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Patients with hypertrophic cardiomyopathy (HCM) should avoid competitive sports primarily due to the increased risk of sudden cardiac events associated with intense physical exertion. HCM is characterized by abnormal thickening of the heart muscle, which can obstruct blood flow and lead to arrhythmias. Engaging in competitive sports typically involves high levels of exertion and can provoke symptoms such as palpitations, shortness of breath, and chest pain.

In addition, the stress associated with competitive athletics may overwhelm the heart's capacity to cope, further increasing the risk for serious complications, including sudden cardiac death, especially in younger athletes. Therefore, healthcare providers generally recommend that individuals with HCM refrain from participating in competitive sports to ensure their safety and well-being.

While other forms of physical activity, such as walking or moderate exercise, can be beneficial and are often encouraged, competitive sports, with their inherent intensity and pressures, pose a significant risk in this population.