The ACC/AHA just published guidelines on the diagnosis and treatment of HOCM. The highlights include screening (with echo) all first degree relatives with HOCM, and using beta blockers or verapamil for symptoms (angina or dyspnea). Recommendations on when to refer for ablation (drug-refractory symptoms, outflow gradient >50mmHg) and when to refer for ICD (prior arrest or sustained Vtach, sudden cardiac death in first degree relative, unexplained syncope, or non sustained Vtach/abnormal BP response to exercise). They also recommend against all competitive sports, regardless of prior therapy or presence of ICD (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.