Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy is a complex disease characterized by marked morphologic, genetic, and prognostic heterogeneity. Some individuals experience a benign and stable clinical course, while in others the disease is characterized by progressive symptoms. For some individuals, sudden death is the first definitive manifestation of the disease.

Waiting period

If you note an enlarged heart in a driver, you should not certify the driver until evaluation by a cardiovascular specialist who understands the functions and demands of commercial driving to confirm or rule out a diagnosis of hypertrophic cardiomyopathy.

Decision

Recommend to certify if:

Not applicable.

Recommend not to certify if:

The driver has a diagnosis of hypertrophic cardiomyopathy.

Monitoring/Testing

Not applicable.

Follow-up

Not applicable.

Cardiomyopathies and Congestive Heart Failure Recommendation Table (PDF)