What is Adult Hypertrophic Cardiomyopathy? 

Hypertrophic “obstructive” cardiomyopathy (HOCM) is a disease that leads to thickening of the heart muscle to the extent that it obstructs flow of blood out of the main pumping chamber on the left side of the heart causing shortness of breath, fainting spells and can lead to sudden cardiac death. We offer consultative and diagnostic services to provide patients and their families with a definitive treatment plan.

 

Treatment

• Electrophysiology/Sudden Death Risk Assessment

  • Evaluate risk for sudden cardiac death and need for ICD implantation

  • Implantation of defibrillators and pacemakers

• Interventional Cardiology

  • Invasive hemodynamic evaluation

  • Diagnostic coronary angiography

  • Non-surgical catheter-based alcohol septal ablation for obstructive HCM [learn more]

• Cardiac Surgery

  • ​Surgical myectomy for obstructive HCM [learn more]

​

Currently, the initial treatment option for all forms of HCM involves medical management. For the "obstructive" form of HCM, hypertropic obstructive cardiomyopathy (HOCM), medical management is still the first-line therapy. However, if medical therapy fails in HOCM, both surgical and non-surgical corrective approaches are available.

​

Alcohol Septal Ablation is a non-surgical option for definitive correction of HOCM that involves injection of absolute alcohol into the blood vessel supplying the obstructive part of the heart muscle and removes the muscle segment obstructing flow out of the left side of the heart.

​

Surgical Myectomy involves open-heart excision of obstructive heart muscle and results in mechanical removal of the muscle segment obstructing flow out of the left side of the heart.