From thick walls to clear answers: approaches to diagnosing hypertrophic cardiomyopathy and its mimics.

IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
European Heart Journal Supplements Pub Date : 2025-02-19 eCollection Date: 2025-02-01 DOI:10.1093/eurheartjsupp/suae099
Filippo Angelini, Pier Paolo Bocchino, Veronica Dusi, Stefano Pidello, Gaetano Maria De Ferrari, Claudia Raineri
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引用次数: 0

Abstract

Hypertrophic cardiomyopathy (HCM) is a genetic condition primarily caused by mutations in sarcomeric proteins, leading to abnormal thickening of the left ventricular wall. Although HCM is the most common genetic cardiovascular disorder, other conditions-such as cardiac amyloidosis, Fabry disease, and mitochondrial myopathies-can mimic its phenotype, complicating diagnosis. Accurate differentiation between HCM and its phenocopies is crucial, as these conditions differ in treatment, prognosis, and inheritance. This paper reviews the clinical, imaging, and laboratory tools essential for diagnosing HCM and its mimics, emphasizing the role of advanced diagnostics like cardiac magnetic resonance, genetic testing, and tissue characterization in guiding personalized management strategies.

从厚壁到清晰的答案:诊断肥厚性心肌病及其类似疾病的方法。
肥厚性心肌病(HCM)是一种主要由肌瘤蛋白突变引起的遗传病,可导致左心室壁异常增厚。虽然HCM是最常见的遗传性心血管疾病,但其他疾病——如心脏淀粉样变性、法布里病和线粒体肌病——也可以模仿其表型,使诊断复杂化。准确区分HCM及其表型是至关重要的,因为这些疾病在治疗、预后和遗传方面存在差异。本文回顾了诊断HCM及其类似症状所必需的临床、影像学和实验室工具,强调了心脏磁共振、基因检测和组织表征等先进诊断方法在指导个性化治疗策略中的作用。
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来源期刊
European Heart Journal Supplements
European Heart Journal Supplements 医学-心血管系统
CiteScore
3.00
自引率
0.00%
发文量
575
审稿时长
12 months
期刊介绍: The European Heart Journal Supplements (EHJs) is a long standing member of the ESC Journal Family that serves as a publication medium for supplemental issues of the flagship European Heart Journal. Traditionally EHJs published a broad range of articles from symposia to special issues on specific topics of interest. The Editor-in-Chief, Professor Roberto Ferrari, together with his team of eminent Associate Editors: Professor Francisco Fernández-Avilés, Professors Jeroen Bax, Michael Böhm, Frank Ruschitzka, and Thomas Lüscher from the European Heart Journal, has implemented a change of focus for the journal. This entirely refreshed version of the European Heart Journal Supplements now bears the subtitle the Heart of the Matter to give recognition to the focus the journal now has. The EHJs – the Heart of the Matter intends to offer a dedicated, scientific space for the ESC, Institutions, National and Affiliate Societies, Associations, Working Groups and Councils to disseminate their important successes globally.
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