Would you consider a primary prevention ICD in a patient with hypertrophic cardiomyopathy and non-sustained ventricular tachycardia, in the absence of any other high risk predictors for sudden cardiac death?

Nonsustained ventricular tachycardia in hypertrophic cardiomyopathy without major risk factors (IIa primary prevention risk factors in 2020 ACC AHA HCM guidelines – max wall thickness >3 cm, FH SCD, LVEF <50%, unexplained syncope, LV apical aneurysm) remains a minor risk factor in adults (IIb consider the recommendation in same guidelines – consistent with the 2011 recommendation). It is listed as a conventional risk factor in children with HCM (IIa = reasonable indication in 2020 ACC AHA HCM gu...

Holter while awaiting CMR, if increased LGE on CMR would consider primary prevention ICD.