Hi, Iam just wondering how long and how hard for a diagnosis?
Hello.
My name is Lisa, I live in Ontario Canada. Iam 48. I have a paternal grandfather who had HCM and died at 48 (just dropped on a sidewalk), I also have a father who has HCM and A Fib. About 7 yrs ago I started having chest tightness, sob and pounding heart (it almost hurt) at the time I didn't know my paternal grandfather had it as well. Dr sent me for an echo, showed a mid cavity gradient of 29mmhg with Valsalva (1 below diagnosis threshold), rwt .47, EF 67.1-75% as well as a small left ventricle size and daggers and turbulence on the echo images. I did not see a dr after that one bc I was told it was normal. I had another echo this week due to same symptoms and some new ones (dizziness when standing, squatting, bending, lifting, rolling over). This echo was completely different, I did Valsalva many times and it was not mentioned in the report at all,as well as rwt was at .33, EF was low. ....someone told me laying on my left side almost the whole time will make it not appear as it is (possible mid cavity obstructive hyper dynamic hypertrophic cardiomyopathy)and the report said image quality was poor...so with these 2 echos being "normal" I'm not likely to get a referral to the HCM specialist nearby. Just wondering if it's normal to get such contrasting echos and getting someone to actually listen and take it a little more seriously? Side note, my maternal great grandmother also dropped dead of a massive heart attack in her early/mid 50s .
Thank you!
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@walkinggirl
even worse than the number diagnosed in Australia is that men are diagnosed at more than twice the rate as women. Since the genes are not sex linked, this smacks of misogeny.
When my previous cardiologist refused to discuss the possibility I might have HCM, or to arrange any tests that would identify it, I had to search for a cardiologist who might be more open to that diagnosis. Luckily I found one who was part of the research into the effectiveness of mavacamten.
I also found a new GP after the one I had at the time suggested my symptoms (which had hospitalised me several times) might be due to anxiety. (I was a psychologist - I knew anxiety was not causing my symptoms). My new GP asked if I had written to the previous cardiologist and expressed my views. I think I will do that, and pricide the link you suggest.
Thank you
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2 ReactionsHi @lucy4, I’m 57 and was diagnosed this past fall after I passed out walking across a parking lot six months earlier. One thing I’ve learned is that you have to drive your own health care. Meaning, that after my regular doctor and a local cardiologist (not a COE center) said they don’t know what going on, I referred myself to a COE and signed up with a cardiologist that is a specialist in HCM. That has made the difference! For example, the way the COE performs echos. The technician that did my echos at the COE told me how much training they go through to identify HCM and how the way they instruct the patient to “bear down” and so forth can make a big difference in the results of the echos. I would encourage you to find a COE or work with the HCM Association to find one as it will help you with your medical journey. I wasn’t truly diagnosed with HCM until I started working with a COE. We are working through finding the right treatment plan and have started on Camzyos, but I feel like I’m finally in the right place for my ongoing care. Best of luck to you and all my fellow big hearted friends!
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2 ReactionsThank you! Being in Canada we aren't able to just go and find one, but I can "demand" a referral.
I haven't passed out yet ...but have split second "grey outs" if things are right.
Iam so glad that you are able to work out a treatment plan!
@bepeacefulall that had to be scary!...iam so glad you were able to get a quick diagnosis. I have not passed out. But have split second "grey outs" if things are just right.
I will keep pushing....I actually see my family Dr tomorrow and will be asking for testing. My grandfather did not get tested as he passed in early/mid 1960s, just diagnosed as far as I understand . My father has had testing and has a definite diagnosis. . his is LVOT, where latent mid cavity obstructive hyperdynamic hypertrophic cardiomyopathy was quickly mentioned on my 1st echo....from what I have read it's a harder form to diagnose and it does change?
I really appreciate you sharing your experience with me...it does help to know that I am not crazy lol.
@walkinggirl thank you for the suggestion. I will definitely look into it. I am happy to learn as much as I can about it...whether I end up having it or it be something else (I'm not sure it's something else).
Everyone's stories and suggestions have been great support and I appreciate every one❤️