HOCM Investgation And Management

Question 1

What is the investigation for HOCM?

Answer 1

ECG showing Q wave, deep T wave inversion and left ventiruclar hypertrophy based on Sokolow criteria of greater than 35mmm R wave in V1-V3

Question 2

What is the definitive diagnosis of HOCM?

Answer 2

Echocardiogram
Mitral regurg
Asymmetric septal hypertrophy
Systolic anterior motion of mitral valve leaflets

Question 3

What is first line drug?

Answer 3

Beta blocker

Question 4

What is second line drug for HOCM?

Answer 4

Non- DHP CCB like verapamil
Anti-arrythmias like amiodarone
Anticoagulation for AF

Question 5

What is the definitive management for those at risk of sudden cardiac death?

Answer 5

ICD

Question 6

What is the murmur? e

Answer 6

Ejection systolic loudest between left sternal edge and apex

Pansystolic murmur due to mitral regurg

Question 7

How can ejectionsystolic murmur in HOCM be exacerbated?

Answer 7

Performing valsalva

Question 8

When does ejection systolic get quieter in HOCM?

Answer 8

When supine or squatting