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Updated: Jan 8, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Clinical characteristics of 41 children with hypertrophic cardiomyopathy: A single-center retrospective study
Shi-Guang Li1,2, Chang-Qing Wei3, Dan-Yan Su1
1Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, China.
Insights
Pediatric hypertrophic cardiomyopathy shows diverse clinical and genetic features. Early screening and genetic testing are vital for accurate diagnosis and personalized treatment in children.
Area of Science:
- Cardiology
- Pediatrics
- Genetics
Background:
- Hypertrophic cardiomyopathy (HCM) is a complex cardiac condition affecting children.
- Understanding its clinical, genetic, and etiological diversity is crucial for management.
Purpose of the Study:
- To analyze clinical characteristics, genetic variations, and survival in pediatric HCM patients.
- To compare primary versus secondary HCM in children.
Main Methods:
- Retrospective review of 41 pediatric HCM cases (2013-2024).
- Analysis of clinical data, echocardiography, ECG, and genetic testing.
- Kaplan-Meier survival analysis.
Main Results:
- Genetic testing identified primary and secondary HCM, with Noonan syndrome being common.
- Fatigue and dyspnea were frequent symptoms; MYH7 and MYBPC3 were common pathogenic genes.
- No significant differences in clinical or imaging findings between primary and secondary HCM groups; median survival was 61.4 months.
Conclusions:
- Pediatric HCM exhibits significant heterogeneity in presentation and genetics.
- Improved early screening and genetic testing can enhance diagnosis and guide individualized care.
Abstract:
ObjectiveTo analyze the clinical characteristics, etiological composition, genetic variations, and survival outcomes of children with hypertrophic cardiomyopathy.Materials and methodsThis retrospective study included 41 pediatric patients diagnosed with hypertrophic cardiomyopathy at The First Affiliated Hospital of Guangxi Medical University from 2013 to 2024. Clinical data were reviewed, including symptoms, echocardiography, electrocardiography, genetic testing, and follow-up outcomes. Comparisons were made between patients with primary and secondary hypertrophic cardiomyopathy.ResultsAmong the 41 patients, 27 were men and 14 were women, with a median age at onset of 4 years and 3 months. Genetic testing was performed in 24 cases, identifying 13 cases of primary hypertrophic cardiomyopathy and 11 cases of secondary hypertrophic cardiomyopathy, most commonly associated with Noonan syndrome. The most frequent symptoms were fatigue (28.95%) and dyspnea (23.68%). Common pathogenic genes in primary hypertrophic cardiomyopathy included MYH7 and MYBPC3. Echocardiography revealed asymmetric interventricular septal hypertrophy in 61.0% of cases and left ventricular outflow tract obstruction in 22.0%. No statistically significant differences were observed between primary and secondary hypertrophic cardiomyopathy groups in clinical manifestations or imaging findings. During follow-up, seven patients died. Kaplan-Meier analysis showed a median survival time of 61.4 months, with no significant difference in survival between the two groups.ConclusionPediatric hypertrophic cardiomyopathy demonstrates substantial heterogeneity in clinical presentation and genetic background. Enhanced early screening and genetic testing may improve diagnostic accuracy and facilitate individualized management strategies.
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