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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.
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@cynaburst hi my name is Sheryl. I am 75 yrs old. I lost my father when I was 2 and my sister when I was 39. They were both 42 and died in their sleep. Not having an autopsy it is assumed they had hcm. I had a full cardio work up at 45 and cardio said I was the healthiest he had seen. Had ekgs every year but it wasn’t until a new pcp told me to see a cardio because my ekg was abnormal. This was a couple of years ago. Went had tests and was diagnosed with hcm. Saw an electro also and it was decided then nothing more was necessary. Saw the cardio every year, but it wasn’t until this year that after an endoscopy and colonoscopy that there were extra beats the anesthesio heard. My dr had me wear a monitor, an echo was done and everything changed. Seems it got worse after I was told considering my age when it was discovered it would not. I was put on metropol 25 mg, but due to a horrific stomach could not tolerate it and did not take anymore after one dose. I feel worse now than I ever did and am waiting for a pvc ablation next month. I feel overwhelmed, scared and anxious which is not helping my hcm. Dr said I might need a defibrillator, but am taking it one step at a time. I was told an MRI would help, but can’t go there. Thank you for listening. I feel all alone.
@ronaldpetrovich what is a septal myectomy?
@luckyhowreyou Hi Sheryl and welcome to the group. You are definitely not alone. I have lost 3 relatives to HCM and I am now 61. I have been treated for this disease since I was in my 30s. With modern interventions, it is quite possible to live a normal life span with HCM. The key is to be treated by a doctor and at a center that has specific expertise with HCM. That is how I found myself to Mayo Clinic even though I live in California.
I would advise you to take a breath. You are 75 and have probably lived with this condition for years. PVCs are very common in the entire population and not just HCM. They are usually considered harmless.
My suggestion to you is to make sure that you are seeing a HCM expert for a complete evalutation before undergoing any invasive procedures. I have had an implantable defibrillator for 24 years but only got it after seeking multiple opinions. I have also been taking metoprolol for 20 years. It makes you feel a little weird at first but you do get used to it. It is a very useful drug.
Try to reassure yourself that this is not something that developed overnight and you are able to take the time that it deserves to find the right doctor with experience that you trust and go from there. I understand it is hard not to get freaked out. I myself am going through a hard patch right now and I get it. But this post you are responding to is 10 years old and I am still here and have been living with HCM for 27 years. It is definitely a treatable condition.
If you haven't already found the Hypertrophic Cardiomyopathy Association website, that is a great place to find information and HCM experts. 4hcm.org
Wishing you all the best and you are definitely not alone.
@cynaburst Thank you for your kind and thoughtful response. I have been crying for the last few days because I do feel alone. My drs are at LIJ which is attached to Northshore. I believe they just received an excellence award for hcm. My problem as I stated was the meds due to a horrific stomach. Metropol made the palpitations less, but stomach problems were way worse. I thought I would have to go to the er, but I fell asleep instead. Mayo doesn’t take my insurance, and I am facing a lot of bills with insurance. I am anxious as you can see. I trust the drs I have now. Thank you so much again.
@luckyhowreyou It is an open heart surgery that reduces the septum and trims it away from the mitral valve which is what causes obstruction in obstructive HCM. It is a surgery that I, Ron, and many others have had to help us feel better.
These days there is a newer option instead of myectomy. There are medications called myosin modulators such as Camzyos and Myqorzo. These medications can help obviate the need for surgery. But they are only an option for obstructive HCM at the moment. The hope is that their indication will be expanded. There was a positive trial called ACACIA HCM of the drug aficamten or Myqorzo which showed positive results in non obstructive HCM.
@cynaburst I am afraid I have to have that because due to my stomach problems cannot. Tolerate meds. How long is the recuperation period and is it painful. How long in the hospital
I was in the hospital for about 4 days and it took about 2 months to recouperate. I think you should slow down a bit before you opt into surgery before trying a low dose beta blocker! You have to take many many drugs that are alot more potent during and after the surgery. And post surgery they give you opiods and those really mess up your stomach!
I would encourage you to try the 25 mg. of metoprolol once again before you write it off forever. Maybe you were having a bad stomach day for other reasons? Over the years I have taken every drug for HCM except for myosin inhibitors and of these drugs, metoprolol especially at such a low dose was the easiest to tolerate.