A 70 yo pt with a 4.6 cm septum with HCM, thickest I have seen. Still exercises 4-5x week with mild dizziness. Amazing adaptive physiology. - Thomas Jared Bunch @TJaredBunch #Clinical #Cardiology #POCUS #Echocardiogram #PLAX #HOCM #HCM #Hypertrophic #Cardiomyopathy