Conversation: The conversation between human and AI assistant.
[|Human|] Yes my father was diagnosed with Hypertrophic Cardiomyopathy with mitral valve regurgitation.  He has not had surgery for it, quit smoking 6 years ago, does not have high blood pressure, is not over weight, and recently has an increase in shortness of breath with light activity and occassional increase in tingling down his arm....what should we do? Our cardiologist cant get him into their office until February 22
[|AI|]  Hello, In hypertrophic cardiomyopathy there is dynamic blockage to passage of blood from the heart to the body giving rise to symptoms you just described.  It's a complex condition which needed detailed evaluation and discussion on treatment.  However, as he has started having symptoms.  The best medication to start is beta blocker metoprolol 50 mg and built to maximum dose (about 200 mg) keeping a tab on blood pressure and pulse rate. He should not be asthmatic to take it safely. A blood thinner like small dose aspirin 75 mg would also help till you see your doctor. An echocardiography for gradients, 24 holder if he has palpitation and other investigation based in his initial evaluation is justified. A Call for surgery can be discussed with your cardiologist based on the reports. Let me know if any clarification needed.  Regards Chat Doctor.