Comprehensive care for hypertrophic cardiomyopathy (HCM) patients
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Hypertrophic cardiomyopathy (HCM) is the most common genetic heart condition. The HCM Clinic at MedStar Union Memorial Hospital in Baltimore is here with specialized care from cardiac experts who diagnose, treat, and manage patients long-term.
HCM patients require specialized care to maintain quality of life, reduce their chance of sudden death, and appropriately screen their family members.
Led by Sandeep Jani, MD, our interdisciplinary team of cardiac imaging experts, electrophysiologists and interventional cardiologists provide an individualized approach to HCM care. In addition, Ankit Shah, MD, one of the few fellowship-trained sports cardiologists in the nation, specializes in managing cardiac conditions in athletes. The team also includes a dedicated cardiogenetics specialist, Aime Agather, to determine genetic factors that may be involved.
The HCM Clinic treats patients diagnosed with or suspected to have HCM, in addition to their first-degree relatives who may be at risk.
- Clinic of Choice: Backed by the strong reputation of the MedStar Heart & Vascular Institute (MHVI), HCM patients receive the highest quality of care. The program offers ongoing:
- HCM management
- Sudden cardiac death risk stratification
- Arrhythmia management
- Septal reduction therapies for obstructions
- Heart failure management
- Sports and exercise prescriptions
- Genetic Counseling: A dedicated cardiogenetic specialist helps appropriately screen and treat family members who may be at risk for HCM.
- Coordinated Care: Being referred to the HCM clinic doesn’t mean you will no longer address HCM with your physician. The clinic will keep your physician updated on your results every step of the way.
- Location: HCM patients in general must often travel long distances for specialty care due to the complexity of the condition. The HCM Clinic at MedStar Union Memorial Hospital is accessible to patients throughout Maryland and the D.C. area, with everything under one roof for added convenience.
Testing for HCM
Patients may undergo the following tests:
- Echocardiogram (most common) to diagnose and monitor HCM
- Electrocardiogram (ECG)
- Diagnostic imaging, including Cardiovascular MRI
- Cardiac catheterization to evaluate the function of your heart’s arteries, chambers and valves
- Event monitor to record your heart rhythm over time
- Genetic testing to detect mutations known to cause HCM
Treatment for HCM
Treatments can include:
- Medications such as beta blockers, calcium channel blockers or anti-arrhythmic drugs to help regulate heart contractions
- Surgery to implant a pacemaker to regulate your heartbeat or a defibrillator to correct dangerous heart arrhythmia
- Open-heart surgery to remove parts of the thickened muscle or replace heart valves
- Cardiac catheterization for septal alcohol ablation to remove excess muscle tissue in the heart
- Lifestyle changes, including avoiding very strenuous activity
Meet the Hypertrophic Cardiomyopathy Clinic Team
Sandeep Jani, MD, MPH
Andrew Ertel, MD
Ankit Shah, MD
Sports & Performance Cardiologist
Glenn Meininger, MD