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Hypertrophic cardiomyopathy — RACP Written MCQ

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HardCardiologyHypertrophic cardiomyopathyRACP Written

A 29-year-old competitive footballer collapses during training. His father died suddenly at 38 years. ECG shows deep T-wave inversion in lateral leads and a harsh systolic murmur increases with Valsalva. What is the most appropriate investigation?

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Correct answer: C — Transthoracic echocardiography

Syncope during exertion, family history of sudden death and dynamic murmur suggest hypertrophic cardiomyopathy. Transthoracic echocardiography is the key diagnostic test for septal hypertrophy and outflow obstruction.

Reference: National Heart Foundation of Australia; Therapeutic Guidelines: Cardiovascular