Whether hypertrophic cardiomyopathy can exercise should be decided according to the change of heart structure and whether the heart function is damaged. Generally hypertrophic non-obstructive cardiomyopathy does not occur in the heart structure obvious changes, this time can do appropriate exercise, but patients with heart disease exercise should be appropriate, can not appear to be tired, once feel fatigue, should immediately stop exercise, can not do strenuous activities. Hypertrophic obstructive cardiomyopathy is often a more serious disease, and may have symptoms of cardiac insufficiency or even heart failure. Cardiac insufficiency is generally categorized into four grades: Grade I when physical activity is unrestricted; Grade II when mild physical activity causes symptoms of heart disease; Grade III when general physical activity causes chest tightness, panic, shortness of breath, etc.; and Grade IV cardiac insufficiency when you generally cannot engage in any physical activity. Whether hypertrophic cardiomyopathy can exercise or not should be specifically determined according to the patient’s own pathological changes, heart structure and changes in heart function.