Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of non-obstructive hypertrophic cardiomyopathy. Reports [stable/worsening] exertional dyspnea, fatigue, and palpitations. Denies syncope, presyncope, or angina. No orthopnea or PND. Current medication adherence is [good/poor]. No recent changes in functional status or exercise tolerance.
Clinical Examination Findings
Cardiovascular: Regular rate and rhythm, S1 and S2 present. No murmurs of LVOT obstruction (no systolic ejection murmur increasing with Valsalva). PMI is non-displaced. Lungs: Clear to auscultation bilaterally. Extremities: No peripheral edema, pulses 2+ and symmetric. JVP is normal.
Treatment Protocol
Continue current regimen of [Beta-blockers/Calcium channel blockers] for symptom management. Maintain strict hydration and avoid strenuous competitive athletics. Monitor for arrhythmias. Follow-up echocardiogram scheduled for [Date]. Advise patient to report any new chest pain, palpitations, or syncopal episodes immediately.