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.
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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.
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I'm 59 and was diagnosed with HCM with LVOT obstruction in September when a heart murmur was detected during an appointment for a laceration. I had assumed my lightheadedness was all related to chronic sinusitis and allergies. I had some upper back (between my shoulder blades) and chest soreness which I attributed to posture/lack of upper body strength. I did notice that yard work made me much more tired this summer than the summer before. I exercised quite a bit prior to my diagnosis and I have an appointment with the Sports Cardiology Clinic and Cardiophysiologist coming up to go over my stress Echo with me and provide me with guidance on exercise going forward. I started Cardizem which has improved my BP tremendously. I was on Lisinopril prior to the diagnosis, but it wasn't working. A few weeks after the Cardizem start my chest soreness/tightness and pain between shoulder blades is mostly absent. I still get lightheaded from time to time. I'm not in quite as much of a panic now regarding the diagnosis as I was initially. Still a little nerve wracking as my symptoms were so gradual I just thought that's what it felt like to be me. I was really surprised by the diagnosis. Going through genetic testing now.
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1 ReactionHi @diane2601, and welcome to Mayo Clinic Connect!
How scary that must have been to be in the hospital for five days with low BP! The beta/calcium channel blockers taken to control HCM symptoms certainly do come with side effects.
Yet how wonderful you are able to see an HCM specialist next month. That is so important. Have you had a chance to read up on HCM and learned as much as you can about what you have?
@debrasheila no mine isn't obstructive.
Thank you for the invitation to this group. I first learned I had HCM 7 years ago. It has been treated with drugs but a recent increase in medication drove my blood pressure so low, I spent 5 days in the hospital. The good news is new tests have given more information, and I will be seeing an HCM specialist next month.
@bigheart12345
Are you taking camzyos?
@debrasheila my first symptoms were palpitations that lasted 3 days but looking back prior to diagnosis there was a light bulb moment. Now I know why I cannot drink any caffeinated drinks after 11 am otherwise I will not sleep at all, I cannot sleep on my left hand side because the strength of my heart beat keeps me awake. Any amount of alcohol makes me feel dreadful the next day. Some foods will trigger palpitations like excessive potassium and artificial sugars are a real no because they trigger palpitations. I also can feel each and every heart beat which I now realise is not normal for many. So in reality, I actually had a fair number of indicators that something wasn't normal.
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1 Reaction@karukgirl thanks for that, yes very confident in my current consultant which is my second opinion. I am just curious about things, he explained that chest pain can be as a result of smaller capillaries being squeezed. I am just super alert to sensations around the heart and like to link them to something. As the discomfort never occurs with exercise or exertion and always feels better when gas has moved (I hiccough quite a bit) then I feel reassured. I have already had his verbal final diagnosis just waiting the written report. I did ask him yesterday about the Troponin result and he said that it's mildly elevated and common to be so with this condition. Could you describe SoB, I know that must sound like a stupid question, is it when you are out of breath so breathing quickly or is it that you are breathing but don't feel like any oxygen is getting in or something else. Prior to diagnosis of this condition I can recall walking upstairs late at night and immediately having to lie down because I just couldn't breath, not had that since the diagnosis and the beta blocker.
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1 Reaction@bigheart12345 , welcome to Mayo Clinic Connect, and thanks for sharing your story.
It sounds like you have been living with HCM for quite some time, and know yourself very well. And how crazy to be told you had a heart attack and didn't know!!
You ask if others get discomfort/pain near or directly over their hearts. I can only answer for me, and I had chest pain in the center, that radiated up into my neck and around to in between my shoulder blades. It was random, and not always associated with exertion. I no longer have this after open heart surgery.
I'd like to ask you if you feel confident in your current treatment, or have you considered a second opinion? I know you just saw him recently and felt reassured, but it sounds like you still have some lingering feelings in the back of you mind.
You have reasons to be concerned and I would want to be assured all is well. This could be non-related to HCM or it could be from it, but knowing is best.
My pro-BNP was very elevated before my surgery because my heart was failing. It was not normal to be that high in a patient with no history of heart failure.
When will you see the results of all tests and the final diagnosis?
@debrasheila I join @walkinggirl in a warm welcome to Mayo Clinic Connect.
Question: Were you recently diagnosed and wondering what to expect from your new and unwelcomed HCM condition? Just wondering if you meant what to expect symptom-wise from HCM...
HCM is weird, and no two people will have the exact same symptoms. Although, many of us do share a lot in common. Shortness of breath on minimal exertion (at times) racing heart, fullness in the neck, chest pain, murmurs, and eating a big meal can wipe some out. There are good days, and bad days. And some progress super slow only needing a beta blocker, and others end up with open heart surgery.
It's important that your cardiologist is top notch in the treatment of this, and it's equally important that you learn as much as you can about this too. It's going to be your job to be your best friend and advocate for you. And if you're educated about this, you can help in the decision making in your case.
Allow me to add to your reading list:
https://www.4hcm.org/
Another Question: Are you near a Center of Excellence? When do you see your doctor next?
@debrasheila Glad to meet you! I assume you are asking about the side effects of HCM! We are all different and can relay different experiences. May I suggest looking at the Mayo Clinic website and reading about HCM. Here's a link: https://www.mayoclinic.org/diseases-conditions/hypertrophic-cardiomyopathy/symptoms-causes/syc-20350198
I had some of the symptoms, never had pain or fluttering as many do. For me, 15+ years with only a mitral valve murmur and increasing thickness measurement from echoes were the only symptoms. Later on, shortness of breath increased as the disease progressed. It is important that care from a HCM cardiologist/COE institution be #1 on your list!
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