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Hypertrophic Cardiomyopathy in the ElderlyA Frequently Misdiagnosed Disease
Mohandas M. Shenoy, MD;
Ashok Khanna, MD;
Moosa Nejat, MD;
Ernst Greif, MD;
Sandor A. Friedman, MD
Arch Intern Med. 1986;146(4):658-661.
Abstract
• In 20 elderly patients (mean age, 76 years; range, 70 to 86 years), hypertrophic cardiomyopathy was diagnosed echocardiographically. Although the disease was moderate to severe in all patients, the diagnosis was not suspected in 19 patients prior to echocardiography. Inappropriate therapy consisting of potentially harmful drugs, such as digitalis, nitrates, and diuretics, was commonly used, often for unclear indications. Since echocardiography can easily and accurately diagnose hypertrophic cardiomyopathy, an increased awareness of its occurrence in the elderly and use of echocardiography would reduce diagnostic and therapeutic errors.
(Arch Intern Med 1986;146:658-661)
Author Affiliations
From the Division of Cardiology, Department of Medicine, Coney Island Hospital, and the Department of Medicine, State University of New York, Brooklyn.
Footnotes
Accepted for publication Aug 6, 1985.
Reprint requests to Division of Cardiology, Suite 6N2, Coney Island Hospital, 2601 Ocean Pkwy, Brooklyn, NY 11235 (Dr Shenoy).
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