Medical therapy is called for with hypertrophic cardiomyopathy
DEAR DR. ROACH: I’m a physically active 75-year-old man. I’m taking atorvastatin, losartan and amlodipine. During my annual physical in January 2025, my physician noticed a heart murmur. I had an echocardiogram done in February 2025 that showed a dilated proximal ascending aorta, measuring at 4.1 centimeters. It was 3.9 centimeters in January 2024. In February 2026, I had a repeat echocardigoram to check my ascending aorta, and it stabilized at 4.1 cm. However, it showed that there’s a mid-cavitary gradient of 44 mmHg at rest that increased to 99 mmHg with a Valsalva maneuver. ...