5th July 2026

A 20-year-old university student attended the outpatient cardiology clinic, having been referred by his GP after experiencing multiple episodes of chest pain and syncope while exercising in the gym over the last 6 months.

A 20-year-old university student attended the outpatient cardiology clinic, having been referred by his GP after experiencing multiple episodes of chest pain and syncope while exercising in the gym over the last 6 months. He has also developed palpitations that cause him to feel dizzy. ECG showed LVH pattern in the anterolateral leads, and an echocardiogram revealed septal wall thickness of 18mm with LVOT obstruction (60 mmHg). A 48-hour Holter uncovered 5 episodes of non-sustained ventricular tachycardia lasting 20 seconds each. He was subsequently diagnosed with hypertrophic obstructive cardiomyopathy (HOCM). Which of the following treatment options should he receive next?

Select the SINGLE most appropriate option from the list below. Select ONE option only.