FCP(SA) Part II Practice Questions - Fellowship Of The College Of Physicians Of South Africa Part II Exam

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A 22-year-old competitive athlete is diagnosed with hypertrophic cardiomyopathy (HCM). Echocardiography shows asymmetric septal hypertrophy of 32 mm and a peak resting left ventricular outflow tract (LVOT) gradient of 45 mmHg. His father died suddenly at age 35. He reports no syncope. Which of the following is the primary indication for secondary or primary prevention implantable cardioverter-defibrillator (ICD) insertion in this patient?

Maximal wall thickness >= 30 mm and family history of sudden cardiac death Resting LVOT gradient of 45 mmHg alone Asymmetric septal ratio greater than 1.3 NYHA Functional Class I status

Correct Answer:

Maximal wall thickness >= 30 mm and family history of sudden cardiac death

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