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Published on: January 21, 2018
Interventional treatments for hypertrophic cardiomyopathy
Saidi A Mohiddin1, Charles Knight
1The Heart Muscle Disease Clinic, London Chest Hospital, Barts and The London NHS Trust, London, UK. smohiddin@doctors.org.uk
Insights
Hypertrophic cardiomyopathy (HCM), an inherited heart condition, can cause severe symptoms and risks. This review focuses on interventional treatments for managing left ventricular outflow tract obstruction (LVOTO) in HCM patients.
Area of Science:
- Cardiology
- Genetics
- Internal Medicine
Background:
- Hypertrophic cardiomyopathy (HCM) is the most prevalent inherited cardiac disorder.
- It is characterized by left ventricular hypertrophy, potentially leading to functional limitations and premature death.
- While many patients remain asymptomatic, severe symptoms and risks like arrhythmia and heart failure can arise.
Purpose of the Study:
- To describe interventional treatments for severe symptoms in hypertrophic cardiomyopathy.
- Focus on managing left ventricular outflow tract obstruction (LVOTO).
Main Methods:
- Review of clinical management strategies for HCM.
- Focus on interventional treatments for symptomatic LVOTO.
Main Results:
- Clinical management includes genetic counseling, prognostic risk assessment, and symptom management.
- Interventional treatments are key for severe symptoms related to LVOTO.
Conclusions:
- Effective management of HCM involves a multi-faceted approach.
- Interventional therapies are crucial for addressing severe symptoms and improving outcomes in patients with LVOTO.
Abstract:
Hypertrophic cardiomyopathy (HCM) is the most common inherited cardiac disorder. This autosomal dominant condition is defined by left ventricular hypertrophy and associated with functional limitation and premature death. In fact, many individuals are asymptomatic and the annual mortality in most modern series is 1% or less. However, severe symptoms may develop at any age, and the risk of premature death from arrhythmia, stroke, and progressive systolic impairment may complicate asymptomatic disease. The clinical management of patients with HCM therefore encompasses (1) genetic counseling including discussion of indications for genetic testing and cascade family screening, (2) assessment of prognostic risk from ventricular arrhythmia, stroke, and heart failure, and (3) symptom management. This article describes the interventional treatments in the management of severe symptoms associated with left ventricular outflow tract obstruction (LVOTO).
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