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Hypertrophic Cardiomyopathy, Sports Medicine

Anne M. Garrison, DO, CAQSM and Lisa Falotico, DO, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Asymmetric nondilated left ventricular hypertrophy (LVH), with or without outflow obstruction

  • Mostly inherited autosomal dominant disease, but many cases are sporadic

  • Primary cause (35...

DIAGNOSIS

HISTORY

  • History is negative for most patients.

  • Direct and specific questions are important, and parents should be questioned as well.

  • Providers should also inquire about prescription medication...

TREATMENT

  • Acute treatment/emergency action plan:

    • Cardiopulmonary resuscitation (CPR) for syncope or arrest and defibrillation with automated external defibrillator (AED) as soon as possible if indicate...

ONGOING CARE

The 36th Bethesda Conference recommendations for activity for individuals with HCM: 
  • Athletes with a probable or unequivocal clinical diagnosis of HCM should be excluded from most competit...

REFERENCES

1
Drezner JA, O’Connor FG, Harmon KG, et al. AMSSM position statement on cardiovascular preparticipation screening in athletes: current evidence, knowledge gaps, recommendations, and future ...

ADDITIONAL READING

  • Houston BA, Stevens GR. Hypertrophic cardiomyopathy: a review. Clin Med Insights Cardiol.  2014;8(Suppl 1):53–65.

  • Maron BJ, Ommen SR, Semsarian C, et al. Hypertrophic cardiomyop...

CLINICAL PEARLS

  • Patients should avoid physical activities that require exertion while awaiting diagnosis as this may exacerbate a potentially deadly condition.

  • HCM is a rare genetic disease that can ca...

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