6
Diagnosis
Table 3. Suggested Competencies of Comprehensive and
Primary HCM Centers
Potential HCM Care
Delivery Competencies
Comprehensive
HCM Center
Primary
HCM Center
Referring Centers
and Physicians
Diagnosis
× × ×
Initial and surveillance TTE
× × ×
Advanced
echocardiographic imaging
to detect latent LVOTO
× ×
Echocardiography to
guide SRT
×
*
CMR imaging for diagnosis
and risk stratification
× ×
Invasive evaluation for
LVOTO
×
* *
Coronary angiography
× × ×
Stress testing for
elicitation of LVOTO or
consideration of advanced
HF therapies/transplant
× ×
Counseling and
performing family
screening (imaging and
genetic)
× × ×
Genetic testing and
counseling
× ×
*
SCD risk assessment
× × ×
COR 1 and COR 2a ICD
decision-making with
adult patients
× × ×
COR 2b ICD decision-
making with adult patients
×
ICD implantation (adults)
× ×
*
ICD decision-making and
implantation with children
and adolescents and their
parents and caregivers
×
*
Initial AF management
and stroke prevention
× × ×
