Heart failure & cardiomyopathies

Left ventricular anatomy in obstructive hypertrophic cardiomyopathy: beyond basal septal hypertrophy

Eur Heart J Cardiovasc ImagingPublished Cross-sectional study

Authors' conclusion

LV anatomy underpinning oHCM consists of basal septal hypertrophy, apical dilatation, LV lengthening, and LVOT inward remodelling.

Study context

Population
Individuals with HCM in the NHLBI HCM Registry with CMR imagingNHLBI HCM Registry
Participants
2,398 individuals
Exposure
Obstructive vs non-obstructive HCM
Outcome
LV end-diastolic morphology associated with LVOT obstruction
Methodological detailsstatistical shape model, principal component analysis, linear discriminant analysis
  • Statistical shape model
  • Principal component analysis
  • Linear discriminant analysis

Main finding

As reported in the abstract

LV remodelling pattern in oHCM
  • Left ventricular (LV) remodelling in obstructive hypertrophic cardiomyopathy (oHCM): basal septal hypertrophy combined with LV lengthening, apical dilatation and LVOT inward remodelling

Observational data: associations, not effects.

Further findings

Obstruction at rest vs stress

Salient differences between obstructive cases at rest and stress

Phenotype by genotype

Genotype-negative cases tended towards more obstructive phenotypes at rest and stress

Original publication

Left ventricular anatomy in obstructive hypertrophic cardiomyopathy: beyond basal septal hypertrophy. Eur Heart J Cardiovasc Imaging. Published 28 November 2022. doi:10.1093/ehjci/jeac233

Composed by AI from the published abstract and checked against it. How Briefs are made →

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