Hypertrophic cardiomyopathy
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Scooped by Alex zabelsky
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Called three names: HCM (hypertrophic cardio myopathy), HOCM (hypertrophic obstructive cardio myopathy), or ASH (asymmetric septum hypertrophy) meaning the heart is too thick.Heart muscle is made up of two strands of protein called Actin and Myosin and HCM is often caused by a genetic defect in one of these two (multiple gene defects)The mutated gene doesn’t tell the heart muscle when to stop growing  and grows random and it continues to grow and that is how you get a thick heart muscleThree consequences of this myocardial fiber disarray are mechanical problems, structural problems, and electrical problemsPatients have a 1% chance of dying per year (untreated)One problem is that hypertrophy takes up space in the heartAnother problem is that it causes an outflow obstruction where the pressure gradient is increased (normally causing high blood pressure) and makes the heart wall work harder to pump blood out making the heart wall grow even more). Another problem is reduced blood flow into the heart because it is easier to fill a bicycle tire than a balloon (analogy.  Reduces the pumping flow/ efficiency of the heart.Another problem is a leaking mitral valve that causes blood to flow in the wrong directionAnother problem is that because the muscle grows chaotically, there is fibrous tissue growthScar tissue inside the heart surface causes blood clots that lead to strokesScar tissue that grows inside the heart wall causes and irritant which causes an irregular heart beat.The three problems of HCM are heart failure, a stroke, and arrhythmia which lead to the 1 percent of dying every yearCan be diagnosed from family history, a heart murmur, or an abnormal electrical patter from an EKGConfirm diagnosis with a echocardiogram or a MRI to see about fibrous plaquesTreatment includes taking Beta Blockers, Calcium Blockers to slow down the heart beatAlso if you have arrhythmia you can get a defibrillator and a pacemakerDefibrillator keeps the heart from getting too fast and the pacemaker keeps the heart from getting to slow so they can go hard on medicationsRemove muscle through surgery called septal myomectomy and Ethel alcohol ablationA majority of people with this heart condition live
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Rescooped by Alex zabelsky from Heart diseases and Heart Conditions
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Using Mobile Health Apps to Diagnose Heart Problems

Using Mobile Health Apps to Diagnose Heart Problems | Hypertrophic cardiomyopathy | Scoop.it

It’s a busy office day, and Mrs. J is seated calmly in my exam room. She has a history of an intermittent heart rhythm disturbance. She says she feels well, but that she also gets a little dizzy at times and feels her heart skip once in a while. The nurse who took the vitals typed “pulse irregular” on the electronic chart. The last few times Mrs. J was in the office, the vitals were similar, and an ECG was usually obtained, showing only a minor abnormality.

 

I’d like to know if anything has changed, but it takes a couple of minutes to order the ECG, have the patient disrobe, attach 16 leads of the machine, and then record the rhythm –and I’m already a little behind.

 

Instead, I pull out my smartphone and ask Mrs. J to hold it gently in her hands for 15 seconds. Voila! On its display (and immediately uploaded wirelessly to a secured server) is Mrs. J’s heart rhythm, showing no significant change.

I am a tech nut and, some would say, an Apple “fan boy” (Okay,  let’s get this straight, I am STILL using an iPhone 4, but for good reason. Keep reading to learn why!). I’m the one at the office who colleagues frequently come to for app advice. My latest app acquisition connects my personal interest to my professional work.

 

Typically, when talking all things Apple, I use the word “toy” frequently. This time, however, I can confidently say that my latest iPhone 4 case falls into the category of “tool.” And when I say tool, I mean an incredibly powerful device that is the first of many in the mobile realm that may significantly change health care.

 


Via nrip, Rehabmyheart
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Rehabmyheart's comment, March 1, 2013 8:45 AM
Good for arrhythmia detection, but limited use for diagnostics such as left ventricular hypertrophy, ischemia, etc.
gary levin's comment, March 1, 2013 11:40 AM
Should only be used for screening
rickyle balea's curator insight, March 21, 2013 12:31 AM

this illustrates that, there has been devlopment of apps that are actually able to perform medical diagnosis