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Extra resources for Hypertrophic Cardiomyopathy: For Patients, Their Families and Interested Physicians
Example text
Most of those patients for whom the ICD is life saving are young and without significant symptoms. Also, over the last few years, ICDs have become smaller and much easier to implant in unobtrusive positions on the chest, requiring in most instances only an overnight hospital stay without major surgery (Figure 26). The generator (containing the battery) is now, on average, 21⁄2 ϫ 2 inches and less than 1⁄2 inch thick, and fits just below the clavicle. ICD leads are now introduced into the heart chamber through the veins, avoiding major surgery.
This symptom, palpitations, may also occur commonly in other forms of heart disease, and even frequently in people without any form of heart disease. Palpitations begin suddenly, and may be associated with symptoms such as sweating or lightheadedness. Such episodes should be reported to your cardiologist and investigated. Lightheadedness, near-fainting, and fainting. , lightheadedness or dizziness) and, more seriously, fainting (known as syncope) … or the perception that a loss of consciousness is imminent, but then does not in fact occur (near-syncope).
Ambulatory Holter monitoring. This test is a non-invasive and continuous recording of the heartbeat over 24 or 48 hours during normal activities. A Holter monitor is a simple test that will detect potentially 28 Hypertrophic Cardiomyopathy important irregularities of the heartbeat of which the patient is usually unaware. Radionuclide studies. In these tests, substances producing very tiny (safe) amounts of radioactivity are injected into the bloodstream to create a heart scan. These tests are occasionally performed in HCM patients to assess the contraction and filling of the ventricles, at rest and with exercise.
