Changing concepts in heart muscle disease: the evolving understanding of hypertrophic cardiomyopathy.
William E MoodyPerry Mark ElliottPublished in: Heart (British Cardiac Society) (2022)
Sixty years ago, hypertrophic cardiomyopathy (HCM) was considered a rare lethal disease that affected predominantly young adults and for which there were few treatment options. Today, it is recognised to be a relatively common disorder that presents throughout the life course with a heterogeneous clinical phenotype that can be managed effectively in the majority of individuals. A greater awareness of the condition and less reluctance from healthcare practitioners to make the diagnosis, coupled with improvements in cardiac imaging, including greater use of artificial intelligence and improved yields from screening efforts, have all helped facilitate a more precise and timely diagnosis. This enhanced ability to diagnose HCM early is being paired with innovations in treatment, which means that the majority of patients receiving a contemporary diagnosis of HCM can anticipate a normal life expectancy and expect to maintain a good functional status and quality of life. Indeed, with increasing translation of molecular genetics from bench to bedside associated with a growing number of randomised clinical trials of novel therapies aimed at ameliorating or perhaps even preventing the disease, the next chapter in the story for HCM will provide much excitement and more importantly, offer much anticipated reward for our patients.
Keyphrases
- hypertrophic cardiomyopathy
- left ventricular
- artificial intelligence
- clinical trial
- healthcare
- young adults
- heart failure
- machine learning
- ejection fraction
- deep learning
- primary care
- newly diagnosed
- open label
- big data
- randomized controlled trial
- prognostic factors
- patient reported outcomes
- study protocol
- atrial fibrillation
- single molecule
- chronic kidney disease
- african american
- mass spectrometry
- health information
- photodynamic therapy
- fluorescence imaging
- placebo controlled
- peritoneal dialysis
- social media