Hypertrophic Cardiomyopathy: Patient Selection, Referral Timing, and Advanced Therapy Options

Mohammed Abusafia1, Shada Jadam1, Susan Ospina1

  • 1Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk J1-5, Cleveland, OH 44195, USA.

Heart Failure Clinics
|March 27, 2026
PubMed

Insights

This review summarizes hypertrophic cardiomyopathy (HCM), covering its diagnosis, management, and follow-up. It details current guidelines and emerging therapies for this complex heart condition.

Area of Science:

  • Cardiology
  • Genetics
  • Internal Medicine

Background:

  • Hypertrophic cardiomyopathy (HCM) is a primary genetic heart muscle disease.
  • HCM presents with diverse clinical manifestations and complex patient profiles.
  • Accurate diagnosis and tailored management are crucial for patient outcomes.

Purpose of the Study:

  • To provide a comprehensive, up-to-date review of hypertrophic cardiomyopathy (HCM).
  • To synthesize current knowledge on HCM diagnosis, clinical presentations, and management strategies.
  • To discuss established and novel therapeutic approaches for HCM.

Main Methods:

  • Systematic literature review of recent studies on hypertrophic cardiomyopathy.
  • Analysis of current clinical guidelines for HCM diagnosis and treatment.
  • Evaluation of data on pharmacological, surgical, and emerging therapies for HCM.

Main Results:

  • HCM diagnosis requires a multifaceted approach, integrating clinical, imaging, and genetic data.
  • Current management strategies include pharmacotherapy, surgical myectomy, and septal alcohol ablation.
  • Emerging therapies show promise for addressing specific HCM-related symptoms and mechanisms.

Conclusions:

  • Personalized management strategies are essential for optimizing outcomes in patients with HCM.
  • Continued research into novel therapeutic targets is critical for advancing HCM treatment.
  • This review offers a valuable resource for clinicians managing hypertrophic cardiomyopathy.

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