I was not diagnosed with HCOM until I was 55 and apparently had it my whole life. I was always athletic, energetic, and never struggled with activity or breathing. Pulmonary Fibrosis is rampant in my family, so I went to a pulmonologist to be tested for that disease. He is the one who recommended I see a Cardiologist. I have severe mitral valve regurgitation and HCOM! Taking metropolol and Camzyos has changed my life. It is true that knowing what you have is half the battle! Once you have a drug protocol (or surgery, I suppose) you will feel better. I am so grateful for the medications that help me live a fulfilling life. Good luck to you as you discover what helps you!