Here is a guideline for diagnosing the silent killer-HOCM -a cause of sudden death in the young athletes.

Team@CMHF

The ACC/AHA just published guidelines on the diagnosis and treatment of HOCM. The highlights include screening (with echo) all first degree relatives with HOCM, and using beta blockers or verapamil for symptoms (angina or dyspnea). Recommendations on when to refer for ablation (drug-refractory symptoms, outflow gradient >50mmHg) and when to refer for ICD (prior arrest or sustained Vtach, sudden cardiac death in first degree relative, unexplained syncope, or non sustained Vtach/abnormal BP response to exercise). They also recommend against all competitive sports, regardless of prior therapy or presence of ICD

Ref: http://blogs.hospitalmedicine.org/SHMClinicalBlog/?p=1906