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Published on: August 8, 2022
Hypertrophic cardiomyopathy: a review
Brian A Houston1, Gerin R Stevens1
1Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.
Insights
Hypertrophic cardiomyopathy (HCM) is a genetic heart disease affecting diverse populations globally. This review focuses on managing HCM patients, particularly those experiencing heart failure symptoms.
Area of Science:
- Cardiology
- Genetics
- Heart Failure
Background:
- Hypertrophic cardiomyopathy (HCM) is a prevalent global genetic heart condition.
- It affects diverse populations across all continents, genders, and ethnicities.
- HCM is primarily a monogenic disorder linked to sarcomeric gene mutations.
Purpose of the Study:
- To review the current approach to managing patients with hypertrophic cardiomyopathy (HCM).
- To specifically address the clinical management of HCM patients presenting with heart failure.
- To highlight recent advancements in understanding and treating HCM and heart failure.
Main Methods:
- Literature review of recent advancements in HCM and heart failure management.
- Synthesis of current clinical guidelines and research findings.
- Focus on diagnostic and therapeutic strategies for HCM with heart failure.
Main Results:
- HCM presents a spectrum of clinical manifestations, from sudden cardiac death to heart failure symptoms.
- Effective management requires a comprehensive understanding of HCM's genetic basis and clinical course.
- Recent progress offers new insights into treating HCM, especially when heart failure is present.
Conclusions:
- A multidisciplinary approach is crucial for managing HCM patients with heart failure.
- Ongoing research continues to refine treatment strategies for hypertrophic cardiomyopathy.
- Early diagnosis and tailored interventions improve outcomes for HCM patients, particularly those with heart failure.
Abstract:
Hypertrophic cardiomyopathy (HCM) is a global disease with cases reported in all continents, affecting people of both genders and of various racial and ethnic origins. Widely accepted as a monogenic disease caused by a mutation in 1 of 13 or more sarcomeric genes, HCM can present catastrophically with sudden cardiac death (SCD) or ventricular arrhythmias or insidiously with symptoms of heart failure. Given the velocity of progress in both the fields of heart failure and HCM, we present a review of the approach to patients with HCM, with particular attention to those with HCM and the clinical syndrome of heart failure.
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