In a recent Expert Analysis, Ankur Kalra, MD, and Barry J. Maron, MD, FACC, explore hypertrophic cardiomyopathy in patients of advanced age, including the risk of sudden death in older hypertrophic cardiomyopathy patients. “Hypertrophic cardiomyopathy patients of advanced age are more likely to die of non-cardiac competing morbidities than of hypertrophic cardiomyopathy. Recommendations for primary prevention implantable defibrillator therapy in older hypertrophic cardiomyopathy patients should be made on a case-by-case basis with prudent restraint,” they note. Take a Patient Case Quiz to test your knowledge of an elderly patient with heart failure with preserved ejection fraction. Check out the Geriatric Cardiology Clinical Topic Collection on ACC.org for the latest clinical updates.