It can be easy to write off fatigue as a normal part of having obstructive hypertrophic cardiomyopathy or an unavoidable part of taking medication for it. But any new or worsening symptom is worth mentioning to your doctor.
Depending on symptoms, the degree of obstruction, and test results, your cardiologist may adjust the current medication or consider other treatment options. These may include beta-blockers or nondihydropyridine calcium channel blockers, such as verapamil (Calan, Verelan) or diltiazem (Cardizem, Cartia XT). If you continue to have symptoms on one of these medications, options may include a cardiac myosin inhibitor or disopyramide (Norpace).
Your doctor may also consider septal reduction therapy, such as a surgical septal myectomy or alcohol septal ablation, if you have significant obstruction and persistent symptoms.
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