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Updated: May 11, 2025
Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
Artificial Intelligence-Based Electrocardiographic Analysis Facilitated Diagnosis of Hypertrophic Cardiomyopathy With
Milind Y Desai1, Katy Rutkowski1, Susan Ospina1
1Hypertrophic Cardiomyopathy Center, Cleveland Clinic, Cleveland, Ohio, USA.
Background:
Despite a prevalence of 1 in 500, it is estimated that 85% patients with hypertrophic cardiomyopathy (HCM) may be underdiagnosed or misdiagnosed. There are emerging data on role of artificial intelligence enhanced 12-lead electrocardiogram (AI-ECG) in detection of HCM.
Case Summary:
In the current report, we describe the case of a 61-year-old man who was diagnosed with obstructive HCM using AI-ECG, performed as part of an executive physical with subsequent successful initiation and therapeutic response to mavacamten.
Discussion:
An earlier and accurate diagnosis of HCM is a major unmet need and there are major efforts to enhance the ability a clinician to diagnose HCM as early as possible to be able to institute optimal therapies.
Take-Home Messages:
The case describes the use of AI-ECG to diagnose HCM appropriately in a 61-year-old symptomatic patient with no previous knowledge of the disease. Following an appropriate diagnosis of HCM, the patient was initiated on the novel cardiac myosin inhibitor mavacamten, with an excellent clinical response.
