Heart failure & cardiomyopathies

EARTH-HCM: A Real-World Tool to Visualize the Burden of Hypertrophic Cardiomyopathy in the United States

ESC Heart FailPublished retrospective, observational study of longitudinal claims data

Authors' conclusion

EARTH-HCM demonstrates the feasibility of a national real-world surveillance framework to visualize the geographic distribution and healthcare burden of HCM and support future clinical and economic outcomes research.

Study context

Population
Patients with a diagnosis for hypertrophic cardiomyopathy (HCM) in US claims data, 2016 to 2023patients with a diagnosis for HCM
Participants
431,457 patients
Exposure
oHCM vs nHCM
  • oHCMn = 166,081
  • nHCMn = 265,376
Outcome
Patient characteristics
Methodological detailsopen access, education tool
  • Open access, education tool

Main finding

As reported in the abstract

Male
51.1%
Mean age
60.1 (17.7) years
Median follow-up
3.0 (2.4) years
Age 65+
53.4%
Age 55-64
20.5%
Resided in the South
36.3%
Resided in the Northeast
24.8%
Resided in the Midwest
24.3%
Resided in the West
14.6%

Observational data: associations, not effects.

Original publication

EARTH-HCM: A Real-World Tool to Visualize the Burden of Hypertrophic Cardiomyopathy in the United States. ESC Heart Fail. Published 7 October 2026. doi:10.1093/eschf/xvag254

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