Managing Hypertrophic Cardiomyopathy: New Guidelines and Drugs
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COMMENTARY

Managing Hypertrophic Cardiomyopathy: New Guidelines and Drugs

Steve R. Ommen, MD; Christopher V. DeSimone, MD, PhD

Disclosures

August 02, 2021

1

Editorial Collaboration

Medscape &

This transcript has been edited for clarity.

Christopher V. DeSimone, MD, PhD: Hello, and welcome back to the Mayo Clinic–Medscape video series.

I'm Christopher DeSimone, a cardiologist and medical director of CV marketing at the Mayo Clinic in Rochester, Minnesota. Today I'll be discussing hypertrophic cardiomyopathy (HCM) with my colleague, Steve Ommen, a consultant, professor of medicine, and expert in this area. Welcome, Dr Ommen.

Steve R. Ommen, MD: Thanks, Chris.

SCD and New Guidelines

DeSimone: The new American Heart Association (AHA)/American College of Cardiology (ACC) guidelines on HCM are out. You played an integral role in shaping them and served as the lead author. One of the takeaways from these guidelines relates to changes in sudden cardiac death screening. How has that evolved over the years?

Ommen: That's an important question. Historically, if you go back to the prior guidelines in 2011, we basically just counted up a series of risk factors. Anyone who had two or more risk factors was eligible for an implantable cardioverter-defibrillator, there was lots of debate and controversy about what to do with patients with one risk factor, and patients who had zero risk factors were reassured.

We tried to put some weighting around the various risk factors

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