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[Translate Please]
Author: Susan (---.ceg.com)
Date: 04-15-02 12:30
I just got back from Cleveland Clinic and I still don't know anymore about my condition than I did before. I'm hoping that one of you might be able to tell me what my doctor evidently feels I don't need to know. ( All he says is things are looking good and how do I feel?) When I began telling him that I still cannot walk on the treadmill without getting a tightness in my chest ( not pain) just like you are walking up a hill in real cold weather and tightness running down my arm. I also get shortness of breath and racing heart when just sitting down on the couch sometimes. He suggested that I increase my atenolel to 100mg in the morning and another 50mg in the evening, since I feel pretty good in the daytime but get these symptoms after 6:30 pm. He want to do another stress echo ( I had one in July of last year and he said it was good) and he has already scheduled me for a heart cath. This is what I'm concerned about. From what I've read on this board my symptoms are pretty much what everyone has with this condition and he even said he didn't think I had any other coronary problems but just wants to make sure. I'm am not at all thrilled with doing this and since I have increased the dosage on my medicine I have felt better in the evening. A little more fatigued but I think that comes with the medicine. But let me give you a run down on my reports from him.
In July 2000 cardiac testing showed TTE-Symmetric septal hypertrophy (septum 2.0-2.2cm) SAM 1+ MR, resting LVOT gradient = 85mm Hg. Stress echo showed
No resting LVOT obstruction. With exercise, no hypotension; 36 mm Hg gradient, 8.3 METS, 65% MPHR. The echo that was just done this April showed: TTE-hHypertrophic cardiomyopathy with resting chordal SAM & trivial MR. Rest gradient -19 mm Hg , with Amyl nitrite the LVOT gradient is 124 mm Hg. His assessment comments: Hypertrophic Cardio with inducible obstruction & exertional symptoms but relatively good functional capacity. History of nonsustained ventricular tachycardia. No symptoms consistent with arrhythimia and no syncope or presyncope. Could someone please tell me what all this means in plain english. Has it gotton worse from July to April. He never discusses what all this means and I just get to read these reports they send to me after I get home. I know this is long and winded but I would appreciate it if any of you can decipher for me. Thanks. I would like to know what you think about the heart cath too and how bad is it and what are the risks?
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[Re: Translate Please]
Author: lisa (208.47.172.---)
Date: 04-15-02 12:58
Susan,
First I will say that there is far too much information for me to respond to on a message board. I am happy to help you translate this into understandable english...but not on the message board...frankly too much typing for me...
Call the office and schedual an appointment, we will talk and "translate" and help you get where you need to be....feeling better!
Best wishes,
Lisa Salberg
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[Re: Translate Please]
Author: Blaine (---.chartersc.net)
Date: 04-15-02 22:28
In a nutshell, you have HCM. You are mildly symptomatic (you have shortness of breath and mild discomfort when exercising), but not dangerously (no sustained potentially fatal heart rhythms). In short, you are doing pretty well.
Best of luck!
Author: Susan (---.ceg.com)
Date: 04-15-02 12:30
I just got back from Cleveland Clinic and I still don't know anymore about my condition than I did before. I'm hoping that one of you might be able to tell me what my doctor evidently feels I don't need to know. ( All he says is things are looking good and how do I feel?) When I began telling him that I still cannot walk on the treadmill without getting a tightness in my chest ( not pain) just like you are walking up a hill in real cold weather and tightness running down my arm. I also get shortness of breath and racing heart when just sitting down on the couch sometimes. He suggested that I increase my atenolel to 100mg in the morning and another 50mg in the evening, since I feel pretty good in the daytime but get these symptoms after 6:30 pm. He want to do another stress echo ( I had one in July of last year and he said it was good) and he has already scheduled me for a heart cath. This is what I'm concerned about. From what I've read on this board my symptoms are pretty much what everyone has with this condition and he even said he didn't think I had any other coronary problems but just wants to make sure. I'm am not at all thrilled with doing this and since I have increased the dosage on my medicine I have felt better in the evening. A little more fatigued but I think that comes with the medicine. But let me give you a run down on my reports from him.
In July 2000 cardiac testing showed TTE-Symmetric septal hypertrophy (septum 2.0-2.2cm) SAM 1+ MR, resting LVOT gradient = 85mm Hg. Stress echo showed
No resting LVOT obstruction. With exercise, no hypotension; 36 mm Hg gradient, 8.3 METS, 65% MPHR. The echo that was just done this April showed: TTE-hHypertrophic cardiomyopathy with resting chordal SAM & trivial MR. Rest gradient -19 mm Hg , with Amyl nitrite the LVOT gradient is 124 mm Hg. His assessment comments: Hypertrophic Cardio with inducible obstruction & exertional symptoms but relatively good functional capacity. History of nonsustained ventricular tachycardia. No symptoms consistent with arrhythimia and no syncope or presyncope. Could someone please tell me what all this means in plain english. Has it gotton worse from July to April. He never discusses what all this means and I just get to read these reports they send to me after I get home. I know this is long and winded but I would appreciate it if any of you can decipher for me. Thanks. I would like to know what you think about the heart cath too and how bad is it and what are the risks?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
[Re: Translate Please]
Author: lisa (208.47.172.---)
Date: 04-15-02 12:58
Susan,
First I will say that there is far too much information for me to respond to on a message board. I am happy to help you translate this into understandable english...but not on the message board...frankly too much typing for me...
Call the office and schedual an appointment, we will talk and "translate" and help you get where you need to be....feeling better!
Best wishes,
Lisa Salberg
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
[Re: Translate Please]
Author: Blaine (---.chartersc.net)
Date: 04-15-02 22:28
In a nutshell, you have HCM. You are mildly symptomatic (you have shortness of breath and mild discomfort when exercising), but not dangerously (no sustained potentially fatal heart rhythms). In short, you are doing pretty well.
Best of luck!