Heart failure & cardiomyopathiesCross-sectional study

Genotype-Phenotype Associations in Pediatric Hypertrophic Cardiomyopathy

JACC Heart FailPublished

  • Cross-sectional study
  • multicentre
  • research-based exome sequencing
  • core echocardiography laboratory

Authors' conclusion

In this population of children with primary HCM, severe LVH was associated with a younger age at enrollment and a higher likelihood of harboring a pathogenic variant in MYBPC3.

Study context

Population
Children with primary hypertrophic cardiomyopathy (HCM) from pediatric cardiomyopathy centres
Participants
143 adequate echocardiograms
Exposure
Severe left ventricular hypertrophy (LVH) vs mild LVH
  • Severe LVHn = 40
  • Mild LVHn = 78reference
Outcome
Associations between pathogenic genetic variants and echocardiographic maximal LV wall thickness
Follow-up
At enrollment

Main finding

As reported in the abstract

Odds ratio

4.1

95% CI 1.7–9.9

Severe LVH vs Mild LVH
OR 4.1 (95% CI 1.7–9.9)
Pathogenic variant (any)
51%
Of pathogenic variants, in sarcomeric genes
93%

Observational data: associations, not effects.

Further findings

Median, years

OutcomeSevere LVHModerate LVHMild LVHP value
Age at diagnosis6.4Not reported in the abstract12.9P = 0.005

Original publication

Genotype-Phenotype Associations in Pediatric Hypertrophic Cardiomyopathy. JACC Heart Fail. Published 17 September 2026. doi:10.1016/j.jchf.2026.103355

Summarised from the published abstract; every number is checked against it