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DrPhilMD, Medical Doctor (MD)
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Doctor you say if i have that condition now it would be better

Resolved Question:

Doctor you say if i have that condition now it would be better Why?

Submitted: 12 months ago.
Category: Cardiology
Expert:  DrPhilMD replied 12 months ago.

Answers are for informational purposes only.

 

Do you mean that if it is HOCM, your prognosis would be improved today as compared to a few years ago?

Customer: replied 12 months ago.

Yes. If it is what is the prognosis? What tests shall I request to confirm it is that? Is it treatable in the long term? I do hope it's not, thanks

Expert:  DrPhilMD replied 12 months ago.

Sure, no problem.

 

HOCM treatment has come a long way in the past few years. Even if that's what you had, yours would be very mild at this point based on the echocardiogram. Medical therapy comes first and the medicines have come a long way.

 

Calcium channel blockers and various other medicines can be used to control symptoms and complications associated with HOCM.

 

If it progresses, surgical techniques have improved dramatically as well. Different types of surgeries to control/reduce the size of the obstructions in this disease have become more commonplace and are now well studied.

 

Plus, I would imagine that by the time you would need anything this dramatic, the surgeries and medicines would be even better.

 

So, all in all, even if you do have this, which I doubt, you will likely be okay with the new and emerging medicines and surgical techniques.

 

Prognosis for you I would say is excellent in either case.

 

Please don't click "helped a little" or "expected more" as this leaves me negative feedback. If you aren't 100% satisfied, just click "continue conversation."

Customer: replied 12 months ago.

I am convinced that this could be caused by my fitness training. Could this be athletes heart and how common is this at my age. I have 2 young children I do not want to die suddenly soon because of this or exercising

Expert:  DrPhilMD replied 12 months ago.

This is actually VERY common with athletes like yourself.

 

Often times you will find these exact findings on an athletes echocardiogram.

 

You will see an enlarged LV (this is the main pumping chamber and athletes can train this like any other muscle)

 

You also see mild septal hypertrophy like this in athletes.

 

So, yes. I do think this is most likely related to athletic training.

 

You are spot on.

 

Customer: replied 12 months ago.

Thank you . Finally can my cardiologist ascertain whether it is athletes heart and not HOCM? What tests should I ask him to do? And if it is athletes heart am I in any extra danger through training? Thanks

Expert:  DrPhilMD replied 12 months ago.

You're very welcome

1)yes he should be able to look at the echo and decide.

2)if he can't, then you may need a cardiac MRI or a repeat echocardiogram

3)if its athletes heart, you are at no increased risk.

DrPhilMD, Medical Doctor (MD)
Category: Cardiology
Positive Feedback: 98.8 %
Satisfied Customers: 36642
Experience: Cardiology Expert
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