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NORMAL HEART HCM HEART In the HCM heart the septum, the muscle wall that separates the ventricles, grows abnormally thick and invades the left ventricular cavity, where oxygen-filled blood collects before being pumped through the body. Normally thinner than 1.2 centimeters, a septum thicker than 1.5 cm is nearly always indicative of HCM. When the septum is between 1.3 and 1.5 cm, however, doctors find it difficult to determine whether the heart has been enlarged from exercise or from HCM.
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