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Hypertrophic cardiomyopathy (HCM) is a genetically determined disease that commonly results in obstruction of the left ventricular outflow tract (LVOT), which can produce chest discomfort, dyspnea, fatigue, and syncope. This topic discusses the management of patients with HCM and symptoms attributable to LVOT obstruction.Furthermore, depending on thrombus morphology and the time of follow-up, LV thrombus has in the past been associated with up to a 22% risk of embolization 20–23 and a 37% risk of major adverse cardiovascular events (MACEs). 17.
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