Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 56-year-old man is being evaluated after his 18-year-old son had a syncopal episode during a high school basketball game and was diagnosed with hypertrophic cardiomyopathy (HCM). The patient has had no symptoms, including with physical activity such as golfing or playing tennis. Medical history is unremarkable, and a review of family history is negative for other relatives with HCM, sudden cardiac death, or tachyarrhythmias. He takes no medications.
Findings of a comprehensive physical examination are unremarkable.
An electrocardiogram and echocardiogram are normal, with no evidence of HCM.
When should this patient next be screened for HCM?
A. In 6 months
B. In 1 to 2 years
C. In 5 years
D. No further screening is necessary
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