Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a clinical examination by your Doctor[cardiologist] and to confirm do ECG, ECHO, Fasting blood sugar and TSH] 2)Do take regular prescribed medications as per your Doctor s advice and discuss about prescription medications like [antiarrhythmics] and anticoagulants like [Dabigatran]. Do follow lifestyle modifications like this - 1)Try to eat a heart-healthy diet 2)Try to Increase your physical activity 3)Avoid smoking 4)Try to maintain a healthy weight 5)Try to limit caffeine and alcohol 6)Reduce stress, as intense stress and anger can cause heart rhythm problems 7)Using over-the-counter medications with caution, as some cold and cough medications contain stimulants that may trigger a rapid heartbeat Hope that helps