Hypertrophic Cardiomyopathy Diagnosed on Point-of-Care Echocardiogram in an Elderly Patient With Syncope

A bedside echocardiogram in the emergency department can provide a wealth of information about a patient’s hemodynamic status, anatomical structures, and response to medical interventions. This readily available tool can drastically guide management within minutes as soon as the undifferentiated critically ill patient enters the hospital. In this clinical scenario, we report a case of hypertrophic obstructive cardiomyopathy (HOCM) that was diagnosed for the first time in an elderly male, who was brought to the emergency department after a syncopal episode, utilizing bedside ultrasound and it highlights the significance of considering a broad differential.