Document Detail

Hypertrophic cardiomyopathy. Why is it often overlooked in elderly patients?
MedLine Citation:
PMID:  1924007     Owner:  NLM     Status:  MEDLINE    
The lack of awareness that hypertrophic cardiomyopathy is indeed seen in older patients is widespread. The resulting low index of suspicion, coupled with the fact that the clinical presentation of this condition closely resembles the presentations of several common disorders of the elderly, can lead to misdiagnosis and inappropriate and possibly harmful treatment. When an elderly patient presents with dyspnea, angina, or syncope, the presence of a systolic murmur that changes in intensity with appropriate diagnostic maneuvers should prompt consideration of hypertrophic cardiomyopathy, which can be easily verified (or excluded) by echocardiography. This approach minimizes diagnostic and therapeutic errors.
M M Shenoy; A Khanna; M Ansari
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Postgraduate medicine     Volume:  90     ISSN:  0032-5481     ISO Abbreviation:  Postgrad Med     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1991-11-07     Completed Date:  1991-11-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401147     Medline TA:  Postgrad Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  187-90, 195, 198     Citation Subset:  AIM; IM    
Division of Cardiology, Coney Island Hospital, Brooklyn, NY 11235.
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MeSH Terms
Age Factors
Cardiomyopathy, Hypertrophic / diagnosis*,  drug therapy,  etiology
Diagnosis, Differential

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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