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.
Abstract

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