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Old 08-19-2012
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Default HCM and spironolactone query

please refer to page 95 of mtb step 2 ck.

there is a table at the bottom and it is written that spironolactone not given in hypertrophic cardiomyopathy [its HCM not HOCM]

is it correct? may i know the reason for the same if the info is correct? please reply.
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Old 08-19-2012
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Because hypertrophic cardiomyopathy is a diastolic dysfunction (filling defect) and spironolactone is an aldosterone antagonist (anti- mineralocorticoid) useful for systolic dysfunction.
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