How is dx of hypertrophic cardiomyopathy?

• Cardiac imaging is central to diagnosis due to the insensitivity of examination and ECG and the need to exclude other causes for hypertrophy • Rigorous athletic training (athlete's heart) may cause intermediate degrees of physiologic hypertrophy difficult to differentiate for mild hypertrophic cardiomyopathy • Its regress with cessation of training • Mild ventricular dilation • Normal diastolic function