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Longitudinalfollow-up
Genetically affectedw/o phenotype
Overall HCMPopulation
High-risk SD
ICD primary/secondary prevention
Cardioversion;pharmacologic rate-control:anitcoagulation
AF
Progressiveheart failuresymptoms
No/mildSymptoms (low SD risk)
Verapamil
Beta-blockers
Drugs
Drug refractorysymptoms
Obstructive HCM(rest or provocation)
Surgery:Septal myectomy
DDDPacing
Alcohol septalablation
Alternatives to surgery
End-stage
Non-obstructive HCM (rest & provocation)
Disopyramide
Drugs
No drugs
Afterloadreduction
Digoxin
Beta-blockers
Spirono- lactone
Diuretics
Heart Transplant