Cardiomyopathy

Question 1

Clinical features of hypertrophic cardiomyopathy

Answer 1

May be asymptomatic –incidental or postmortem findings,
Sudden cardiac death
Chest pain
Dyspnea on exertion (commonest symptom)
Syncope or pre-syncope
Symptoms of heart failure

Answer 2

Clinical exam may reveal features of
Double apical impulse
Jerky carotid pulsation
Prominent “a” wave on JVP
Displaced heaving apical impulse
Systolic Ejection murmur
Pan systolic murmur due to MR
An S4 if not in AFIB