Steve R. Ommen, M.D., director, Hypertrophic Cardiomyopathy Clinic at Mayo Clinic, discusses management of symptoms in people with hypertrophic cardiomyopathy, as well as assessment of risk of sudden cardiac death. He reviews treatment options for managing symptoms of effort-related shortness of breath, chest pain or presyncope.

If medical management is not successful, more-invasive options including catheter-based septal ablation or surgical myectomy may be considered to manage symptoms. Dr. Ommen emphasizes the importance of surgical treatment performed in centers experienced with a large volume of cases for best patient outcomes. He emphasizes the importance of patient participation in shared decision-making when considering risk factors for implantable device implantation.

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