In 1958, British pathologist Donald Teare described a family in which 8 sudden death victims had marked asymmetric hypertrophy of the left ventricle, a condition now known as hypertrophic cardiomyopathy (HCM). Though much has been learned about HCM, a number of issues remain unresolved, including how best to prevent HCM-related sudden cardiac death (SCD) in young athletes. As recently as the 2008 British Cardiovascular Society meeting, experts in cardiovascular medicine continued this lively debate. This editorial seeks to summarize the key issues regarding the detection and management of HCM in athletes.
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