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Hypertrophic cardiomyopathy — RCPSC IM MCQ

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HardCardiologyHypertrophic cardiomyopathyRCPSC IM

A 28-year-old competitive hockey player has exertional presyncope. His father died suddenly at 42. ECG shows deep T-wave inversion in V3-V6, and echocardiography shows asymmetric septal hypertrophy of 17 mm with equivocal outflow gradient. Troponin is normal and coronary risk is low. What is the most appropriate investigation?

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Correct answer: B — Cardiac MRI with late gadolinium enhancement

Cardiac MRI helps confirm hypertrophic cardiomyopathy, define hypertrophy distribution, detect scar and support risk stratification when echocardiography is incomplete or borderline.

Reference: CCS inherited cardiomyopathy guidance