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There’s no cure for HCM, but treatment can help you feel your best and reduce your risk of complications.
“In obstructive HCM, treatment focuses on reducing the outflow obstruction and calming excessive contraction of the heart,” says Shah. “In nonobstructive HCM, treatment is more focused on managing stiffness, rhythm issues, and symptoms rather than relieving obstruction. The underlying goals overlap, but the strategies differ.”
No matter which type of HCM you have, discuss the benefits and drawbacks of an implantable cardioverter-defibrillator (ICD) with your cardiologist. The device is implanted under your skin to monitor your heart rate. It delivers an electric shock if it senses an irregular heart rhythm that could lead to sudden cardiac death.
While ICDs aren’t the right choice for everyone, the devices are more commonly used in people with obstructive HCM.
Symptom-reducing medications, such as beta-blockers and calcium channel blockers, can also be helpful for obstructive and nonobstructive HCM. Your cardiologist can recommend what may be best for you based on your symptoms and their severity.
You may be a candidate for additional medications or surgical procedures if you have obstructive HCM.
Mavacamten (Camzyos) is an oral myosin inhibitor that targets the underlying cause of obstructive HCM. The drug can ease symptoms and help your heart function better.
Surgery options include:
- Septal Ablation This procedure involves injecting alcohol into the thickened part of the heart in an effort to shrink it, and placing a catheter in an artery to maintain blood supply to that area of the heart.
- Septal Myectomy This open-heart surgery involves removing a thickened part of the heart wall to improve blood flow out of the heart.
Each treatment option comes with benefits and risks, so consult your doctor to determine which one may be best for you.
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