Hypertrophic cardiomyopathy (HCM)
- Treat symptoms and sudden-death risk separately
- Beta blocker first for many symptomatic patients
- Non-DHP CCB if beta blocker unsuitable
- Obstructive disease may use myosin inhibitor
- ICD based on arrhythmic risk—not symptom severity
- Refer severe obstruction for septal-reduction evaluation
Use at a glance
- Treat symptoms and sudden-death risk separately
Practical pearls
- Beta blocker first for many symptomatic patients
- Obstructive disease may use myosin inhibitor
Choosing treatment
- Non-DHP CCB if beta blocker unsuitable
- Refer severe obstruction for septal-reduction evaluation
Other practical pearls
- ICD based on arrhythmic risk—not symptom severity
Self-check
- What should be treated in Hypertrophic cardiomyopathy (HCM)?
symptoms and sudden-death risk separately.
- What is used for many symptomatic patients in Hypertrophic cardiomyopathy (HCM)?
Beta blocker first.
Drugs used for this (2)
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