Does this patient with HCM need an ICD?

Family History of HCM-Related SCD Premature HCM-related sudden death in a close relative

Massive LVH Maximal LV wall thickness ≥30 mm

Suspected Arrhythmic Syncope Unexplained and not likely vasovagal or LVOTO-related

LV Apical Aneurysm With transmural scar or LGE

LV Systolic Dysfunction LVEF <50%

NSVT Greater weight for frequent, longer, or faster runs

Extensive LGE ≥15% of LV mass on CMR Additional pediatric risk modifier

LV Systolic Dysfunction Additional pediatric risk modifier

HCM ICD Risk Assessment