A 23-year-old man with a family history of sudden cardiac death is diagnosed as having hypertrophic obstructive cardiomyopathy.. Septal wall thickness of > 3cm

A 23-year-old man with a family history of sudden cardiac death is diagnosed as having hypertrophic obstructive cardiomyopathy. Which one of the following is the strongest marker of poor prognosis?
A.A Mitral regurgitation
B.A Apical hypertrophy
C.A Systolic anterior motion of the anterior mitral valve leaflet
D.A Septal wall thickness of > 3cm***
E.A Asymmetric hypertrophy.
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