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Pocket Guidelines on Hypertrophic Cardiomyopathy

ESC Pocket Guidelines

Cardiovascular Surgery
Myocardial Disease
Congenital Heart Disease and Pediatric Cardiology
Device Therapy
Interventional Cardiology
Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
Chronic Heart Failure

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