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Hypertrophic cardiomyopathy in children with hypertrophic cardiomyopathy do not cure it?
Have diseases: hypertrophic cardiomyopathy cardiomyopathy
Q: disease description (main symptom onset): the baby is now 5 and a half months, 3 and a half months admitted to hospital because of cough detect hypertrophic cardiomyopathy, usually of soft crying, sweating, weakness, crying lips .
Shanghai Children's Hospital Pediatric Cardiology, Shen Jie replies:
Effect of hypertrophic cardiomyopathy is indeed poor, but not entirely without effect. Details Please save my daughter, Dr Cheng: Two-chamber hypertrophy, hypertrophic cardiomyopathy
Have diseases: congenital heart disease: dual-chamber hypertrophy, hypertrophic cardiomyopathy
Q: disease description (main symptom onset): bad face at birth that is different from ordinary people, two days later found a heart murmur, is as follows: under normal circumstances, purple nails, crying .
Shanghai Children's Medical Center Cardiothoracic Surgery Zheng Jinghao replies:
Hypertrophic cardiomyopathy can be done if there is no surgery, it is best to ask the details of physicians under the heart ST-T band down the level of 3.2 cells, inverted, and whether there will be hypertrophic cardiomyopathy with coronary heart disease?37-year-old female patient, hypertrophic cardiomyopathy can do surgery
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Condition analysis:
Hypertrophic cardiomyopathy is characterized by cardiac hypertrophy. According to whether the left ventricular outflow tract obstruction can be divided into obstructive and non-obstructive hypertrophic cardiomyopathy, asymmetric septal hypertrophic subaortic stenosis caused by idiopathic said hypertrophic subaortic stenosis.
Your situation is quite serious, according to your doctor medication!!
Suggestion:
The slow development of hypertrophic cardiomyopathy, the prognosis is good, but because of arrhythmia, can cause sudden death, life should be taken to avoid fatigue, to prevent excessive stress, blockers, reduce cardiac contractility encore experiences, reduce left improve left ventricular outflow obstruction ventricular wall compliance and left ventricular filling, but also has anti-arrhythmic effect. Dose: 10mg orally, 3 times a day. can be gradually increased up to 480mg / day. Calcium channel blockers can also be used , verapamil 40mg orally 3 times a day, nifedipine 10mg, oral, 3 times a day. can improve left ventricular diastolic function, blood pressure should be observed to prevent the blood drop too low.
Surgical treatment: pressure grad 60mmHg, ineffective drug therapy, surgical treatment may be feasible. Resection of hypertrophic muscle. With severe mitral valve regurgitation who do mitral valve replacement. Before the study from Hebei Medical University The biochemical laboratory was informed that the room in the teacher Wenjin Kun, MD, Zheng Bin, Han Mei under the guidance of two professors, from the molecular, cellular and overall level of the system reveals the hhlim protein on cardiac hypertrophy induced transcriptional regulation mechanism, and found that using anti- Expression of antisense technology can effectively reduce blocking hhlim cardiac hypertrophy and development.
Life care:
For caution in patients with hypertrophic cardiomyopathy decreased cardiac preload and afterload of the drug should not increase the intraventricular obstruction. Digitalis to enhance myocardial contractility, left ventricular outflow tract obstruction can also be increased to further reduce cardiac output, hence careful use. on the combined angina patients, due to left ventricular outflow tract obstruction nitroglycerin can increase, it is disabled. Asked by questioning
Hello, I am very satisfied with your answers. I revert to you on an issue, I check in 05, ventricular septal thickness of 33MM, and compared to the situation now, which is more important to do so?'s Reply reply
In the 2005 inspection, the interventricular septum thickness of 33MM, and the situation now compared to more serious cases, meaning that your condition has improved!!


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