Hypertrophic Cardiomyopathy (HOCM)

Question 1

What is the leading cause of sudden cardiac death in the young?

Answer 1

Hypertrophic cardiomyopathy (HOCM)

Question 2

What is the inheritance pattern of HOCM?

Answer 2

Autosomal dominant

Question 3

What is HOCM?

Answer 3

Hypertrophic cardiomyopathy - pre-valvular aortic stenosis (LV outflow tract obstruction).

Question 4

What are the symptoms of HOCM and how is it identified?

Answer 4

1. Angina, syncope, dyspnoea, palpitations.

2. ECG, echo

Question 5

What is the treatment for HOCM and what should patients with HOCM avoid?

Answer 5

1. BBs or verapamil, consider ICD, screen relatives.

2. Avoid: ACEi, nitrates, diuretics, competitive sports