Hypertrophic cardiomyopathy (HCM) is a complex, heterogeneous disorder that affects approximately 1 in every 500 persons worldwide and about 750,000 Americans. It is characterized by left ventricular hypertrophy that is usually asymmetric, with enlarged myocytes in disarray, unexplained by loading conditions. Obstruction to left ventricular outflow occurs in approximately 60% of patients. The natural history and cardiac morphology of HCM are quite heterogeneous. Although most patients with HCM are asymptomatic or mildly symptomatic, a minority are disabled by dyspnea, angina, or syncope, develop advanced heart failure, or die suddenly. Many patients fail supportive care and require septal reduction to relieve symptoms and ICD implantation to protect against lethal arrhythmias. A signal advance in the management of obstructive HCM was recently achieved with the approval of the first cardiac myosin inhibitor that targets HCM pathophysiology and may delay or even avert the need for septal reduction therapy. In this special supplement to AJC our international panel of expert authors update learners on current best management of this challenging disease.
Healthcare providers across the cardiac care spectrum, including cardiologists, interventional cardiologists, electrophysiologists, cardiac surgeons, sports cardiologists and other sprots medicine specialists, as well as primary care providers and APPs who work in the cardiovascular and primary care settings.
An improved understanding of the prevalence, pathophysiology, unmet patient needs, and natural course of HCM
A working knowledge of imaging- and genetics-driven diagnostic and staging criteria for HCM
Improved recognition of the indications to treat, longitudinally manage, and/or refer to subspecialists, patients diagnosed with HCM
Thorough familiarity with the clinical trial data evaluating the efficacy and safety of new and emerging treatment options for HCM
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It is the policy of AcademicCME that all faculty, instructors, and planners disclose relevant financial relationships relating to the topics of this educational activity. Any relevant financial relationships are mitigated via a content review by planning committee members and faculty with no relevant financial relationships.
The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CE activity:
Faculty | Relationship Identified With: |
Charles V. Pollack Jr., MA, MD (Issue Editor) | No conflicts of interest pertinent to the content of this activity. |
M. Roselle Abraham, MD | Nothing to disclose |
Theodore Abraham, MD | Grant/Research Support: Bristol-Myers Squibb; Cytokinetics; Echonous Ultrasound; Tenaya Therapeutics; Imbria; GE HealthCare; Philips Ultrasound |
Atul D. Bali MD | Nothing to disclose |
Fernando Juarez Casso, MD | Nothing to disclose |
Aaqib Malik MD, MPH | Nothing to disclose |
Srihari S. Naidu MD | Grant/Research Support: Bristol-Myers Squibb; Cytokinetics Consultant: Bristol Myers Squibb; CytokineticsSpeakers Bureau: Bristol Myers Squibb |
Eugene V. Braunwald, MD | Nothing to disclose |
Carolyn Y. Ho, MD | Grants/Research Support: Biomarin; Bristol Myers Squib; Pfizer; CytokineticsConsultant: Biomarin; Bristol Myers Squibb; Cytokinetics; Lexicon; Viz AI |
Catherine G. Ireland, MD | Stock Ownership: Amgen; Pfizer |
Erika Hutt MD | No conflicts of interest pertinent to the content of this activity |
Milind Desai, MD, MBA | Consultant: Bristol Myers Squibb; Cytokinetics; Medtronic |
Barry Maron, MD | Nothing to disclose |
Martin Maron, MD | Nothing to disclose |
Ethan Rowin, MD | Nothing to disclose |
Lisa Salter | Nothing to disclose |
Hartzell Schaff, MD | Nothing to disclose |
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