• CMR should be performed at the initial evaluation. It may be repeated according to potential changes in the clinical status.
• Cardiac CT and nuclear imaging techniques have more limited indications in this disease and are only indicated in specific clinical situations.
• The different imaging methods are complementary rather than competitive. Each test must be selected in an integrated and rational way.
• Echocardiography is recommended in all HCM patients and should be performed every 1–2 years in clinically stable patients.