PT on the Net Research

Cardiomyopathy


Question

My competitive runner was just diagnosed with cardiomyopathy and his cardiologist did not give him recommendations for his training. Any suggestions?

Answer:

It isn’t surprising your client was not given any suggestions on what to do for his condition. In fact, the disease is classified as having no underlying etiology. In other words, the doctors don’t know why it occurred or really what to do about it. Johns Hopkins medical center is also running clinical test treatments for individuals who qualify for the study. These clinical trials use experimental drugs and therapies that are cutting edge in technology. Cardiomyopathy is a condition where the left ventricle is impaired during filling and/or emptying due to hypertrophy or dialation of the cardiac tissue. For this article I will assume hypertrophic cardiomyopathy because he is a runner.

Once again, without enough specific information on the client we must make assumptions.

I would also like to refer you to a website for hypertrophic cardiomyopathy, www.hcmny.org. This site has an extensive library of articles written for individuals who have been diagnosed with this condition. My advice to you is to take very detailed notes on his condition and his response to graded exercise. When Western based doctors don’t have the answer I will always go with good old common sense and what feels right. Before, during and after each exercise session you should ask your client how he feels and record it. Try varying exercise intensities and durations until you come up with what works best for him with the least amount of discomfort. I wish there were more information we could supply for you. The website and contact with Johns Hopkins Medical Center in Baltimore, Maryland are the best resources I can give you.