Hypertrophic Cardiomyopathy: Your Health Questions Answered

Does this qualify as hypertrophic cardiomyopathy?

Hello Doctor, during my military service physical examination, my blood pressure was elevated (I have been taking antihypertensive medication regularly) and my electrocardiogram showed abnormalities (suspected left ventricular hypertrophy).
Due to the abnormal ECG, the examination hospital arranged for me to undergo an echocardiogram.
The results of the echocardiogram indicated a left ventricular posterior wall thickness of 16mm and left ventricular hypertrophy.
However, when I received the examination report, I was asked to undergo a follow-up examination, but only for hypertension.
I checked the position classification table and found that item 59 mentions: Exempt from service: hypertrophic cardiomyopathy.
Note: Hypertrophic cardiomyopathy is defined as evidence of left ventricular hypertrophy on a twelve-lead ECG, and echocardiogram findings showing a left ventricular wall thickness greater than 15mm.
My question is: according to the definition above, my ECG indeed shows left ventricular hypertrophy, and the echocardiogram also shows a left ventricular posterior wall thickness of 16mm (>15mm).
Why was there no direct determination of my position based on this criterion, and why was I required to undergo a follow-up for blood pressure? Is left ventricular hypertrophy different from left ventricular thickening? Does the left ventricular posterior wall not equate to the left ventricular wall? I would appreciate your clarification on whether my condition meets the criteria for this position determination standard! Thank you very much!

A, 20~29 year old female. Ask Date: 2015/05/07

Dr. He Dongjin reply Cardiology

Hello, it should not be classified as hypertrophic cardiomyopathy since there is a specific structure involved.
It is not just a single data point; the entire area is hypertrophied, not just the posterior wall.
Changhua Hospital is concerned about you.

Reply Date: 2015/05/07

More Info

Understanding Hypertrophic Cardiomyopathy (HCM) is crucial, especially when it comes to military service evaluations. Your concern about the discrepancy between your echocardiogram results and the military's requirements for exemption from service due to hypertrophic cardiomyopathy is valid and warrants a thorough explanation.

Firstly, let's clarify the definitions and terms involved. Hypertrophic cardiomyopathy is characterized by an abnormal thickening of the heart muscle, particularly the left ventricle. This thickening can lead to various complications, including obstruction of blood flow, arrhythmias, and even sudden cardiac death. The criteria for diagnosing HCM typically include evidence of left ventricular hypertrophy (LVH) on an electrocardiogram (ECG) and a left ventricular wall thickness greater than 15 mm on echocardiography.

In your case, the echocardiogram indicated a left ventricular posterior wall thickness of 16 mm, which indeed meets the threshold for LVH. However, the military's requirement for exemption may involve more than just the measurement of wall thickness. They may also consider the overall function of the heart, the presence of symptoms, and the potential for complications associated with HCM.

The request for a blood pressure re-evaluation could stem from the military's protocol to ensure that all aspects of your cardiovascular health are assessed before making a determination about your fitness for service. High blood pressure can be a contributing factor to heart disease and may complicate the assessment of your heart's condition. It is possible that they want to rule out any secondary causes of your elevated blood pressure, which could influence their decision regarding your fitness for duty.

Additionally, while left ventricular hypertrophy (LVH) and left ventricular hypertrophy (LVH) are often used interchangeably, they can refer to slightly different aspects. LVH can be a general term that encompasses any thickening of the left ventricle, while HCM specifically refers to a genetic condition characterized by significant thickening that can lead to functional impairment. In your case, the distinction may not be critical, but it is essential to understand that the military may have specific criteria that go beyond just the measurements.

To summarize, your echocardiogram results do indicate a condition that aligns with the criteria for hypertrophic cardiomyopathy. However, the military's request for further evaluation, particularly regarding your blood pressure, suggests they are taking a comprehensive approach to assess your overall cardiovascular health. It is advisable to follow through with the recommended evaluations and discuss your concerns with your healthcare provider. They can provide you with more personalized insights based on your complete medical history and current health status.

In conclusion, while your echocardiogram results suggest that you meet the criteria for hypertrophic cardiomyopathy, the military's decision-making process may involve additional factors, including blood pressure management and overall heart function. It is essential to continue monitoring your health and engage in open discussions with your healthcare team to ensure you receive the appropriate care and guidance.

Similar Q&A

Understanding Hypertrophic Cardiomyopathy: Treatment Options and Life Expectancy

Hello, Doctor: I have been diagnosed with hypertrophic cardiomyopathy at your hospital. I would like to know if there are any other methods for complete cure besides medication management. If surgery is an option, how is it performed? Also, I am currently 25 years old, and I woul...

Dr. He Dongjin reply Cardiology
Dear Kenji, if hypertrophy at the left ventricular outflow tract leads to obstruction, it may cause symptoms or even sudden cardiac death. It is recommended to consult a cardiologist for evaluation; surgery can thin the hypertrophied area. If surgery is not suitable, medications ...

Understanding Hypertrophic Cardiomyopathy: Symptoms, Risks, and When to Seek Help

I have been diagnosed with hypertrophic cardiomyopathy, which runs in my family; six members from two generations have passed away due to this condition. The doctor mentioned that generally, women should not have a wall thickness greater than 91 mm, but mine is already at 131 mm,...

Dr. He Dongjin reply Cardiology
Hello, it is possible that you are experiencing autonomic nervous system dysfunction. However, it is difficult to determine without further evaluation. If you continue to feel unwell, it is advisable to return to the outpatient clinic for further examination. Changhua Hospital ca...

Understanding Cardiac Conditions: A Guide to Hypertrophy and Valve Issues

Hello Dr. Bu: Recently, my father underwent a health check-up, and the results showed that, in addition to elevated uric acid and cholesterol levels (he has a history of gout), there is also a condition that my family and I do not fully understand: "left ventricular hypertro...

Dr. Bu Shiyun reply Cardiology
Hello: Interventricular septal hypertrophy is usually a result of long-term hypertension leading to ventricular hypertrophy. However, hypertrophic cardiomyopathy can also cause significant interventricular septal hypertrophy. Additionally, if there is mild valvular insufficiency,...

Understanding Left Ventricular Hypertrophy and Its Impact on Your Health

Last September, the military health examination report indicated suspected left ventricular hypertrophy and myocardial ischemia. Since I just received the report a few days ago, I have been actively visiting two hospitals and clinics for follow-up tests, including electrocardiogr...

Dr. He Dongjin reply Cardiology
Hello, I cannot comment on your report without seeing it. Ventricular hypertrophy in runners can occur, and occasional mild, transient chest pain, brief dizziness, hypoglycemia, and palpitations are likely unrelated. You should be able to continue jogging, and it is normal to dri...