32
Treatment
Figure 4. Management of Symptoms in Patients With HCM
Patients With HCM
Treat comorbidities
according to GL
(1)
NO YES
See Figure 5
Obstructive physiology?
NO
YES
Repeat evaluation as
per Figure 1, Box 2
Avoid
vasodilators
and high-dose
diuretics
Beta blocker,
verapamil, or
diltiazem
(1)
Symptoms?
Disopyramide
(1)
Myosin inhibitor
(1)
If symptoms persist
GL indicates guideline; HCM, hypertrophic cardiomyopathy; HFpEF, heart failure with
preserved ejection fraction; HFrEF, heart failure with reduced ejection fraction; and SRT,
septal reduction therapy.
Septal reduction
therapy
(1)
