Students should now be able to summarise this case, and relate the clinical features and presentation to the investigations results, pathophysiology and management:

• Adam’s presentation and how his symptoms relate to the pathophysiology of HCM
• Salient points in the history, including the family history
• Salient points in the examination, and how the examination findings are explained by the pathophysiology of HCM
• A summary of Adam’s initial results and investigation and how to interpret them in light of the history and examination findings
• A summary of the subsequent investigations and their importance in the diagnosis and management of patients with HCM
• Further management of patients with HCM including risk stratification, lifestyle modification and family screening
• The basics behind the molecular and genetic basis of HCM and it how pathophysiology relates to symptoms
• The usefulness of clinical genetic testing