vision, mission & core values key milestones key figures awards and achievements newsroom make a donation new building development tenders/ rfp/ pos contact us clinical specialties & services conditions & treatments our commitment to patients clinical outcomes specialist outpatient clinics admission & charges international patients request for medical report home delivery service for medicines cpr training & accreditation guidelines training programmes research clinical trials achievements & awards publications hear from our fellow colleagues location directory guide feedback useful links home about nhcs vision, mission & core values key milestones key figures awards and achievements newsroom make a donation new building development tenders/ rfp/ pos contact us patient care clinical specialties & services conditions & treatments our commitment to patients clinical outcomes specialist outpatient clinics admission & charges international patients request for medical report home delivery service for medicines education and training cpr training & accreditation guidelines training programmes research research clinical trials achievements & awards publications careers hear from our fellow colleagues contact us location directory guide feedback useful links home patient care conditions & treatments â  hypertrophic cardiomyopathy overview symptoms treatment contributed by dept of cardiology (website) overviewâ  hypertrophic cardiomyopathy (hcm) is a condition when the heart muscle is abnormally thick. In majority of cases misspelling of one or more genes can be detected. there generic viagra viagra The transmission of the abnormal gene is autosomal i. E. generic viagra 50mg online The offspring of the affected individual would have one in two chance of inheriting the condition. viagra canada Symptoms patients with hcm generally have no symptoms and are able to lead normal lives. how to buy safe viagra online However, in some, chest pain and breathlessness on exertion can be the first presenting complaints. can you take a viagra and viagra together Giddiness or near fainting episodes may be seen sometimes and fast irregular heart rhythm usually occurs in older patients. Rarely,â  sudden cardiac death â is the first and last clinical presentation. cheapest viagra Treatment as hcm is a genetic condition, the goal of treatment is not to cure but to relieve symptoms and prevent sudden cardiac death for those at high risk. can you take a viagra and viagra together Majority of patients with no symptoms would not requireâ treatment. In patients sufferingâ from chest pain or breathlessness, medication like beta blocks or calcium channel blockers are usually prescribed. cheap online viagra In instances when symptoms are not well controlled with maximal medication, intervention to reduce thickness of a portion of the thickened heart muscle can be carried out. lilly viagra canada Alcohol septal ablation reduces the muscle thickness by creating a ‘controlled’ heart attack whereas myectomy is an open heart surgery. generic viagra soft tabs â  patients who have family history of sudden cardiac death; unexplained fainting spell; severe thickening of heart muscle or dangerous heart rhythm, are consi. cheap viagra online buy viagra