Hypertrophic Cardiomyopathy 

Your Partner in Hypertrophic Cardiomyopathy Care 

If you have hypertrophic cardiomyopathy (HCM), you need to take extra special care of your heart.

Even though many people with hypertrophic cardiomyopathy live long, fulfilling lives, this condition can cause serious complications. Having a health care partner who monitors your heart health and provides treatments when needed is important.

You’ll find this partner at Emory Heart & Vascular. We’re home to Georgia’s only clinic specializing in comprehensive, lifelong HCM care.

What Is Hypertrophic Cardiomyopathy? 

Hypertrophic cardiomyopathy is a condition that causes the heart muscle to thicken, stiffen and enlarge. This makes it harder for your heart to pump blood.

People with HCM have a higher risk of certain complications, including:

  • A type of heart valve disease called mitral valve regurgitation (blood leaks backward through your mitral valve).
  • Arrhythmias, such as atrial fibrillation (AFib) or ventricular tachycardia. Having AFib increases your risk of blood clots and stroke. And ventricular tachycardia can cause a life-threatening condition called sudden cardiac arrest.
  • Congestive heart failure

What Causes Hypertrophic Cardiomyopathy? 

Most people with HCM were born with a gene that doesn’t work the way it’s supposed to.

Several genes influence heart muscle structure and function. If one of these genes is faulty, it can cause parts of your heart muscle to become too thick.

The genetic differences that cause HCM can be inherited, meaning parents can pass them on to their children. For this reason, HCM often runs in families.

Hypertrophic cardiomyopathy isn’t always genetic, though. For example, it can occur in people with uncontrolled high blood pressure. It may also be caused by heart muscle changes associated with aging. 

Hypertrophic Cardiomyopathy Symptoms 

Some people with HCM don’t have any symptoms. However, if your condition is severe or causes complications, you may develop:

  • Chest pain, especially after exercise
  • Dizziness or lightheadedness
  • Fainting
  • Fatigue
  • Palpitations (feeling like your heart is skipping beats or pounding really hard)
  • Rapid heartbeat
  • Shortness of breath

If you have any of these symptoms, you should see your doctor right away. It’s important to confirm what’s causing your symptoms because HCM can trigger sudden cardiac arrest in people of all ages. This includes young people who are otherwise healthy. 

Living Well with Hypertrophic Cardiomyopathy

Although there isn’t a cure for HCM, you can take steps to improve your heart health and reduce your risk of complications.

These steps include:

  • Attending follow-up visits with your doctor. People with HCM need regular imaging tests. These tests look for structural or functional changes to the heart and early signs of complications that may need treatment.
  • Eating a heart-healthy diet.
  • Exercising regularly and safely. Regular exercise is a vital part of a heart-healthy lifestyle. But people with HCM may have to be careful about participating in vigorous or intense activities. Your doctor will help you understand which types of exercise are safe and which to avoid.
  • Getting prompt treatment for any type of infection. Certain infections can damage your heart lining or valves if not treated properly.
  • Limiting caffeine intake.
  • Quitting smoking.
  • Reducing or avoiding alcohol use.
Doctors from Emory Heart & Vascular can help you make the lifestyle changes necessary to keep your heart healthy—and keep you feeling your best.

Diagnosing Hypertrophic Cardiomyopathy 

To confirm whether you have HCM or something else, your doctor will perform (or order) one or more of the following: 

Medical History

Your doctor will:

  • Ask questions about your symptoms, including how long you’ve had them and how they affect you
  • Discuss your medical history
  • Review your family history to find out whether any of your immediate blood relatives have HCM
  • Review recent test results you may have 

Physical Exam

Your doctor will listen to your heart and lungs. They’re listening for certain sounds associated with HCM.

Imaging Tests

Your doctor will order one or more tests to check your heart structure and function. These may include:

  • An echocardiogram (heart ultrasound)
  • An electrocardiogram, or EKG. This test measures the electrical signals in your heart to check for arrhythmia (irregular heartbeat).
  • An MRI scan
  • A stress test (an echocardiogram performed after you exercise) 

Genetic Testing

Your doctor may ask whether you want to be screened for the faulty genes that cause HCM. If you do, they can connect you with a licensed genetic counselor. The counselor will coordinate genetic testing using a blood or saliva sample you’ve provided.

In combination with your imaging test results, your genetic test results can provide critical insights about your condition. For example, we can confirm which parts of your heart are affected by HCM. And by identifying which faulty gene you have, we can predict which symptoms it’s likely to cause.

If you have a genetic difference associated with HCM, it means other family members may have the condition without knowing it. Your parents, siblings or children may also want to consider genetic testing. 


Emory Heart & Vascular experts offer a full range of HCM treatments, including novel medications such as cardiac myosin inhibitors, corrective surgeries, minimally invasive procedures, and implantable cardioverter defibrillators (ICDs).

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