Talk:Hypertrophic cardiomyopathy

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At some point should mention the Brockenbrough-Braunwald-Morrow Sign, which is a decrease in the pulse pressure after a premature ventricular contraction. While the left ventricular pressure increases in the beat after the premature contraction, the dynamic obstruction increases to a greater degree, so that the arterial pressure paradoxically decreases. An individual with a fixed obstruction (for instance, due to aortic stenosis), the degree of obstruction will not change, and the left ventricular and systemic systolic pressures will both increase in the beat after the premature ventricular complex. Ksheka 02:59, Aug 25, 2004 (UTC)

Done. Ksheka 14:09, Sep 26, 2004 (UTC)

Contents

[edit] Soy

This is something to watch: soy diet worsened HCM risks in mice.[1]. JFW | T@lk 00:04, 5 January 2006 (UTC)

[edit] Sigwart reference

Where did Ulrich Sigwart report his first case series with septal ablation? JFW | T@lk 22:22, 1 February 2006 (UTC)

[edit] Steroids?

At regular times a professional bodybuilder dies. Afterwards in the autopsy doctors often find a hypertrophied heart. Is there any connection between steroid usage and HC? Sijo Ripa 19:08, 23 July 2006 (UTC)

[edit] Diagnostic testing

Information is needed on echocardiography, Cardiac MRI and ECG in regards to diagnostic testing.

[edit] Alcohol septal ablation

Actually the septal that is infused with alcohol may not be the first septal perforator. What is done in experienced centers is an echocardiogram (I'm not sure if it is a TTE or TEE) at the time of the angiogram. The septal artery is occluded with a balloon and echo contrast (or agitated saline?) is injected distally into the septal perforator. The wall motion is then observed via echo to see if the gradient improves and also to see what portion of the septum will be affected by the ablation. Will have to find a reference or two to add this to the article. Ksheka 14:13, 30 November 2006 (UTC)

[edit] ICDs

Broadening the indication for ICDs: JAMA JFW | T@lk 23:23, 24 July 2007 (UTC)

[edit] Heart Attack

I had Ripley's Believe it or Not on it they showed a woman with this who's symptoms were cured or severely reduced by a forced heart attack. I believe this should be mentioned in the article, though I'm not sure if it has become a possible solution for most, or if this is the only case.

That's what alcohol septal ablation is. Ksheka 12:59, 26 July 2007 (UTC)
I fixed the section of alcohol septal ablation to mention it. I wrote there When performed properly for a reason - The procedure had low success rates at first due to a number of problems, but the technique is now better documented. Ksheka 13:07, 26 July 2007 (UTC)