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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
New perspectives on the prevalence of hypertrophic cardiomyopathy
Christopher Semsarian1, Jodie Ingles1, Martin S Maron2
1Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Sydney, Australia; Sydney Medical School, University of Sydney, Sydney, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Sydney, Australia.
Insights
Hypertrophic cardiomyopathy (HCM) is more common than previously thought. Advances in genetic testing and imaging suggest a higher prevalence, potentially improving diagnosis and treatment for this genetic heart muscle disease.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Epidemiology
Background:
- Hypertrophic cardiomyopathy (HCM) is a significant genetic heart muscle disease.
- Previous estimates suggested a prevalence of approximately 1 in 500 individuals.
- The exact prevalence of HCM in the general population remains incompletely understood.
Purpose of the Study:
- To re-evaluate the prevalence of HCM in the general population.
- To account for recent advancements in cardiovascular medicine impacting disease recognition.
- To provide updated prevalence data for clinical practice.
Main Methods:
- Review of recent advances in cardiovascular medicine.
- Consideration of widespread genetic testing and population genetic studies.
- Inclusion of contemporary diagnostic imaging techniques.
- Assessment of increased clinical suspicion and recognition of HCM phenotypes.
Main Results:
- Recent advancements suggest HCM may be more prevalent than previously estimated.
- Widespread genetic testing and improved imaging contribute to higher detection rates.
- Recognition of both overt disease and gene-positive, phenotype-negative individuals impacts prevalence figures.
Conclusions:
- Hypertrophic cardiomyopathy is likely more common than previously reported.
- Updated prevalence data can enhance recognition within the cardiovascular community.
- Timely diagnosis and treatment implementation are facilitated by improved disease awareness.
Abstract:
Hypertrophic cardiomyopathy (HCM) is an important genetic heart muscle disease for which prevalence in the general population has not been completely resolved. For the past 20 years, most data have supported the occurrence of HCM at about 1 in 500. However, the authors have interrogated a number of relevant advances in cardiovascular medicine, including widespread fee-for-service genetic testing, population genetic studies, and contemporary diagnostic imaging, as well as a greater index of suspicion and recognition for both the clinically expressed disease and the gene-positive-phenotype-negative subset (at risk for developing the disease). Accounting for the potential impact of these initiatives on disease occurrence, the authors have revisited the prevalence of HCM in the general population. They suggest that HCM is more common than previously estimated, which may enhance its recognition in the practicing cardiovascular community, allowing more timely diagnosis and the implementation of appropriate treatment options for many patients.
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