(Disclaimer: This article is for scientific purposes only. In order to protect patient privacy, the relevant information in the following content has been processed) Abstract: Hypertrophic cardiomyopathy belongs to the common type of cardiac hypertrophy, which is mainly characterized by myocardial hypertrophy. The patient, Auntie Li, 56 years old, developed paroxysmal chest tightness, chest pain and sweating symptoms 6 hours ago, which were triggered by activity and relieved after rest. After combining relevant examinations, the patient was diagnosed with this disease, and after regular medication was given, the patient’s condition stabilized and the symptoms completely disappeared. Basic information] Female, 56 years old [Type of disease] Cardiac hypertrophy (hypertrophic cardiomyopathy) [Hospital] The First Affiliated Hospital of Xi’an Jiaotong University [Date of consultation] March 2022 [Treatment plan] Oral medication (metoprolol tartrate tablets, amiodarone hydrochloride tablets, spironolactone tablets, warfarin sodium tablets) [Treatment cycle] Hospitalized for 7 days, followed up in the hospital after 1 month [Treatment effect] Condition is basically stable. Paroxysmal chest tightness and chest pain disappeared I. Initial Consultation The patient reported that he had paroxysmal chest tightness, chest pain, sweating and other symptoms 6 hours ago, mostly during activities, with 3 episodes lasting a few seconds each time, which could be relieved after resting, and was not accompanied by any other discomforts, and was not given any special treatment. Physical examination showed that the heart rate and pulse rate were 65 beats per minute, rhythmic, no elevation in the precordial area, normal apical beat, no tremor and pericardial friction, the heart turbidity boundary was not enlarged, and no murmur and pericardial friction were detected in the valvular areas. The patient was first given an electrocardiogram, which showed sinus rhythm with high voltage ST-T abnormalities on the left ventricular surface. Cardiac ultrasound examination showed that the left atrial large myocardium segmental dysplasia, combined with the patient’s clinical manifestations, the initial diagnosis of hypertrophic cardiomyopathy. The patient was admitted to the hospital with perfect cardiac three examinations, showing troponin I 0.01ng/mL, creatine kinase isoenzyme 4.06ng/mL, myoglobin <30ng/mL, which are all in the normal range. Combined with other relevant examination results, drug therapy was considered to be more effective and was carried out after communication with the patient. The patient was instructed to take β-receptor antagonist metoprolol tartrate tablets to control ventricular rate and reduce myocardial contractility, while taking amiodarone hydrochloride tablets in conjunction with it, which could reduce the risk of atrial fibrillation. Use of the diuretic spironolactone tablets to promote the elimination of body fluids and thus reduce the cardiac load. Use of anticoagulant warfarin sodium tablets to improve hemodynamics and prevent the formation of blood clots. Third, the effect of treatment The patient presented with paroxysmal chest tightness, chest pain, sweating and other symptoms before treatment. After 7 days of treatment with ventricular rate control, diuretic and anticoagulant drugs, the patient complained that the symptoms of chest tightness, chest pain and sweating basically disappeared, and atrial fibrillation did not occur during the period, and the examination showed that the patient was in rhythm, the precordial area had no bulge, and the apical pulsation was normal, so the patient was discharged from the hospital considering that the condition was basically stabilized, and the patient continued to take the above medications after discharge, and the symptoms did not appear at the follow-up examination for 1 month, which showed that the therapeutic effect was relatively good, and the patient was more satisfied with the treatment. Precautions The patient's condition gradually improved after regular medication and general care, I am very happy, but still need to pay attention to the following points: 1, the patient needs to take medication regularly after discharge, to avoid stopping or reducing the amount of medication on their own, so as to avoid poor therapeutic effect; 2, the patient needs to pay attention to eating light, easy to digest, nutritious food in daily life, such as eggs, lean meat, etc., can provide sufficient nutrition for the organism, so as to provide sufficient nutrition for the body. It can provide enough nutrients for the body and has certain benefits for the recovery of the disease; 3. Patients should carry out physical activities according to their own physical condition in their daily life, such as yoga, jogging, etc., which can enhance the body's ability to resist the disease, and pay attention to the intensity of their own tolerance is appropriate. Personal perception of hypertrophic cardiomyopathy belongs to the common type of cardiac hypertrophy, the case of the patient by physical examination, the heart did not appear to be significantly enlarged, but the cardiac ultrasound can be clearly observed abnormalities, diagnosis and then actively give the appropriate treatment, the prognosis is better. Therefore, once chest tightness, fatigue, palpitation, chest pain and other discomforts occur, attention should be paid to timely consultation, in order to better control the progression of the disease, and to avoid serious adverse consequences.