Hypertrophic Cardiomyopathy (HCM): Symptoms and Understanding the Condition

Introduction

Hypertrophic cardiomyopathy (HCM) is a genetic condition in which the heart muscle becomes abnormally thick (hypertrophied). This thickening can make it harder for the heart to pump blood effectively. While some people with HCM experience no symptoms, others may have serious complications, including arrhythmias and heart failure.

Common Symptoms of HCM

The severity and presence of symptoms can vary from person to person. Below are the most common symptoms:

1. Shortness of Breath (Dyspnea)

  • Often occurs during physical activity or exertion.
  • The thickened heart muscle can impede blood flow, leading to congestion in the lungs.

2. Chest Pain (Angina-like Pain)

  • Can be triggered by activity or stress.
  • Results from reduced oxygen supply to the thickened heart muscle.

3. Palpitations and Arrhythmias

  • Sensation of fluttering or rapid heartbeats.
  • Sometimes linked to atrial fibrillation, which increases stroke risk.

4. Syncope (Fainting or Near-Fainting Episodes)

  • Due to inadequate oxygen delivery to the brain.
  • Can be triggered by exertion or arrhythmias.

5. Fatigue

  • Poor circulation and heart inefficiency lead to tiredness even after minor activities.

6. Dizziness or Lightheadedness

  • Caused by reduced blood flow to the brain.
  • May precede fainting episodes.

Possible Complications

  • Sudden Cardiac Arrest (SCA): Rare but possible, especially in younger patients.
  • Heart Failure: The heart becomes unable to pump blood efficiently.
  • Stroke: Due to associated atrial fibrillation increasing clot risk.

When to Seek Medical Help?

If you experience unexplained shortness of breath, chest pain, fainting episodes, or severe palpitations, consult a cardiologist promptly.

Conclusion

HCM is a manageable but serious heart condition. Early diagnosis, regular check-ups, and appropriate treatment can improve quality of life and reduce complications.

Source recommendations

1. American Heart Association Guidelines on Hypertrophic Cardiomyopathy

  1. https://www.heart.org/en/health-topics/cardiomyopathy/what-is-cardiomyopathy-in-adults/hypertrophic-cardiomyopathy
  2. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001250
  3. https://professional.heart.org/en/education/hypertrophic-cardiomyopathy-for-professionals
  4. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000937
  5. https://professional.heart.org/en/science-news/2024-guideline-for-the-management-of-hypertrophic-cardiomyopathy

2. European Society of Cardiology Guidelines on Hypertrophic Cardiomyopathy

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Cardiomyopathy-Guidelines
  2. https://academic.oup.com/eurheartj/article/44/37/3503/7246608
  3. https://pubmed.ncbi.nlm.nih.gov/29191938/
  4. https://academic.oup.com/eurheartj/article/35/39/2733/853385
  5. https://pubmed.ncbi.nlm.nih.gov/25173338/

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