No. There are many people who have hypertrophic cardiomyopathies who do not require transplant and live productive lives.
No. They are performed for dilated cardiomyopathy which is an entirely different disease. When surgery is required for hcm, it's usually a myotomy/myomectomy.
Usually not. Medical and surgical options, as well as lifestyle modifications are foremost. A heart transplant would be a last resort.
Cardiomyopathy. Some patients with hypertrophic cardiomyopathy may have a mild form and live a normal lifespan. Some patients may have more severe forms that are progressive necessitating surgery, or resulting in arrythmias, fainting, heart failire or even evolving into a dilated cardiomyopathy requiring heart transplant in the most severe cases. Close follow up with a doctor is important with this condition.
If a person has hypertrophic cardiomyopathy & the heart suddenly stops, would a defibrillator get the heart started again? Will they need transplant?
Not applicable. If the heart stops, this is termed asystole, and defibrillation (shock) is not used when heart is in asystole (no matter the condition). If the heart goes into an arrhythmia (abnormal rhythm) that causes critically low blood pressure, then defibrillation can be used to possibly restart the heart. Heart transplant is indicated for hypertrophic cardiomyopathy with refractory heart failure.
Hypertrophic. In most cases defibrillator should be able to restart it provided that it is done immediately, transplant is needed more rarely.
Yes. A heart with hypertrophic cardiomyopathy is generally overly vigorous to start with, and over stimulation may actually cause outflow tract obstruction or arrhythmias.
Is it possible to have hypertrophic cardiomyopathy with 2 normal heart ultrasounds? (echocardiograms)
Not likely but rare. Most of the time you can diagnose by echocardiogram but sometime more invasive testing using special echo probes may be needed like transesophageal echocardiogram (tee) and some times your lungs, ribs or body tissue may interfere with sound wave and may need contrast through IV to better define the heart.
Unlikely. Echo is generally the most direct diagnostic tool for this condition, so if the condition is present, echo should demonstrate it. Sometimes borderline cases may be difficult to distinguish from athletic heart, but echo will still raise concerns about the possible dx. Very early in the dz the main sign may only be subtle ECG changes, although this will only become clear in retrospect.
It is possible. Hypertrophic cardiomyopathy can cause palpitations. Some are benign. However, ventricular arrhythmia is possible. You need to discuss with your cardiologist about your risks.
Hypertrophic cardiom. The symptoms of a hypertrophic cardiomyopathy can vary from shortness of breath to chest discomfort to syncope or fainting. If you have a family history of this or sudden cardiac death at a young age, then you should see a cardiologist. If you are concerned, start with your primary physician and if there are any abnormal findings then see a cardiologist.