Which medication is commonly used to manage symptoms of hypertrophic cardiomyopathy?

Prepare for the Rosh Internal Medicine Boost End of Rotation (EOR) Exam with flashcards and multiple-choice questions. Each question offers hints and explanations to help you excel. Get exam-ready now!

Beta-blockers are commonly used to manage symptoms of hypertrophic cardiomyopathy. This condition is characterized by the thickening of the heart muscle, which can lead to obstructive symptoms such as chest pain, shortness of breath, and syncope, particularly during exercise.

Beta-blockers work by decreasing heart rate and contractility, which helps to reduce the outflow obstruction that can occur in this condition. They improve symptoms by enhancing diastolic filling of the heart and can help with exercise tolerance as well. Additionally, beta-blockers have been shown to lower the risk of arrhythmias, which is an important consideration in patients with hypertrophic cardiomyopathy.

While other medications like ACE inhibitors, calcium channel blockers, and diuretics have their own specific roles in heart disease management, they are not the primary treatment choice for hypertrophic cardiomyopathy. ACE inhibitors may be used in cases where there is concurrent heart failure, calcium channel blockers may be used in specific scenarios but are less effective than beta-blockers, and diuretics are not typically recommended as a first-line treatment due to the risk of dehydration and hypotension in these patients. Thus, beta-blockers stand out as the preferred option for symptom management in hypertrophic cardiomy

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