Document Detail

Drink more, and eat less: advice in obstructive hypertrophic cardiomyopathy.
MedLine Citation:
PMID:  21029830     Owner:  NLM     Status:  MEDLINE    
This report describes a series of symptomatic patients with obstructive hypertrophic cardiomyopathy with significant postprandial hemodynamic changes. This finding was identified by history, clinical examination, and echocardiography in 6 consecutive symptomatic patients referred for the evaluation of ventricular septal reduction therapy. Counseling these patients with dietary changes to include small frequent meals and to increase noncaffeinated fluid intake resulted in reductions in symptoms. In conclusion, severe symptoms in obstructive hypertrophic cardiomyopathy unresponsive to pharmacologic treatment frequently result in referral for definitive septal reduction therapy through surgery or, less frequently, alcohol septal ablation therapy. However, recognition of postprandial exacerbation in symptomatic patients may allow for nonpharmacologic dietary interventions that may obviate the need for more invasive therapies and their associated complications.
Mayank M Kansal; Farouk Mookadam; A Jamil Tajik
Publication Detail:
Type:  Journal Article     Date:  2010-09-09
Journal Detail:
Title:  The American journal of cardiology     Volume:  106     ISSN:  1879-1913     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-29     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1313-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Mayo Clinic Arizona, Scottsdale, Arizona, USA.
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MeSH Terms
Cardiomyopathy, Hypertrophic / complications,  diet therapy*,  physiopathology,  ultrasonography
Fluid Therapy
Middle Aged
Postprandial Period
Sleep Apnea, Obstructive / complications,  physiopathology
Treatment Outcome

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