Getting Started How to Select and Start a Routine There isn’t one ideal exercise routine for people living with HCM: It largely boils down to individual preference, health status, and physical ability. The first step is an assessment of your heart health. “Cardiologists use tools such as echocardiograms, cardiac MRIs, and heart rhythm monitors to help risk stratify patients,” says Dr. Lief. As far as your overall fitness, these benchmarks can …