Management Implications of Hypertrophic Cardiomyopathy Patients with Massive Hypertrophy

Management considerations are discussed for HCM patients with massive LV hypertrophy including consideration for primary prevention implantable cardioverter defibrillator placement, and increased risk of progressive heart failure symptoms secondary to obstruction, relieved with myectomy. With treatment these individuals with the most extreme HCM phenotype can achieve extended longevity with low mortality risks.