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Related Concept Videos

Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

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Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
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Cardiomyopathy I: Introduction and Classification01:25

Cardiomyopathy I: Introduction and Classification

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Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
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Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
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Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

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Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
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Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
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Related Experiment Video

Updated: Feb 22, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
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Hypertrophic cardiomyopathy in children.

Arman Arghami1, Joseph A Dearani1, Sameh M Said1

  • 1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Annals of Cardiothoracic Surgery
|September 26, 2017
PubMed
Summary

Septal myectomy is a safe and effective treatment for children with obstructive hypertrophic cardiomyopathy (HCM), improving survival rates. Careful patient selection is crucial, especially for prophylactic procedures in asymptomatic children.

Keywords:
Hypertrophic cardiomyopathy (HCM)septal myectomy

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Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Cardiovascular Surgery

Background:

  • Hypertrophic cardiomyopathy (HCM) affects 1 in 500 adults and is a leading cause of death in individuals under 35.
  • Pediatric HCM often presents asymptomatically, with a 1% annual mortality rate after the first year of life.

Purpose of the Study:

  • To evaluate the safety and efficacy of septal myectomy in children with obstructive HCM.
  • To assess the impact of septal myectomy on long-term survival in pediatric patients with HCM.
  • To highlight the importance of patient selection for septal myectomy, including prophylactic procedures.

Main Methods:

  • Review of published data on septal myectomy outcomes in pediatric obstructive HCM.
  • Comparison of survival rates between treated and untreated HCM patients.
  • Analysis of factors influencing successful surgical outcomes.

Main Results:

  • Septal myectomy is demonstrated to be safe and effective in pediatric obstructive HCM.
  • Published data indicates improved late survival in children undergoing septal myectomy compared to those untreated.
  • Successful outcomes are strongly linked to meticulous patient selection and surgical expertise.

Conclusions:

  • Septal myectomy offers a safe and effective therapeutic option for children with obstructive HCM.
  • Prophylactic septal myectomy in asymptomatic pediatric patients requires careful consideration regarding patient selection and surgical skill.
  • Improved long-term survival is a key benefit of timely and appropriate surgical intervention for HCM in children.