What is your approach to anticoagulation in patients with hypertrophic cardiomyopathy and an apical aneurysm?  

Patients with hypertrophic cardiomyopathy and an apical aneurysm are at higher risk for sudden cardiac death (hence the 2a guideline recommendation for primary prevention ICD) and thromboembolism. Rowin et al (JACC 2017) previously noted that non-anticoagulated HCM patients with apical aneurysms exp...