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.

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