Imaging in Hypertrophic Cardiomyopathy: Beyond Risk Stratification

Heart Fail Clin. 2023 Oct;19(4):419-428. doi: 10.1016/j.hfc.2023.03.004. Epub 2023 Apr 29.

Abstract

A multimodality imaging evaluation in hypertrophic cardiomyopathy is often used for risk stratification. Recent developments in imaging have allowed for better diagnosis, prognosis, and decision-making for a variety of therapies from medical to interventional. Echocardiography and magnetic resonance have been integral in evaluating subtype, left ventricular function, tissue characterization, left atrial measurements, valvular function, and presence of left ventricular aneurysm and outflow tract obstruction. These factors have helped to quantify risk of atrial fibrillation and determine the likely usefulness of pharmacologic therapy and septal reduction therapy. This review covers these in detail.

Keywords: CMR; Echocardiography; Hypertrophic cardiomyopathy; Imaging.

Publication types

  • Review

MeSH terms

  • Atrial Fibrillation*
  • Cardiomyopathy, Hypertrophic* / diagnostic imaging
  • Echocardiography
  • Humans
  • Multimodal Imaging
  • Risk Assessment