Investigations |
· ECG (? Signs) · TTE (? LVH ? LVOTO) · Holter (? Arrhythmia) · MRI (if still unsure) |
Treatment |
Drugs: · B1 blocker · Cardiac-selective CCB · Disopyramide AICD if: · Malignant arrhythmia o Arrest o Syncope o Sustained VT · At risk of malignant arrhythmia o Massive LVH >30mm o LV dysfunction o FHx SCD Invasive: · Alcohol septal ablation · Myomectomy |
Complicating factors |
Ischaemia: do angiogram if · Symptoms · LV deterioration · Planning invasive treatment AF: · Anticoagulate everyone Pregnant: · Ante-natal counselling · MDT care · Continue beta blocker · If anticoagulated: use LMWH |
Genetics |
· Patient: gene test · First degree relatives: gene test, periodic ECG and TTE |
Follow up |
· TTE every 1-2 years, or if deteriorating |
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