The 9 month old child of a diabetic mother presents with tachypnea and hepatomegaly. Echocardiography of the hea showed normal cardiac morphology with asymmetric septal hyperophy. Which of the following you will give to treat this child :
Answer is C (Propranolol) The symptoms of the patient and echocardiographic finding of asymmetrical septal hyperophy almost confirms the diagnosis of Hyperophic cardiomyopathy. Beta Blockers should be the initial drug Q in symptomatic individuals Management of HOCM Avoidance of strenuous physical activity Beta Blockers should be the initial drug Q in symptomatic individuals. They reduce: - Hea rate - Blood pressure - Stiffness of left ventricle - Fatal arrythmias Calcium channel BlockersQ (verapamil and diltiazem) are alternative drugs. - They reduce-stiffness of ventricle - Elevated diastolic pressures Amiadarone may be used to reduce arrythmias. Surgical myomectomy
Digoxin
Frusemide
Propranolol
Isoptin