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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Treatment options for hypertrophic obstructive cardiomyopathy: a patient-centric review
Chiara Cirillo1, Andrea Perillo1, Emanuele Monda1
1Inherited and Rare Cardiovascular Disease Unit, Department of Translational Medical Sciences, University of Campania 'Luigi Vanvitelli', AORN dei Colli, Monaldi Hospital, Naples, Italy.
Insights
This review covers current and emerging therapies for hypertrophic cardiomyopathy (HCM), emphasizing personalized treatment plans. It highlights the importance of tailoring care to individual patient needs and preferences for optimal outcomes in managing HCM.
Area of Science:
- Cardiology
- Genetics
- Pharmacology
Background:
- Hypertrophic cardiomyopathy (HCM) is a genetic heart condition characterized by increased left ventricular wall thickness.
- Prevalence is estimated at 1:200-500, with a significant familial component.
- Advances in medical and surgical treatments have improved HCM prognosis.
Purpose of the Study:
- To review current pharmacological and non-pharmacological therapies for hypertrophic cardiomyopathy (HCM).
- To explore novel therapeutic approaches and the significance of personalized patient care in HCM management.
- To discuss future perspectives, including new drug and gene therapies for HCM.
Main Methods:
- Critical evaluation of existing data on HCM treatments.
- Discussion of evidence for beta-blockers, calcium channel blockers, disopyramide, and cardiac myosin inhibitors.
- Review of sudden death prevention strategies and septal reduction therapies (surgical and non-surgical).
Main Results:
- Evidence supporting current pharmacological interventions for HCM symptom management.
- Analysis of data and controversies surrounding sudden cardiac death prevention in HCM.
- Exploration of emerging therapies, including novel drugs and gene-based treatments for HCM.
Conclusions:
- A personalized, patient-centric approach is crucial for optimal hypertrophic cardiomyopathy (HCM) management.
- Treatment strategies should integrate phenotype, risk stratification, and individual patient preferences.
- Ongoing research into new therapies promises to further enhance HCM patient outcomes.
Introduction:
Hypertrophic cardiomyopathy (HCM) is defined by an increased left ventricular wall thickness not solely explainable by abnormal loading conditions. Estimated prevalence is 1:200-500 with roughly 60% of cases showing a familiar trait. Medical treatment and surgical interventions significantly altered prognosis in HCM. Recently, new therapies have been introduced in clinical practice and a patient-centric approach is key to HCM optimal management. This review aims to summarize the current HCM therapies focusing on the importance of personalized care and delineate therapeutic approaches under investigation.
Areas Covered:
The review summarizes and critically evaluates the available data on currently available pharmacological and non-pharmacological therapies for HCM. The evidence in support of the use of beta-blockers, non-dihydropyridine calcium channel blockers, disopyramide, and cardiac myosin inhibitors is discussed. Furthermore, data and controversies on sudden death prevention, surgical and non-surgical septal reduction therapies are reported. Finally, future perspectives in HCM management such as new drugs and gene therapies are explored.
Expert Opinion:
The authors stress the need for a personalized and tailored approach to managing patients with HCM, which is not only based on phenotypes and risk stratification, but also patients' preferences, needs, and beliefs.
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