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Published on: August 8, 2022
Disopyramide for Hypertrophic Cardiomyopathy
Alejandro Sanchez-Nadales1, Andrea Anampa-Guzmán2, Amir Khan1
1Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, USA.
Insights
Hypertrophic cardiomyopathy (HCM) is a heart condition causing thickened ventricles. This case study shows disopyramide effectively improved symptoms in an obstructive HCM patient resistant to other treatments.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Hypertrophic cardiomyopathy (HCM) is a genetic heart muscle disease.
- Obstructive HCM presents with left ventricular hypertrophy and can lead to sudden cardiac death.
- Symptoms are often refractory to standard medical management.
Observation:
- A female patient diagnosed with obstructive HCM presented with severe symptoms.
- Her condition was resistant to conventional medical therapies.
- The patient opted against invasive procedures for treatment.
Findings:
- Disopyramide was administered as an additional therapeutic agent.
- The patient experienced significant improvement in HCM symptoms after disopyramide initiation.
- Disopyramide demonstrated efficacy in managing obstructive HCM.
Implications:
- Disopyramide offers a safe and effective non-invasive treatment option for obstructive HCM.
- This medication can alleviate symptoms and potentially delay the need for invasive interventions.
- Further research into disopyramide's role in HCM management is warranted.
Abstract:
Hypertrophic cardiomyopathy (HCM) is a cardiac disease characterized by hypertrophy of a nondilated left ventricle without any other cardiac or systemic disease that could account for observed hypertrophy. We present a female patient with the diagnosis of obstructive HCM, which is rare because sudden death is frequently the first clinical presentation. Her symptoms were resistant to medical treatment and the patient did not want invasive procedures. Disopyramide was added, and it improved her symptoms. Disopyramide is a safe and effective medication that reduces symptoms and delays the need for invasive therapy. Disopyramide was added to the treatment of the patient and it improved her symptoms.
Related Concept Videos
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy IV: Restrictive Cardiomyopathy
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Cardiomyopathy V: Interprofessional Care

