Hypertrophic cardiomyopathy in adults: an overview

Cynthia Jacobs1

  • 1(ARNP Graduate Student), Venice Regional Medical Center, Gulf Coast Cardiovascular Consultants, University of Cincinnati, Sarasota, Florida.

Insights

Hypertrophic cardiomyopathy (HCM) is a common genetic heart disorder often diagnosed late. Early recognition and treatment of HCM in adults can prevent sudden cardiac death, stroke, and heart failure, improving quality of life.

Area of Science:

  • Cardiology
  • Genetics
  • Internal Medicine

Background:

  • Hypertrophic cardiomyopathy (HCM) is the most prevalent genetic disorder affecting the heart.
  • HCM often remains undiagnosed until midlife, presenting after symptoms of myocardial remodeling appear.
  • Adults with HCM face risks of sudden cardiac death (SCD), stroke, and heart failure.

Purpose of the Study:

  • To provide a comprehensive overview of clinical issues in adults with HCM.
  • To detail presenting symptoms, diagnostic methods, and physical examination findings for HCM.
  • To outline current treatment strategies and follow-up care for adult patients with HCM.

Main Methods:

  • A systematic literature search was conducted using Medline (PubMed) and CINAHL.
  • Key search terms included HCM, treatment, diagnosis, sudden cardiac death (SCD), and complications.
  • Twenty-one relevant articles and three reference books informed the content.

Main Results:

  • HCM is frequently diagnosed late, often after the onset of symptoms.
  • Untreated HCM can lead to serious adverse events, including SCD, stroke, and heart failure.
  • Early diagnosis and intervention are crucial for managing HCM.

Conclusions:

  • Early diagnosis of HCM in adults is critical for preventing SCD.
  • Prompt recognition and management of HCM can significantly improve patients' quality of life.
  • Timely intervention can slow disease progression, reducing the incidence of heart failure and stroke.
Abstract

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