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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hypertrophic Obstructive Cardiomyopathy

I have hoccum- hypertrophic obstructive cardiomyopathy and my thickness is 3.2 and my gradient is 100 and I am 39 years old and have 3 kids and I am trying to get the myectomy surgery but dont have insurance I dont qualify for medicade because I am 100. over income a month and i couldnt afford health insurance even if they would take me with my prexisting condition and I really am not wanting to leave my children without a mother . do you have any suggestions please help
Mon, 11 Sep 2017
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Internal Medicine Specialist 's  Response
definitive treatment is surgery as ur gradient is 100. but u can use pharmacological therapy like metoprolol 200 mg twice a day but this dose need to be titrated according to heart rate u need to start with lower dose or u can use atenolol 50mg twice a day. verapamil 240mg twice a day can also be used . use cough syrup to avoid cough avoid heavy weight gain
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Suggest Treatment For Hypertrophic Obstructive Cardiomyopathy

definitive treatment is surgery as ur gradient is 100. but u can use pharmacological therapy like metoprolol 200 mg twice a day but this dose need to be titrated according to heart rate u need to start with lower dose or u can use atenolol 50mg twice a day. verapamil 240mg twice a day can also be used . use cough syrup to avoid cough avoid heavy weight gain