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Related Experiment Video

Updated: May 23, 2025

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
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Complementary classification of hypertrophic cardiomyopathy using unsupervised cluster analysis on left ventricular

Dandan Sun1,2, Xingyu Fang1,2, Yuzhu Zhang1,2

  • 1Department of Ultrasound, The People's Hospital of China Medical University, The People's Hospital of Liaoning Province, Shenyang, 110067, China.

Scientific Reports
|March 12, 2025
PubMed
Summary
This summary is machine-generated.

Researchers identified two hypertrophic cardiomyopathy (HCM) subtypes based on left ventricular function. Subtype 1 HCM patients showed impaired function and higher atrial fibrillation risk, aiding personalized treatment for hypertrophic cardiomyopathy.

Keywords:
Atrial fibrillationCluster analysisHypertrophic cardiomyopathyMulti-dimensional echocardiographic parameters

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Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Medical Imaging

Background:

  • Current hypertrophic cardiomyopathy (HCM) classification relies on hypertrophy site and outflow tract obstruction.
  • A functional classification could improve risk stratification and management for HCM patients.

Purpose of the Study:

  • To develop a complementary classification for hypertrophic cardiomyopathy (HCM) based on left ventricular (LV) function.
  • To identify distinct HCM subtypes with varying cardiovascular risks and inform individualized treatment strategies.

Main Methods:

  • Utilized multi-dimensional echocardiographic parameters (conventional, TDI, STE) in 266 HCM patients and 169 healthy controls.
  • Employed principal component analysis and unsupervised cluster analysis to define HCM subtypes based on LV function.
  • Compared clinical variables and evaluated prognosis, specifically atrial fibrillation risk, between identified subtypes.

Main Results:

  • Two HCM subtypes were identified: Subtype 1 (n=123) and Subtype 2 (n=143).
  • Both subtypes exhibited impaired LV diastolic and systolic function compared to controls, with greater decline in Subtype 1.
  • Subtype 1 HCM showed distinct functional characteristics (e.g., increased strain, decreased untwist rate) and a significantly higher risk of atrial fibrillation (HR: 4.34).

Conclusions:

  • Stratified HCM patients into two functional subtypes with differential diastolic and systolic performance.
  • Subtype 1 HCM is associated with poorer cardiac function and increased susceptibility to atrial fibrillation.
  • This functional classification offers a potential tool for targeted management of hypertrophic cardiomyopathy.