HOCM Flashcards
1
Q
presentation of HOCM
A
mostly asymptomatic
shortness of breath
fatigue
dizziness
syncope
chest pain
palpitations
heart failure
family history
2
Q
examination findings in HOCM
A
ejection systolic murmur at left sternal border (louder with valsalva manoeuvre)
fourth heart sound
thrill at the lower left sternal border
3
Q
investigations for HOCM
A
ECG shows left ventricular hypertrophy (tall R waves?
*echocardiogram or cardiac MRI
genetic testing
4
Q
management of HOCM
A
beta blockers
surgical myectomy
alcohol septal ablation
implantable cardioverter defibrillator (risk of sudden death)
heart transplant
5
Q
what can sometimes be felt on the pulse in HOCM
A
bisferiens pulse
- two systole beats
6
Q
inheritance pattern of HOCM
A
autosomal dominant
