How does one treat Hypertrophic Cardiomyopathy in (HCM) children?
NYHA I Use of drugs is debated. However many prescribe b-blockers to this subset. NYHA II. III Either b-blockers (Propranolol) or calcium channel blockers (Verapamil) is used and continued indefinitely. Diuretics are used cautiously. Digoxin is not indicated. NYHA IV May need additional diuretics. Digoxin may be used if LV dysfunction exists. In addition, children with HCM with high risk factors for sudden cardiac death (SCD) are offered amiodarone or implantable cardioverter defibrillator.