Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a clinical examination by your cardiologist and do few investigations if not done so far [kidney, thyroid, liver function tests, NT-proBNP, ECG, ECHO and a coronary angiogram] 2)Do take medications as per clinical findings only and your coughing is due to heart only which happens in CCF. Do take few lifestyle modifications like this - 1)Try to avoid smoking 2)Do take regular medications for controlling certain conditions, such as high blood pressure and diabetes 3)Try to be physically active 4)Try to eat a healthy foods 5)Try to maintain a healthy weight 6)Try to reduce stress Hope that helps