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Hypertrophic cardiomyopathy
Name:
Date of Birth:
MRN Number:
Family Number:
Phenotype Present
Phenotype Description
Unknown Yes No
Cardiomyopathy
Hypertrophic cardiomyopathy
Dilated cardiomyopathy
Left ventricular noncompaction cardiomyopathy
Right ventricular cardiomyopathy
Restrictive cardiomyopathy
Arrhythmia
Hypertension
Congestive heart failure
Stroke
Syncope
Sudden cardiac death
Angina pectoris
Palpitations
Edema of the lower limbs
Dyspnea
Failure to thrive
Skeletal myopathy
Visual impairment
Hearing impairment
Diabetes mellitus
Intellectual disability
Increased nuchal translucency
ADDITIONAL PHENOTYPING
Phenotype Description
Phenotype Present
Unknown Yes No
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