
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