Postprandial Ventricular Extrasystoles in Hypertropic Cardiomyopathy
Current Postings (1):
Patient, aged 59 years, diagnosed with Hypertrophic
cardiomyopathy 23 yrs. ago, detected due to dyspnoea on exertion. Condition
was stable with treatment of Tab Inderal (Propanolol) and later Atenolol.
EKG/ECG shows left ventricular hypertrophy with strain pattern. Colour
Doppler shows reversal of E/A ratio indicating diastolic dysfunction
with mild sclerosis of aortic valve and apical cardiomyopathy. Systolic
function normal. No left ventricular obstructive pathology. Chest X-ray
- No Pulmonary Kochs. No widening of mediastinum. Both ECG and colour
doppler are stable, no changes over the years. Lipid profile within
normal limits with medication. No past H/O diabetes or hypertension
or chest pain or dyspnoea or GERD. Mother had H/O HCM. Now having problem
of Ventricular extrasystoles after food intake, each episode lasting
15 min. Current medication - Tab Atenolol 25 mg BD, Atorovastatin,
Domstal(occasionally), Ecosprin. B.P. 120/70, PR - 48/mn-56/mn going
to 60/mn after food intake. Cordarone -200 mg started 2 weeks ago,
discontinued due to development of sinus bradycardia. Please can you
enlighten on the cause
of "Postprandial Ventricular Extrasystoles". What is the prognosis and treatment,
which will help us to manage this problem.
Please note the following disclaimer: The information contained in this web site is accurate to the best of the knowledge of Angioplasty.Org. None of this information should be viewed as a substitute for medical advice or as a consultation with a medical doctor. It is highly recommended that readers discuss any advice with a medical doctor before deciding on a course of action. Angioplasty.Org or its producers assume no liability for any actions taken as a result of information contained on this site, whether implied or expressed. Opinions and recommendations expressed on the FORUM are solely those of their authors. All submissions are reviewed and posted at the editors' discretion. FORUM submissions that are primarily commercial in nature, advertising services or products, are not posted. Any medical advice expressed on the FORUM does not necessarily represent the views of Angioplasty.Org, its producers, or of anyone associated with it, or of others appearing on this web site. Please note that this is a moderated discussion, so your response will appear after a short review.
send comments & suggestions to "info at angioplasty
Angioplasty.Org is an editorially independent informational health