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Patients with hypertrophic obstructive cardiomyopathy often have a family history of the disease since it is a genetic condition with autosomal dominant inheritance. A myriad of ECG abnormalities may be present, such as left axis deviation, pathologic Q waves, and inverted T-waves. On echocardiography, the hypertrophy is usually asymmetric, and greater than 13 mm in women and 15 mm in men. As well, there is a diastolic filling abnormality with a left ventricular end-diastolic dimension of less than 45 mm. Following deconditioning, regression in left ventricular hypertrophy does not occur. People with athletic heart syndrome do not generally have a family history of the condition since is benign and dependent on one’s level of physical activity. ECG findings such as bradycardia and AV block can occur, but disappear with activity. On echocardiography, the hypertrophy is symmetric and is less pronounced than in hypertrophic obstructive cardiomyopathy. As well, diastolic filling is completely normal. Following deconditioning, there is greater than 2 mm of left ventricular regression. 📺 Subscribe To My Channel and Get More Great Quizzes and Tutorials / @med4vl #FOAMped #MedEd #pediatrics Disclaimer: All the information provided by Medical Education for Visual Learners and associated videos are strictly for informational purposes only. It is not intended as a substitute for medical advice from your health care provider or physician. It should not be used to overrule the advice of a qualified healthcare provider, nor to provide advice for emergency medical treatment. If you think that you or someone that you know may be suffering from a medical condition, then please consult your physician or seek immediate medical attention.