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Published on: August 8, 2022
Hypertrophic Cardiomyopathy: A Review
Silméia Garcia Zanati Bazan1, Gilberto Ornellas de Oliveira1, Caroline Ferreira da Silva Mazeto Pupo da Silveira1
1Universidade Estadual Paulista Júlio de Mesquita Filho - Faculdade de Medicina de Botucatu - UNESP, Botucatu, SP - Brasil.
Insights
Hypertrophic cardiomyopathy (HCM) is a common genetic heart disease characterized by left ventricular hypertrophy. This review covers diagnostic advancements and prognostic assessments for HCM, aiding in clinical severity stratification.
Area of Science:
- Cardiology
- Genetics
- Internal Medicine
Background:
- Hypertrophic cardiomyopathy (HCM) is the most prevalent genetic heart disease.
- It is defined by left ventricular hypertrophy unexplained by other cardiac or systemic conditions.
- HCM presents a spectrum from asymptomatic cases to severe heart failure and sudden cardiac death.
Purpose of the Study:
- To review contemporary advancements in diagnosing and assessing hypertrophic cardiomyopathy.
- To discuss the role of high-resolution imaging and clinical scores in prognostic evaluation.
- To provide an updated overview of hypertrophic cardiomyopathy, including classic aspects and clinical severity stratification.
Main Methods:
- Review of current literature on hypertrophic cardiomyopathy.
- Analysis of contemporary high-resolution imaging techniques.
- Evaluation of updated clinical scoring systems for prognostic assessment.
Main Results:
- High-resolution imaging and refined clinical scores improve prognostic accuracy in HCM.
- These tools aid in stratifying patients based on clinical severity.
- A comprehensive understanding of HCM requires integrating advanced diagnostics with classic disease knowledge.
Conclusions:
- Advanced imaging and clinical scores are crucial for managing hypertrophic cardiomyopathy.
- Accurate prognostic assessment allows for better patient stratification and care.
- This review synthesizes current knowledge for improved understanding and management of HCM.
Abstract:
Hypertrophic cardiomyopathy (HCM) is the most common heart disease with a genetic origin, and its main characteristic is left ventricular hypertrophy that occurs in the absence of other conditions that trigger this change. HCM may present from asymptomatic forms to manifestations of sudden cardiac death and severe heart failure. Contemporary high-resolution imaging methods and more accurate clinical scores have been used and developed to provide a prognostic assessment and adequate functional assessments, as well as to allow for the stratification of clinical severity. These aspects will be addressed in this review, along with other classic topics inherent to the study of this disease.
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