How to treat hypertrophic cardiomyopathy

The treatment of hypertrophic cardiomyopathy includes drug therapy, surgical therapy and non-drug therapy. The specific treatment methods need to be formulated according to the patient's condition, and special treatment is required for special groups. The treatment methods of hypertrophic cardiomyopathy mainly include drug therapy, surgical therapy and non-drug therapy. The following is the specific analysis: 1. Drug therapy: Alleviate symptoms: Drugs can relieve symptoms caused by hypertrophic cardiomyopathy, such as dyspnea, chest pain, palpitations, etc. Commonly used drugs include beta blockers, calcium channel blockers, diuretics, etc. Improve cardiac function: Drugs can improve cardiac function, improve cardiac contractility and diastolic function. Commonly used drugs include digitalis drugs, ACEI/ARB drugs, etc. Antiarrhythmic: Hypertrophic cardiomyopathy patients are prone to arrhythmia, such as atrial fibrillation, ventricular premature beat, etc. Drugs can control arrhythmia, prevent sudden death. Commonly used drugs include antiarrhythmic drugs, ICD, etc. 2. Surgical treatment: Ventricular septal myotomy: For patients with obvious obstruction and poor drug treatment effect, surgical treatment can be considered. Surgery relieves left ventricular outflow tract obstruction and improves heart function by removing hypertrophic septal myocardium. Heart transplantation: For patients with end-stage hypertrophic cardiomyopathy, heart transplantation is the only treatment. 3. Non-drug therapy: Lifestyle changes: Patients need lifestyle changes, such as smoking cessation and alcohol restriction, low-salt and low-fat diet, moderate exercise, etc. Exercise training: Appropriate exercise can improve heart function and improve quality of life. Patients can exercise under the guidance of a doctor. Psychotherapy: Hypertrophic cardiomyopathy patients are prone to anxiety, depression and other psychological problems. Psychotherapy can help patients relieve psychological stress and improve quality of life. Treatment recommendations for special groups: 1. Pregnant women: Hypertrophic cardiomyopathy patients need special attention during pregnancy because of the increased burden on the heart. The doctor will make treatment plans according to the patient's specific conditions, including medication, rest, regular check-ups, etc. 2. Athletes: Hypertrophic cardiomyopathy patients If they are athletes, they need to decide whether to continue exercising according to their condition. If the obstruction is obvious, they may need to stop exercising. 3. Children: Treatment of hypertrophic cardiomyopathy in children is similar to that in adults, but special attention needs to be paid to side effects and developmental effects of drugs. Key messages: 1. Treatment of hypertrophic cardiomyopathy includes drug therapy, surgical therapy, and non-drug therapy. 2. Drug therapy can reduce symptoms, improve cardiac function, and prevent arrhythmias. 3. Surgical treatment includes ventricular septal myocardiectomy and heart transplantation.4. Non-drug treatment includes lifestyle changes, exercise training and psychotherapy.5. Special groups such as pregnant women, athletes and children need to develop treatment plans according to specific conditions.