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Results of Angiogram ... Couple Questions


About the Author


Carrie D Father diagnosed w/apical HCM @ 17 yrs old & diagnosed w/an apical aneurysm in 2012. In April 2015 I was diagnosed with Hypertrophic Obstructive Cardiomyopathy, Myocardial Bridge & Diastolic Dysfunction. Septal myectomy March 2016/repair myocardial bridge & mitral valve repair. Find out more about Carrie D
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  • Results of Angiogram ... Couple Questions


    I had an angiogram on Friday, the cardiologist told me that my heart is "very thick." He diagnosed me with apical hypertrophic cardiomyopathy and told me I have a muscle bridge.

    I have been referred to a cardiologist who specializes in cardiomyopathy.

    My septum is also enlarged, is that separate or related to the apical cardiomyopathy?

    Can you suggest some important questions that I should ask the specialist (or recommend where I can find a list of questions to ask)?

    Thanks and Have a great day!

  • #2
    Re: Results of Angiogram ... Couple Questions

    I've heard the term Bridge used here, but its not common. This leads me to think its not HCM related. You can use the search feature here on this site, but I can't suggest any other sites off the top of my head. I'd suggest ordering the HCM book by Maron & Salberg on Amazon. Very good (and accurate) resource. We suggest all HCM'rs go to an HCM specialist. Believe me, there is a HUGE number of doctors not up on current HCM treatment. In Canada, that's Toronto General.
    HCM is many different diseases with a common issue - excess tissue growth. Apical HCM is a general thickness on the entire bottom of the heart, rather than the septum or the Left ventrical wall which is more commonly seen. But its not to say you couldn't have two types (lucky you!). Apical used to be considered not surgically fixable, but the Mayo Clinic had perfected the procedure, but not a lot of surgeons are up on it.

    Did the doctor ask about your family? your kids? cousins? HCM is hereditary and a knowledgeable doctor would inquire and have you have them get tested as well (an echo or MRI is non-evasive (your cath is evasive and not typically used to DX HCM). But, doctors look at the entire heart including all the vessels to rule out other things so it wasn't a waste.
    Diagnosed @ 48
    Saw Dr. Michael Debakey @ age 5 - "He's fine, just a little noisy"
    Father to 3 boys 22, 25, 29 (all currently clear - pending genetics)
    AICD - Valentines Day '08, Spark Plug replaced 11/14
    After much research, I had a Myectomy @ Mayo for my 50th Birthday '08
    Quietly going insane . . .


    • #3
      Re: Results of Angiogram ... Couple Questions

      Hi a myocardial bridge is often found when investigating hcm.
      They both can exist separately in a patient.
      The bridge refers to the heart muscle growing over arteries therefore crushing them restricting blood flow.
      Very similar symptoms to heart attatck or hcm.
      A surgeon can cut the heart muscle allowing the arteries to come up and be clear of the muscle .

      Sent from my SGH-I337M


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