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Our knowledge of the appropriate diagnostic and therapeutic approach to hypertrophic cardiomyopathy (HCM) has evolved over the last decade. The recommendations highlighted below are class 1 (strong) unless noted otherwise.
Shared decision making, in which clinicians and individuals with HCM discuss the risks and benefits of diagnostic testing and therapies, is emphasized.
Referral of affected individuals for multidisciplinary care is reasonable (class 2a).
In addition to a history and physical examination, echocardiography is considered central to assess severity of hypertrophy, presence of dynamic left ventricular (LV) outflow…