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Cardiomyopathy

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Cardiomyopathy affects about 50,000 Americans (adults and children), and often occurs in the young. It tends to be progressive and sometimes worsens fairly quickly. It may be associated with diseases involving other organs, as well as the heart. Viral infections that infect the heart are a major cause of cardiomyopathy. In some instances, cardiomyopathy is a result of another disease or its treatment, such as complex congenital (present at birth) heart disease, nutritional deficiencies, uncontrollable, fast heart rhythms, or certain types of chemotherapy for cancer. Sometimes, cardiomyopathy can be linked to a genetic abnormality.

In hypertrophic cardiomyopathy, the muscle mass of the left ventricle of the heart is thicker than normal, or the wall between the two ventricles (septum) becomes enlarged and obstructs blood flow, limiting the amount of blood pumped with each beat. In dilated cardiomyopathy, the cavity of the heart is enlarged and stretched, causing the heart to become weak and not pump normally. Restrictive cardiomyopathy makes the ventricles rigid, so they fill with less blood between heart beats.

When you come to the University of Miami Health System, you have the multidisciplinary expertise of several clinics that address, including the Center for Congenital Heart Disease in Children and Adults, the Center for Advanced Heart Failure and the Center for Cardiac Genetic Syndromes and Sports Cardiology.

  • Center for Congenital Heart Disease in Children and Adults
  • Center for Advanced Heart Failure
  • Center for Cardiac Genetic Syndromes and Sports Cardiology
Our cardiothoracic surgeons are experts in septal myectomy, a treatment only available at medical centers that specialize in the treatment of hypertrophic cardiomyopathy.

Why Choose UHealth?

Advanced heart failure therapies. Leading edge treatments include ventricular assist devices and heart transplant. For advanced heart disease, options for treatment go beyond what is available in the community to prolong life and give you or your loved one a second chance.

Multidisciplinary care by recognized specialists in their field.  In complex cases, heart disease care may require the services of a cardiothoracic surgeon, an interventional cardiologist, a lung specialist, a diabetes specialist and a geneticist. Your doctors talk to each other and make sure all specialties involved in your care are on-board with a unified treatment plan.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments

  • Genetic Testing

    Genetic tests may help determine the inherited causes of several cardiac disorders, because up to 70 percent of high risk families have an identifiable mutation. Your doctor may recommend echocardiography on a regular basis if you had a family member with sudden cardiac death, heart disease before age 50, a history of fainting or Long Q-T Syndrome. Once the gene is identified, we can test family members and monitor the carriers.

  • Septal Ablation

    During this procedure, a small portion of the thickened heart muscle is destroyed by injecting alcohol through a long, thin tube (catheter) into the artery supplying blood to that area to improve your symptoms.

  • Septal Myectomy

    In this open-heart procedure for hypertrophic myocardopathy, the surgeon removes part of the thickened, overgrown muscle between the ventricles to improve blood flow and reduce mitral valve regurgitation. 

  • Implantable Cardioverter-Defibrillator (ICD)

    Your doctor may recommend an ICD if you have hypertrophic cardiomyopathy and you're at high risk of sudden cardiac death because of abnormal heart rhythms. This small device implanted in your chest continuously monitors your heartbeat. It's implanted in your chest like a pacemaker. If a life-threatening rhythm occurs, the ICD delivers precisely calibrated electrical shocks to restore a normal heart rhythm. 

  • Heart Transplant

    Dilated cardiomyopathy is a leading cause for heart transplantation.

Tests

  • Genetic Testing

    Genetic tests may help determine the genetic causes of many inherited cardiac diseases. Your doctor may recommend echocardiography on a regular basis for family members with an identified variant.

  • Transthoracic Echocardiogram

    In this test, a device (transducer) is pressed firmly against your skin and aims an ultrasound beam through your chest to your heart, producing moving images of the working of the heart.

  • Electrocardiogram (ECG)

    Wires (electrodes) attached to adhesive pads on your skin measure electrical impulses from your heart. An ECG can detect enlarged chambers of your heart and abnormal heart rhythms.

  • Treadmill Stress Test

    Your heart rhythm, blood pressure and breathing are monitored while you walk on a treadmill so your doctor may evaluate symptoms, determine your exercise capacity, and determine if exercise provokes abnormal heart rhythms. Treadmill stress tests are sometimes performed with echocardiography.

  • Holter Monitor

    You may wear a portable ECG that records your heart's activity continuously over one to two days. This test is often done in people with hypertrophic cardiomyopathy.

  • Cardiac Magnetic Resonance Imaging (MRI) Exam

    A cardiac MRI uses magnetic fields and radio waves to create images of your heart, and is often used in addition to echocardiography to evaluate you for a diagnosis of hypertrophic cardiomyopathy.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • CompCare (Comprehensive Behavioral Care)
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry Vista Medicare HMO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Global Health Claims Services
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana HUMx
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care