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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Hypertrophic cardiomyopathy
1FAA Civil Aerospace Medical Institute, Oklahoma City, OK, USA.
Insights
Hypertrophic cardiomyopathy (HCM) is a heart condition causing left ventricular hypertrophy. Due to unpredictable risks, medical certification for pilots is generally denied.
Area of Science:
- Cardiology
- Aerospace Medicine
Background:
- Hypertrophic cardiomyopathy (HCM) affects 1 in 500 individuals.
- Characterized by inappropriate left ventricular hypertrophy without other causes.
Observation:
- Sudden cardiac death (SCD) is a feared complication, sometimes the initial symptom.
- HCM presents with significant heterogeneity and unpredictability.
Findings:
- Risk stratification in HCM is challenging and imprecise.
- Medical certification for pilots is restricted.
Implications:
- Cases require FAA deferral for special issuance consideration.
- First-class and full second-class medical certification are typically not permitted for individuals with HCM.
Abstract:
Hypertrophic cardiomyopathy (HCM) is a cardiac disorder affecting 1 in 500 persons. The cardinal feature is (inappropriate) left ventricular hypertrophy in the absence of another identifiable cause. Sudden cardiac death (SCD) is the most devastating and feared complication and may be the presenting manifestation. The striking heterogeneity and unpredictability of HCM make risk stratification problematic and imprecise. Cases must be deferred to the FAA for third- or limited second-class special issuance consideration. In general, first-class and full second-class medical certification is not permitted.
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Cardiomyopathy III: Hypertrophic Cardiomyopathy
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Heart Failure II: Pathophysiology

