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Hypertrophic%20cardiomyopathy Management
Counselling
Family Counseling
- Helps in checking the extent of the condition in a family and in protecting other family members through further counseling and genetic testing
- It is recommended that all of clinically affected patient’s first-degree relatives be screened for HCM with individually tailored time intervals, typically every 5 years in adults and 12-18 months in children and adolescents
- Clinical screening is long term but becomes less frequent in older age groups
- Evaluation will include ECG and echocardiography
Follow Up
- A lifelong follow-up is generally required in patients with HCM in order to identify changes in symptoms or development of adverse events
- Frequency of patient’s monitoring is based upon the age, symptoms and disease severity
- On routine follow-up, it is recommended that patients have:
- A 12-lead ECG, transthoracic echocardiography and 48-hour Holter monitoring whenever there are new or changed symptoms, every 1-2 years if patient is clinically stable
- An exercise test annually if there are progressive symptoms, every 2-3 years if patient is clinically stable
- A cardiac MRI every 2-3 years if there are progressive symptoms, every 5 years if patient is clinically stable
