The diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonance

<p>Abstract</p> <p>Hypertrophic cardiomyopathy (HCM) is the most common genetic disease of the heart. HCM is characterized by a wide range of clinical expression, ranging from asymptomatic mutation carriers to sudden cardiac death as the first manifestation of the disease. Over 100...

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Main Authors: Noureldin Radwa A, Liu Songtao, Nacif Marcelo S, Judge Daniel P, Halushka Marc K, Abraham Theodore P, Ho Carolyn, Bluemke David A
Format: Article
Language:English
Published: Elsevier 2012-02-01
Series:Journal of Cardiovascular Magnetic Resonance
Online Access:http://www.jcmr-online.com/content/14/1/17
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author Noureldin Radwa A
Liu Songtao
Nacif Marcelo S
Judge Daniel P
Halushka Marc K
Abraham Theodore P
Ho Carolyn
Bluemke David A
author_facet Noureldin Radwa A
Liu Songtao
Nacif Marcelo S
Judge Daniel P
Halushka Marc K
Abraham Theodore P
Ho Carolyn
Bluemke David A
author_sort Noureldin Radwa A
collection DOAJ
description <p>Abstract</p> <p>Hypertrophic cardiomyopathy (HCM) is the most common genetic disease of the heart. HCM is characterized by a wide range of clinical expression, ranging from asymptomatic mutation carriers to sudden cardiac death as the first manifestation of the disease. Over 1000 mutations have been identified, classically in genes encoding sarcomeric proteins. Noninvasive imaging is central to the diagnosis of HCM and cardiovascular magnetic resonance (CMR) is increasingly used to characterize morphologic, functional and tissue abnormalities associated with HCM. The purpose of this review is to provide an overview of the clinical, pathological and imaging features relevant to understanding the diagnosis of HCM. The early and overt phenotypic expression of disease that may be identified by CMR is reviewed. Diastolic dysfunction may be an early marker of the disease, present in mutation carriers prior to the development of left ventricular hypertrophy (LVH). Late gadolinium enhancement by CMR is present in approximately 60% of HCM patients with LVH and may provide novel information regarding risk stratification in HCM. It is likely that integrating genetic advances with enhanced phenotypic characterization of HCM with novel CMR techniques will importantly improve our understanding of this complex disease.</p>
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spelling doaj.art-4a0eab178ea2475f8cb5771fda522b812024-04-17T00:49:34ZengElsevierJournal of Cardiovascular Magnetic Resonance1097-66471532-429X2012-02-011411710.1186/1532-429X-14-17The diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonanceNoureldin Radwa ALiu SongtaoNacif Marcelo SJudge Daniel PHalushka Marc KAbraham Theodore PHo CarolynBluemke David A<p>Abstract</p> <p>Hypertrophic cardiomyopathy (HCM) is the most common genetic disease of the heart. HCM is characterized by a wide range of clinical expression, ranging from asymptomatic mutation carriers to sudden cardiac death as the first manifestation of the disease. Over 1000 mutations have been identified, classically in genes encoding sarcomeric proteins. Noninvasive imaging is central to the diagnosis of HCM and cardiovascular magnetic resonance (CMR) is increasingly used to characterize morphologic, functional and tissue abnormalities associated with HCM. The purpose of this review is to provide an overview of the clinical, pathological and imaging features relevant to understanding the diagnosis of HCM. The early and overt phenotypic expression of disease that may be identified by CMR is reviewed. Diastolic dysfunction may be an early marker of the disease, present in mutation carriers prior to the development of left ventricular hypertrophy (LVH). Late gadolinium enhancement by CMR is present in approximately 60% of HCM patients with LVH and may provide novel information regarding risk stratification in HCM. It is likely that integrating genetic advances with enhanced phenotypic characterization of HCM with novel CMR techniques will importantly improve our understanding of this complex disease.</p>http://www.jcmr-online.com/content/14/1/17
spellingShingle Noureldin Radwa A
Liu Songtao
Nacif Marcelo S
Judge Daniel P
Halushka Marc K
Abraham Theodore P
Ho Carolyn
Bluemke David A
The diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonance
Journal of Cardiovascular Magnetic Resonance
title The diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonance
title_full The diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonance
title_fullStr The diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonance
title_full_unstemmed The diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonance
title_short The diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonance
title_sort diagnosis of hypertrophic cardiomyopathy by cardiovascular magnetic resonance
url http://www.jcmr-online.com/content/14/1/17
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