My father is   71 yrs. old male and was leading an active life. 

Recently  diagnosed with Apical HCM (thick heart).  One episode of syncope?  Neurocardiogenic syncope

S/P CAG: Normal epicardial coronaries,  myocardial bridging of mid LAD,  boarder line dyslipedemia.

ECG results :   

Sinus rhythm, rate: 50/mnt. No AE. PR interval: 0.15 sec. QRS +30 deg. R/S in V1: 22/22, V6: 37/0. Deep T inversion noted in anterior leads likely HCM.

Echocardiogram:  

Apical HCM. No mid cavity gradient.

No RWMA. Good LV systolic function.

Thickened aortic valve.  

No AS/AR/MRTR.  Intact septa. No clot or pericardial effusion.

Dimension: Aorta: LA 4.0, LVIDD: 5.0, LVIDS: 2.3, IVS: 1.2. LV Posterior wall: 0.8.

Ejection Fraction 60%.

Coronary angiogram:  

Normal epicardial coronaries and myocardial bridging of mid LAD

24 hr. Holter monitor result:  

Sinus Rhythm,

No VPC detected,

Occasional SVEs seen as singles and One brief run of ?SVT

S/O E A T of 4 Beats at a rate of 96 BPM.

Sinus Bradycardia with lowest heart rate of 40 BPM {On drugs}

No Prolonged pauses.

Maximum HR :-67 BPM at 06:55 Hrs.

Minimum HR:- 40BPM at 00:11 Hrs.

Average Heart Rate :- 47 BPM

No Specific ECG Changes noted in correlation with reported Patient Even.

IMP:- One Brief Run of ?SVT S/O EAT

Discharge Medication

Ecospirin 75 mg 0-1-0

Hopace 2.5 mg  ( cardace2.5mg) 0-0-1

Storvas 10mg  (atorfit 10 mg) 0-0-1

Zabesta 5mg (concor 5 mg) 1-0-0

Do we need another diagnosis?

Will it possible to control this hypertrophy? What is the risk associated?

Is anything to worry at this stage? 

What precautions should take? Can he do regular exercise like walking for 45 min. etc.