The treatment modalities of heart failure complicated by hypertrophic cardiomyopathy mainly include drug therapy and non-pharmacological therapy.
1. Pharmacological treatment: If the patient’s cardiac function is class II-IV and the ejection fraction is ≥50%, and there is no left ventricular outflow tract obstruction at rest or during stimulation, the patient can be treated with β-blockers and verapamil under the guidance of the doctor, which can improve the symptoms of heart failure. If the ejection fraction is <50%, it can be treated with angiotensin converting enzyme inhibitors (ACEI) as prescribed by the doctor.
2. Non-pharmacological treatment: For patients with severe heart failure, cardiac resynchronization therapy can be considered. For patients with more persistent heart failure, heart transplantation can be considered if necessary, but heart transplantation therapy is relatively rare, and requires a suitable donor, and there will be a certain rejection reaction.
The specific treatment plan for patients with hypertrophic cardiomyopathy complicated by heart failure is recommended to follow the doctor's instructions strictly.