Diastolic/systolic : Hcm course can be benign but can cause syncope, arrhythmias ( like svt), ischemia, heart failure and brain stroke. Can progress to dilated cardiomyopathy and heart failure in 5 to 10% of patients as a result of fibrosis a ventricular remodeling. Atrial fibrillation, 10-20% patients, can precipitate heart failure and stroke. Focus management by close follow up with cardiology.
Answered 9/28/2016
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