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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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Connect

@janine8
You stated that you had an alcohol septal ablation and you saw signs early on of being short of breath.
I too had an alcohol septal ablation 4 years ago. My breathing kept getting worse and for 16 years I was treated as an asthmatic. Looking back my Father had HCM, but he was a smoker so they blamed it on smoking. I was a firefighter Arson Investigator so they said I had asthma. My Cartiologist told me I was not an asthmatic.
Since HCM & HOCM are hereditary do you have a family member with this and have you questioned other family members and have they had echocardiograms to detect HCM?
Jim
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2 ReactionsHi I’m new. Being tested for HCM. After all the other big test. A cardio MRI has now been requested. I am a very active athletic 73 yr old. Lift weights, resistance machines, walk4 miles 2xs weekly and Pilates once a week. Have always been active. Competive swimmer in college. Have only suffered mild chest tightness after eating and walking uphill. Thought I should get checked out. . Had a full cardio evaluation 7 years ago because my reg doctor thought he heard something. Endocard, stress test, etc. results were that everything was great. But what really confuses me is my total lack of a genetic link. My father died at 65 after a failed brain experimental surgery to arrest Parkinson’s he had no history of heart problems. His brother died at 77 of colon cancer no heart issues. My mother died at 78 of a very rare and aggressive cancer.I have 3 older brothers, oldest died at 90 after loosing his wife, next to oldest died at 84 of Alzheimer’s no history of heart issues. My remaining brother is 80 and is a runner still and.stays very thin. Maternal grandmother died at 97, paternal grandmother died at 102 One grandfather died quite young of tuberculosis. The other grandfather died in his late 60s from liver damage from drinking.. My maternal great grandfather lived to be 92. I know that they found something Concerning when they did the Card. Catheterization. I’m being treated at the University of Pennsylvania. I would like to delay this cardio MRI because we’re going away for about six weeks, but I can’t get a straight answer whether I should delay the MRI that long or not. Sorry for venting all this, but I would like to know what others think.
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2 Reactions@hs60marg Welcome to Connect! It seems the discussion has turned to thinking about symptoms of HCM. While none of us planned on having this awful disease, knowing that we do opens a path for treatment and relief. It is quite possible that at least some of your relatives had asymptomatic HCM, many people do. Maybe they were not verbal about some of the symptoms they may have been experiencing. The genetic testing is relatively new, and not all the responsible, naughty genes have been found. Out of 123 that were tested in my DNA in 2022, all were normal, more are discovered as time goes on. It may turn out that HCM is not causing your mild chest tightness, your doctor is thorough and covering all the bases. If you cannot get your cardio MRI before your 6-week absence, may I suggest to at least get an appointment set up. BTW, I never had a cardio MRI until I was at Mayo for my septal myectomy, my diagnosis and monitoring were always done with an echocardiogram. You may wish to ask your doctor why an echocardiogram is not being ordered. Let us know what happens!
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1 Reaction@hs60marg
Welcome! I was diagnosed with Apical Hcm (non obstructive) at age 78. My genetic test showed a variant of uncertain significance. Like you, I have no knowledge of anyone in my family who had HCM. However, the Apical variant was not even named until the 1970s. Many cardiologists were not aware of the disease or didn't know to test for it when our parents and grandparents were alive. Mine is definitely genetic because as of now, one of my daughters has also been diagnosed with ApHcm. I am fortunate to be treated at the HCM clinic at the Mayo in Rochester. As to delaying your MRI, none of us know your situation.
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1 Reaction@walkinggirl thanks for your reply. It was good to know your information on the genetic factor! When I was brought out from the cardiac catheterization. The doctor asked for an echocardiogram to be done right there and then. The technician came and did a very thorough one. I think it was from this that he recommended the cardio MRI. I have scheduled that as soon as we get back in the country in late October. all of the test data written up by the doctors is in my portal, but it’s written in highly technical medical terms and I really need someone at the University of Penn to interpret a lot of these results for me. Unfortunately, we are three hours away and they will not do a tela medical call outside the state of Pennsylvania and we are in Delaware. I did find out when making this appointment in A for October from the very helpful lady who made the appointment for the MRI that the doctors would have put in a timeframe that it needed to be done by if they were worried about that no timeframe was listed so I think I’m safe and delaying it. Again, I would like to thank you for your very helpful reply. Dean
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2 Reactions@hs60marg Thank you for the clear explanation of your treatment so far, Dean. I'm glad you made your appointment, sometimes there is a long waiting time between your phone call and the appointment. We can all identify with your statement about the technical jargon, at appointments, asking for explanations in a layman's language has been my strategy. We encourage Connect particants to find out all they can about their medical condition. In your browser, type Mayo Clinic HCM to read several informational articles on HCM. If the rest of your testing concludes that you have a different condition, you can again type in your browser Mayo Clinic "name of your condition. " How did you decide to seek medical help? Did you start with a cardiologist in Delaware and then have a referral to U of PA?
@walkinggirl yes I went to a local cardiologist. I was called back to their office directly after they got the results of the stress test and the results of the cardio monitor that I wore for 14 days they felt I needed either a stent or a pacemaker . That’s when I switched to the University of Pennsylvania quickly got an appointment there with the surgeon that does pacemakers. He looked over the test testing from the local cardio office and immediately said you do not need a pacemaker and referred me to the doctor that does stents. 48 hours later, I was with him having my. Catheterization immediately followed by an echocardiogram. The result was to double my statin, and put me on baby aspirin. And a referral for the coronary MRI. Which will occur on October 20. I’m assuming that will either rule in or rule out hypertropic cardiomyopathy diagnosis. Thank you for getting back to me. It’s nice to be able to talk to people about this and I appreciate you taking the time to do so.
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