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Cardiovascular

Cardiomyopathy/Genetics

Three cases on genetic cardiomyopathy management and cascade-testing decisions — choose a case below to open its full multi-voice debate.

CardiovascularCardiomyopathy/Genetics
A Normal Echo, a Positive Gene: What the Guideline Actually Recommends for Her

Her brother's near-syncope led to a genetic diagnosis, and she carries the same variant with no trace of the disease itself. Her family wants a prescription for reassurance; the guideline's actual answer is surveillance, not a drug.

Case 0094
CardiovascularCardiomyopathy/Genetics
Anticoagulation Without Atrial Fibrillation: What Amyloid Does to the Atria Directly

Her heart has never gone into atrial fibrillation. The disease infiltrating her atria may not need to cause that arrhythmia to put her at real risk of a clot forming there anyway.

Case 0098
CardiovascularCardiomyopathy/Genetics
The Prescription a Rock Climber's New HCM Diagnosis Doesn't Actually Need Yet

The real question isn't which drug to start. It's whether a diagnosis, on its own, without a single symptom attached to it, is a prescription at all.

Case 0104
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