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The role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy (HCM) is the most frequent cardiac disease with genetic substrate, affecting about 0.2–0.5% of the population. While most of the patients with HCM have a relatively good prognosis, some are at increased risk of adverse events. Identifying such patients at risk is importan...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Singapore
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473965/ https://www.ncbi.nlm.nih.gov/pubmed/32301048 http://dx.doi.org/10.1007/s12574-020-00467-9 |
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author | Mandeş, Leonard Roşca, Monica Ciupercă, Daniela Popescu, Bogdan A. |
author_facet | Mandeş, Leonard Roşca, Monica Ciupercă, Daniela Popescu, Bogdan A. |
author_sort | Mandeş, Leonard |
collection | PubMed |
description | Hypertrophic cardiomyopathy (HCM) is the most frequent cardiac disease with genetic substrate, affecting about 0.2–0.5% of the population. While most of the patients with HCM have a relatively good prognosis, some are at increased risk of adverse events. Identifying such patients at risk is important for optimal treatment and follow-up. While clinical and electrocardiographic information plays an important role, echocardiography remains the cornerstone in assessing patients with HCM. In this review, we discuss the role of echocardiography in diagnosing HCM, the key features that differentiate HCM from other diseases and the use of echocardiography for risk stratification in this setting (risk of sudden cardiac death, heart failure, atrial fibrillation and stroke). The use of modern echocardiographic techniques (deformation imaging, 3D echocardiography) refines the diagnosis and prognostic assessment of patients with HCM. The echocardiographic data need to be integrated with clinical data and other information, including cardiac magnetic resonance, especially in challenging cases or when there is incomplete information, for the optimal management of these patients. |
format | Online Article Text |
id | pubmed-7473965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-74739652020-09-16 The role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy Mandeş, Leonard Roşca, Monica Ciupercă, Daniela Popescu, Bogdan A. J Echocardiogr Review Article Hypertrophic cardiomyopathy (HCM) is the most frequent cardiac disease with genetic substrate, affecting about 0.2–0.5% of the population. While most of the patients with HCM have a relatively good prognosis, some are at increased risk of adverse events. Identifying such patients at risk is important for optimal treatment and follow-up. While clinical and electrocardiographic information plays an important role, echocardiography remains the cornerstone in assessing patients with HCM. In this review, we discuss the role of echocardiography in diagnosing HCM, the key features that differentiate HCM from other diseases and the use of echocardiography for risk stratification in this setting (risk of sudden cardiac death, heart failure, atrial fibrillation and stroke). The use of modern echocardiographic techniques (deformation imaging, 3D echocardiography) refines the diagnosis and prognostic assessment of patients with HCM. The echocardiographic data need to be integrated with clinical data and other information, including cardiac magnetic resonance, especially in challenging cases or when there is incomplete information, for the optimal management of these patients. Springer Singapore 2020-04-16 2020 /pmc/articles/PMC7473965/ /pubmed/32301048 http://dx.doi.org/10.1007/s12574-020-00467-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Review Article Mandeş, Leonard Roşca, Monica Ciupercă, Daniela Popescu, Bogdan A. The role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy |
title | The role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy |
title_full | The role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy |
title_fullStr | The role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy |
title_full_unstemmed | The role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy |
title_short | The role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy |
title_sort | role of echocardiography for diagnosis and prognostic stratification in hypertrophic cardiomyopathy |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473965/ https://www.ncbi.nlm.nih.gov/pubmed/32301048 http://dx.doi.org/10.1007/s12574-020-00467-9 |
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