Hypertrophic cardiomyopathy (HCM) is one of the most common inherited cardiac disorders (affecting ~ 1 in 500 people) and is the number one cause of sudden cardiac death in young athletes. Annual mortality is estimated at 1-2 %.
An elderly man with a history of hypertension is brought into hospital after several days of reduced oral intake. He is hypotensive and your junior doctor wants to start inotropic support for presumed sepsis. An abbreviated bedside echo is performed. What would you suggest as optimal therapy?
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