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Kardiomyopati, hypertrofisk

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Definisjon:
Hypertrofisk kardiomyopati er en genetisk forstyrrelse karakterisert ved venstre ventrikkelhypertrofi uten påvisbar årsak til hypertrofi
Forekomst:
Det er den vanligste genetiske hjertesykdommen, og den hyppigste årsaken til plutselig hjertedød blant unge mennesker og idrettsutøvere
Symptomer:
I mange år asymptomatisk. Funksjonsdyspné og brystsmerter er de hyppigste symptomene
Funn:
Ofte få kliniske funn. Iktus kan være utrykket. Ut i forløpet kan høres en midt-sensystolisk ejeksjonsbilyd langs venstre sternalrand
Diagnostikk:
Ekkokardiografi avdekker som regel diagnosen. EKG er unormalt. Ev.MR. Ev. myokardbiopsi
Behandling:
Aktuelle behandlinger er medikamenter, pacemaker, intern defibrillator, radioablasjon, kirurgi, transplantasjon
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  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Hans H Bjørnstad, dr. med., spesialist i hjertesykdommer, overlege Sykehuset Telemark, medisinsk avdeling, Rjukan
  • Åsne B Bjørnstad, lege i spesialisering, medisinsk avdeling, Diakonissehjemmets sykehus, Haraldsplass, Bergen