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The natural history of hypertrophic cardiomyopathy.

Authors:
Camillo Autore Maria Beatrice Musumeci

Eur Heart J Suppl 2020 Nov 18;22(Suppl L):L11-L14. Epub 2020 Nov 18.

Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.

In the early years of the disease recognition, hypertrophic cardiomyopathy (HCM) was viewed as an ominous disease with unfavourable prognosis and with an annual mortality between 4% and 6%. At that time, 73% of the patients reported in the literature came from only two referral centres. With the introduction of echocardiography, our understanding of HCM has improved and non-selected patient populations were assembled in several centres. A more benign prognostic profile was documented with an annual mortality rate of 1.5% or less. In the 2000s, important therapeutic interventions further improved the prognosis of patients with HCM: implantable-cardioverter defibrillator for prevention of sudden death, heart transplantation for treatment of severe refractory heart failure, and an extensive treatment with myectomy for relief of left ventricular outflow tract gradient. The natural history of HCM has changed substantially with contemporary treatment achieving an annual mortality rate less than 1% with extended longevity and a greatly improved quality of life.

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http://dx.doi.org/10.1093/eurheartj/suaa125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904071PMC
November 2020

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