Hypertrophic Cardiomyopathy Care

Hypertrophic CardiomyopathyThrough our Hypertrophic Cardiomyopathy Clinic, Cone Health is committed to providing you with expert, compassionate care—and supporting you and your family every step of the way as you navigate hypertrophic cardiomyopathy.

What is Hypertrophic Cardiomyopathy?

Hypertrophic cardiomyopathy (HCM) is a heart condition where the muscle becomes unusually thick, which can affect blood flow and make your heart work harder. HCM affects at least 1 in 500 people.

Common symptoms:

  • shortness of breath
  • chest pain
  • fatigue
  • heart palpitations
  • dizziness
  • exercise intolerance
  • some people experience no symptoms, while others may find everyday activities difficult

Why Choose Cone Health Hypertrophic Cardiomyopathy Clinic for Care?

  • Comprehensive Evaluation:
    Our expert imaging team specializes in identifying HCM’s unique features using advanced evaluations. We also offer genetic testing to help with diagnosis for patients and families, since HCM can be inherited.
  • Multidisciplinary, Personalized Care:
    The Cone Health Hypertrophic Cardiomyopathy Clinic brings together a diverse team—cardiologists, genetic counselors, imaging specialists and advanced practice providers—to create an individualized evaluation, management and support plan. We specialize in precision, accurate diagnosis, innovative treatment and ongoing care.
  • Advanced Treatments and Innovation:
    We offer advanced medications and therapies, including some of the newest FDA-approved treatments, such as mavacamten, a medicine that helps the heart relax by making its muscles squeeze less hard. As the first in the Triad to provide these therapies, we give patients access to the latest advancements and are continually involved in ongoing research to expand treatment options.
  • Risk Assessment and Prevention:
    Our dedicated clinic helps you understand and lower your risk of sudden cardiac death, even when symptoms aren’t present. With ongoing monitoring and care, you can live a healthier, fuller life.
  • Family-Focused Approach:
    Because HCM can run in families, our care team offers genetic counseling and testing for relatives, helping you protect your family’s long-term heart health.

“Living with HCM doesn’t mean giving up the life you love. With the right care, many people stay active, work, travel and enjoy time with family. If you or a loved one may have HCM, talk to your doctor or request a referral to our clinic. We’re here to help.”


Mahesh Chandrasekhar, MD, FASE, FACC, Director, Hypertrophic Cardiomyopathy Clinic, Cone Health Heart & Vascular

Frequently Asked Questions

Will I be able to live a normal life with HCM?

Many people with HCM can live healthy, active lives. With regular monitoring, advanced treatment, and lifestyle adjustments, most can continue daily activities and enjoy life. Our team personalizes a plan to fit your goals. We offer regular risk assessments for HCM patients, even for those who are without symptoms, because of the risks of sudden cardiac events associated with HCM.

Is HCM genetic? Should my family be tested?

Yes, HCM can be inherited and may affect up to 50% of close relatives. We offer genetic counseling and testing to help identify and care for family members who may be at risk.

Can I exercise if I have HCM?

Yes, many people with HCM can safely exercise. Light to moderate activities like walking, swimming, or biking are often encouraged. Your care team will help you choose the right level of activity based on your symptoms and heart function. Some people may even be able to return to sports with careful monitoring and shared decision-making.

What tests are used to diagnose HCM?

Doctors at Cone Health use several tests to check for HCM:

  • Echocardiogram: Shows how thick your heart muscle is and how well it pumps.
  • Electrocardiogram (ECG): Checks your heart’s rhythm.
  • Cardiac MRI: Gives detailed pictures of your heart and its tissue.
  • Genetic testing: Helps find inherited forms of HCM.
  • Stress tests and heart monitors: Help track symptoms during activity and keep patients safe.

What lifestyle changes can help with HCM?

Living a heart-healthy life is important. This includes:

  • Eating a balanced diet
  • Staying active (as advised by your doctor)
  • Getting enough sleep
  • Avoiding smoking
  • Managing blood pressure and cholesterol
  • Taking medications as prescribed

What does “obstructive” vs. “non-obstructive” HCM mean?

  • Obstructive HCM means the thickened heart muscle blocks blood flow out of the heart.
  • Non-obstructive HCM means the muscle is thick but doesn’t block blood flow.

Your doctor will explain which type you have and how it affects your care. 

Your Heart Health Matters

Explore the latest heart health news and tips from Cone Health Wellness Matters to help you lead a heart-healthy lifestyle.

Our Location

Bell CenterCone Health Hypertrophic Cardiomyopathy Clinic
1220 Magnolia St.
Greensboro, NC 27401
Located in Cone Health Steven D. Bell Family Heart & Vascular Center

Patients: Request a referral from your cardiologist or primary care provider. 

Providers: Contact us at (336) 938-0800 for more information and to make referrals.

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