Treatment for hypertrophic cardiomyopathy (HCM) aims to:
- improve symptoms and quality of life,
- prevent sudden cardiac death, and
- due to the genetic nature of the disease, inform all families members about HCM.
Reducing the obstruction to blood flow from the heart’s left ventricle has emerged as an important way to improve overall heart function, which reduces the frequency and severity of symptoms. Importantly, while reducing the obstruction typically improves symptoms, it does not necessarily decrease the risks of a sudden cardiac event, although this is an area physician-scientists are actively researching.
If you are diagnosed with HCM, it is always best to explore all possible treatment options. While medications are still the first and most common treatment option, and they can improve symptoms in up to half of HCM patients, other treatments might also be effective and recommended for your symptoms and condition. This is especially important if medications are not providing enough relief. Two additional treatment options that are currently recommended by soon-to-be-available national clinical guidelines are septal myectomy and alcohol septal ablation.