- Hypertrophic Obstructive Cardiomyopathy
- Most common cause of congenital sudden cardiac death in athletes
- HOCM occurs in about 1 in 500 people.
- Most causes are genetic
- Freidreich's ataxia
- Tacrolimus use
- Valsalva increases left ventricular outflow tract obstruction of hypertrophic cardiomyopathy, increasing intensity of murmur.
- ECG screening may be done but echocardiogram and cardiac MRI are needed for a diagnosis.
- Treatment varies depending on the patient.
- Avoiding dehydration
- Avoiding diuretics
- Avoiding aggravating
- Beta blockers are also used commonly for medical management.
- Invasive treatment options include
- Septal myectomy
- ICD placement
- Heart transplant
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Joint decision between the patient and physician.
- Shortness of breath, especially with exertion
- Chest Pain
- Cardiac Arrest
- Sudden Cardiac Death