HCM-ers: Introduce yourself or just say hi

Welcome to the Hypertrophic Cardiomyopathy (HCM) group on Mayo Clinic Connect - a place where you can connect with others, learn about living HCM, share experiences and exchange useful information.

I invite you to follow the group. Simply click the follow icon image-f6386d0357e2 on the group landing page

I'm Colleen, and I'm the moderator of this group, and Community Director of Connect. I look forwarding to welcoming you and introducing you to other members.

Why not start by introducing yourself here?

Interested in more discussions like this? Go to the Hypertrophic Cardiomyopathy (HCM) Support Group.

Do you remember what your septum measurements were?
What was your gradient?

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Profile picture for joeymopete @joeymopete

I was diagnosed with HOCM a little over a year ago when my primary care doctor Dr. Houston (Mayo, Red Wing) felt that I should have an echocardiogram for my shortness of breath symptoms. That test and a stress test showed I had HOCM and a record gradient of pressure on my heart as well as regurgitation of my mitral valve. I tried Metoprolol and Diltiazem but they did nothing for me so Dr. Ommen (Mayo, Rochester) offered me four options and told me to go with my gut. I did. I chose a myectomy through open heart surgery with Dr Rowse (Mayo, Rochester).
I know of no one in my family who had HMC. Many of my relative have had echos now including my grown children and so far no sign of it. I did the DNA test but I was not in the 17% of known genes.
I’m 73, fairly active, and a grandmas of five. I am seven weeks out from surgery, my shortness of breath is gone, my asthma symptoms are gone and though I still continue to build up my strength, I’m excited about my renewed lease on life.

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@joeymopete You had your myectomy in December, seven weeks ago and I am so glad to read that you are doing well and are excited with your renewed lease on life! I, too, am among the people who have not shown a mutated HCM causing gene, perhaps when I get tested again in a couple more years, the naughty one will have been discovered. Your family is wonderfully proactive with echoes, have the doctors of your grandchildren been told of your HCM? My grandson (16) goes to a pediatric cardiologist every 2 years for an echo (unfortunately, his insurance will not pay for it), to be sure he is OK. Has your doctor suggested cardio rehab for his/her "fairly active" patient (you)?

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Profile picture for Linda, Volunteer Mentor @walkinggirl

@joeymopete You had your myectomy in December, seven weeks ago and I am so glad to read that you are doing well and are excited with your renewed lease on life! I, too, am among the people who have not shown a mutated HCM causing gene, perhaps when I get tested again in a couple more years, the naughty one will have been discovered. Your family is wonderfully proactive with echoes, have the doctors of your grandchildren been told of your HCM? My grandson (16) goes to a pediatric cardiologist every 2 years for an echo (unfortunately, his insurance will not pay for it), to be sure he is OK. Has your doctor suggested cardio rehab for his/her "fairly active" patient (you)?

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@walkinggirl
Thanks for your interest.
If I understood correctly we do not need to do the dna test again. Researchers will use our sample and, I assume, they will notify us if our gene is identified.
My grandchildren have not had echos. I understand, protocol is that doctors/insurance will only do them if my their parent is diagnosed. It makes no sense to me! I continue to follow up on this! At least…my two kids are in their 40’s and show no signs of HCM.
Mayo doctors told me I would receive cardiac rehab and that I needed it to determine how my heart reacts to exercise. My nurse told me “everyone goes home with a cardiac rehab schedule.” I was then informed by Mayo (when I got home) that Medicare does not pay for it for HCM myectomy surgery. I could pay for it at around $350 a session. Maybe some people’s supplement pays it. I have not gone yet but invested in an Apple Watch and find that my heart rate, at least, is in a good range during exercise. I have a cardiac PA visit coming up and I can discuss some of these things further. It’s all a learning experience!

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Profile picture for joeymopete @joeymopete

@walkinggirl
Thanks for your interest.
If I understood correctly we do not need to do the dna test again. Researchers will use our sample and, I assume, they will notify us if our gene is identified.
My grandchildren have not had echos. I understand, protocol is that doctors/insurance will only do them if my their parent is diagnosed. It makes no sense to me! I continue to follow up on this! At least…my two kids are in their 40’s and show no signs of HCM.
Mayo doctors told me I would receive cardiac rehab and that I needed it to determine how my heart reacts to exercise. My nurse told me “everyone goes home with a cardiac rehab schedule.” I was then informed by Mayo (when I got home) that Medicare does not pay for it for HCM myectomy surgery. I could pay for it at around $350 a session. Maybe some people’s supplement pays it. I have not gone yet but invested in an Apple Watch and find that my heart rate, at least, is in a good range during exercise. I have a cardiac PA visit coming up and I can discuss some of these things further. It’s all a learning experience!

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@joeymopete
After my septal Myectomy, I was told that Medicare wouldn’t pay for rehab. So my Dr told me to walk five minutes, 4 times a day. And gradually increase it each week. My surgery was September 26th and now I walk twice a day and average 3 miles each walk. Sometimes I do more, sometimes I do less. But I’m pretty consistent with 5-6 miles a day. Since I’m retired, I’m thinking of walking as my job. I feel so much stronger and don’t need to nap anymore. I’m expecting to feel 100% by my 6 month post surgery date.

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Profile picture for joeymopete @joeymopete

@walkinggirl
Thanks for your interest.
If I understood correctly we do not need to do the dna test again. Researchers will use our sample and, I assume, they will notify us if our gene is identified.
My grandchildren have not had echos. I understand, protocol is that doctors/insurance will only do them if my their parent is diagnosed. It makes no sense to me! I continue to follow up on this! At least…my two kids are in their 40’s and show no signs of HCM.
Mayo doctors told me I would receive cardiac rehab and that I needed it to determine how my heart reacts to exercise. My nurse told me “everyone goes home with a cardiac rehab schedule.” I was then informed by Mayo (when I got home) that Medicare does not pay for it for HCM myectomy surgery. I could pay for it at around $350 a session. Maybe some people’s supplement pays it. I have not gone yet but invested in an Apple Watch and find that my heart rate, at least, is in a good range during exercise. I have a cardiac PA visit coming up and I can discuss some of these things further. It’s all a learning experience!

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@joeymopete You mentioned that you had been diagnosed with mitral valve regurgitation as well as HOCM. When I had a septal myectomy in July (at age 73, like you), the surgeon also repaired my mitral valve.

I was told Medicare (and my supplemental insurance) did not cover cardiac rehab for the septal myectomy, but they did cover it for the mitral valve repair, so I had 12 weeks of cardiac rehab starting about 8 weeks post-surgery. If you had mitral valve repair and if this quirk in insurance coverage applied to you I assume your providers would have known about it, but it wouldn't hurt to ask.

Either way, good luck with your exercise program. Six months after surgery I am back at the gym 4 or 5 times a week, doing 40 or 50 minutes of cardio (treadmill, rowing machine, and/or elliptical) plus some moderate resistance training.

Each of us is different. Progress at your own pace and listen to your body.

Congrats on the successful surgery.

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My name is Barbara - I was diagnosed about 3 years ago - I take Meteprolol 125 mg a day- my main symptom is fatigue and shortness of breathe when going up steps.

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Profile picture for bbisno @bbisno

My name is Barbara - I was diagnosed about 3 years ago - I take Meteprolol 125 mg a day- my main symptom is fatigue and shortness of breathe when going up steps.

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@bbisno Hello Barbara aka @bbisno and welcome to the HCM discussion blog! You have reached out to a like-hearted group where diagnosed members (and participating loved ones) are all at different stages of their HCM journey. You have probably learned much during the last 3 years. Did it take a long time for you to receive your diagnosis? People on this blog shared that they were misdiagnosed for years and others, like me, were fortunate that the cardiologist I was referred to was well-versed in HCM. Are you a patient at a COE (Center of Excellence) such as Mayo Clinic? Has your medication helped? Have you considered genetic testing to determine if the naughty gene can be identified?

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Profile picture for joeymopete @joeymopete

@walkinggirl
Thanks for your interest.
If I understood correctly we do not need to do the dna test again. Researchers will use our sample and, I assume, they will notify us if our gene is identified.
My grandchildren have not had echos. I understand, protocol is that doctors/insurance will only do them if my their parent is diagnosed. It makes no sense to me! I continue to follow up on this! At least…my two kids are in their 40’s and show no signs of HCM.
Mayo doctors told me I would receive cardiac rehab and that I needed it to determine how my heart reacts to exercise. My nurse told me “everyone goes home with a cardiac rehab schedule.” I was then informed by Mayo (when I got home) that Medicare does not pay for it for HCM myectomy surgery. I could pay for it at around $350 a session. Maybe some people’s supplement pays it. I have not gone yet but invested in an Apple Watch and find that my heart rate, at least, is in a good range during exercise. I have a cardiac PA visit coming up and I can discuss some of these things further. It’s all a learning experience!

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@joeymopete I am glad that @mbi and @baystater101 had helpful tips related to cardio rehab and exercise. I was fortunate that my former employer's retirement insurance (nonprofit Medicare Advantage Plan) paid 100%, but around here it was a 6+ week wait for an opening. The gym I go to is owned by 2 former employees of one of the cardio rehab places. They were very helpful with starting me off (no heart monitors, though) until I went to cardio rehab for a very short time, it was unnecessary by then. The Y in my small city has all kinds of classes for specific ailments (Parkinsons, breast surgery recovery for example). May I suggest checking to see if there is another way to obtain supervised guidance? By the way, how will the genetic lab people know to retest your DNA? I was told to contact them in 5 years after 2022.

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Profile picture for rebaheizer @rebaheizer

Do you remember what your septum measurements were?
What was your gradient?

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@rebaheizer
I’m not sure if this question was addressed to me but my septum was 16mm and my gradient was 185>. Yikes!

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Profile picture for Linda, Volunteer Mentor @walkinggirl

@joeymopete I am glad that @mbi and @baystater101 had helpful tips related to cardio rehab and exercise. I was fortunate that my former employer's retirement insurance (nonprofit Medicare Advantage Plan) paid 100%, but around here it was a 6+ week wait for an opening. The gym I go to is owned by 2 former employees of one of the cardio rehab places. They were very helpful with starting me off (no heart monitors, though) until I went to cardio rehab for a very short time, it was unnecessary by then. The Y in my small city has all kinds of classes for specific ailments (Parkinsons, breast surgery recovery for example). May I suggest checking to see if there is another way to obtain supervised guidance? By the way, how will the genetic lab people know to retest your DNA? I was told to contact them in 5 years after 2022.

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@walkinggirl
I’m no expert but I am an amateur genealogist and I speak on DNA topics. Our DNA never changes so if they keep a record of it there would be no need to retest it. My assigned Geneticist said they would keep it on record and it would be used for research, this was at Mayo. I will see if I can reach her to clarify whether contact will be made, if our gene is identified.

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