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Hypertrophic cardiomyopathy: lessons from history
1The Heart Hospital, 16-18 Westmoreland Street, London, UK. carolinecoats@doctors.org.uk
Insights
Hypertrophic cardiomyopathy, a familial heart condition causing sudden death, was described by Robert Donald Teare 50 years ago. This review explores centuries of understanding this "tumour of the heart".
Area of Science:
- Cardiology
- Pathology
- Medical History
Background:
- Hypertrophic cardiomyopathy (HCM) has been recognized for centuries, with early descriptions focusing on thickened cardiac muscle.
- Physicians and pathologists have long been intrigued by the condition of 'thick and heavy hearts'.
Observation:
- Robert Donald Teare's seminal 1970s work in the British Heart Journal described HCM as a familial condition.
- Teare characterized asymmetrical hypertrophy and myocyte disarray, likening HCM to a 'tumour of the heart'.
Findings:
- Teare's observations highlighted the association of HCM with premature and sudden death in young individuals.
- His work brought a poorly understood but recognized cardiac phenomenon into public and scientific discourse.
Implications:
- This review traces the historical progression of understanding hypertrophic cardiomyopathy.
- It underscores the significance of Teare's contributions in advancing the diagnosis and study of HCM.
Abstract:
The modern description of hypertrophic cardiomyopathy is credited to the London pathologist, Robert Donald Teare who likened the disease to "a tumour of the heart" and published his observations in the British Heart Journal 50 years ago. Teare recognised asymmetrical hypertrophy and myocyte disarray as a familial condition associated with premature and sudden death in young people. He rightly deserves the accolade for bringing a poorly understood, but well recognised phenomenon into the public domain. Thick and heavy hearts had been of interest and investigation to physicians and pathologists for many centuries. This article reviews the early history of hypertrophic cardiomyopathy and reflects on several centuries of progress in our understanding of the condition.
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