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Hypertrophic Cardiomyopathy

Pocket Guidelines

Congenital Heart Disease in Children and Adults
Myocardial Disease

Publication Date: 2014

Chairpersons: Perry M. Elliott

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Table of Contents

  • Preamble
  • Definition
  • Epidemiology
  • Aetiology
  • Diagnosis
    • Diagnosis criteria
    • History and physical examination
    • Resting & ambulatory electrocardiography
    • Cardiovascular magnetic resonance imaging
    • Nuclear imaging and computerized tomography
    • Endomyocardial biopsy
    • Laboratory tests
  • Genetic testing & family screening
    • Genetic counselling & molecular geneting testing in probands
    • Genetic & clinical screening of relatives
    • Genetic & clinical screening of children
    • Follow-up of mutation carriers without 4 phenotypes
  • Delivery of care
  • Assessment of symptoms
    • Chest pain
    • Heart failure
    • syncope
    • Palpitations
    • Recommendations for electrophysiology testing
  • Management of symptoms and prevention of complications
    • Symptomatic left ventricular outflow tract obstruction
    • Mid-cavity obstruction and apical aneurysms
    • Management of symptoms in patients with LVOTO
    • Treatment of angina on non-obstructive patients
    • Atrial tachyarrhythmia
    • Prevention of sudden cardiac death
    • Symptomatic bradycardia and atrioventricular block
    • Ventricular tachycardia
  • Recommendations for routine follow-up
  • Reproduction and contraception
  • Special issues
    • Diagnosis of hypertrophic cardiomyopathies in athlethes
    • Hypertension
    • Isolated basal septal hypertrophy (sigmoid septum) in elderly people
    • Diagnosis and management of valve disease in patients with hypertrophic cardiomyopathy
  • Living with cardiomyopathy: advice to patients