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Hypertrophic cardiomyopathy, Tachycardia, Echocardiography, Tilt table test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   does a normal echo rule out hypertrophic cardiomyopathy?
User :   Hi
User :   does a normal echo rule out hypertrophic cardiomyopathy?
Doctor :   Hi, I have seen your query, Yes ECHO is the diagnostic test for Cardiomyopathy.
User :   If it is normal; does that rule it out?
Doctor :   An echo is the main tool used to help diagnose hypertrophic cardiomyopathy and its severity.
Doctor :   Yes, very much.
Doctor :   There is no doubt , let me elaborate what the ECHO actually shows up : User :   My daughters was normal but is still having problems with shortness of breath, dizziness and fainting after basketball...and it runs in my husbands side of the family
Doctor :   Echocardiography can be used to: 1.Estimate how well the lower left chamber of the heart (left ventricle) is able to fill when the heart expands and measure how much blood is pumped out as it contracts (ejection fraction).
2.Determine if the heart valves are functioning normally.
3.Measure overall heart size.
4.Determine if the heart muscle (myocardium), including the wall that separates the left and right chambers of the heart, is unusually thick.
5.Measure the degree that blood flow is reduced during contraction (systole) if the wall that separates the left and right chambers of the heart is abnormally thick.
Doctor :   Ok.
User :   I know all of that. So normal echo means no chance of this disease?
Doctor :   Yes, it might not be a cardiomyopathy.
User :   Ok. Any suggestions?
Doctor :   Has she been ruled out for any tachycardias ?
User :   No... just mild asthma..but I don't think that is the problem. What is tachycardias/
User :   She does have a light murmur
Doctor :   Tachycardia is a faster than normal heart rate. A healthy adult heart beats 60 to 100 times a minute when a person is at rest. If you have tachycardia , the rate in the upper chambers or lower chambers of the heart, or both, are increased significantly.
User :   Ok. I don't know.....
Doctor :   The usual symptoms are 1. headache
Doctor :   2.lightheadedness
Doctor :   3.dizziness
Doctor :   4.shortness of breath
Doctor :   5.rapid pulse
Doctor :   6.missed beats sometimes
Doctor :   7.chest pain
Doctor :   8.fainting
Doctor :   9.
User :   How is it diagnosed?
Doctor :   9.heart palpitations - a racing ,uncomfortable or irregular heart beat or sensation.
Doctor :   1. An ECG is a primary tool.
User :   That was normal too
Doctor :   2. HOLTER'S MONITOR is used to measure a 24hr ECG finding to see when the heart has abnormal ECG.
User :   is that the same as ekg?
Doctor :   It is tied to the shoulder and measured for one complete day
Doctor :   Yes.
User :   An ekg is the same as holter monitor?
Doctor :   Yes, but recorded for a 24hr period. It is same.
User :   I see.
Doctor :   As EKG usually shows momentary changes
Doctor :   If there is an elctrical signal wave pattern which is wrong or a tachycardia in the middle of the night, then it should not be missed and might be causing the whole problem.
User :   ok thank you
Doctor :   Do you have anything else to ask ?
User :   no thank you
Doctor :   3. A Tili table test is also one most important test for Tachycardias.
Doctor :   Thank you for consulting me
Doctor :   Take care,
User :   Thank you. Bye
Doctor :   Bye for now.
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