Apical hypertrophic cardiomyopathy: pathophysiology, diagnosis and management.

Autor: Li J; Division of Cardiovascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Ave., Wuhan, 430030, China.; Key Laboratory of Organ Transplantation, Ministry of Education, Wuhan, China.; NHC Key Laboratory of Organ Transplantation, Ministry of Health, Wuhan, China., Fang J; Division of Cardiovascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Ave., Wuhan, 430030, China.; Key Laboratory of Organ Transplantation, Ministry of Education, Wuhan, China.; NHC Key Laboratory of Organ Transplantation, Ministry of Health, Wuhan, China., Liu Y; Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Ave., Wuhan, 430030, China. yani.liu@tjh.tjmu.edu.cn., Wei X; Division of Cardiovascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Ave., Wuhan, 430030, China. xiangwei@tjh.tjmu.edu.cn.; Key Laboratory of Organ Transplantation, Ministry of Education, Wuhan, China. xiangwei@tjh.tjmu.edu.cn.; NHC Key Laboratory of Organ Transplantation, Ministry of Health, Wuhan, China. xiangwei@tjh.tjmu.edu.cn.
Jazyk: angličtina
Zdroj: Clinical research in cardiology : official journal of the German Cardiac Society [Clin Res Cardiol] 2024 May; Vol. 113 (5), pp. 680-693. Date of Electronic Publication: 2023 Nov 20.
DOI: 10.1007/s00392-023-02328-8
Abstrakt: Since the first description of apical hypertrophic cardiomyopathy (ApHCM) in 1976, contrasting information from all over the world has emerged regarding the natural history of the disease. However, the recommended guidelines on hypertrophic cardiomyopathy (HCM) pay a cursory reference to ApHCM, without ApHCM-specific recommendations to guide the diagnosis and management. In addition, cardiologists may not be aware of certain aspects that are specific to this disease subtype, and a robust understanding of specific disease features can facilitate recognition and timely diagnosis. Therefore, the review covers the incidence, pathogenesis, and characteristics of ApHCM and imaging methods. Echocardiography and cardiovascular magnetic resonance imaging (CMR) are the most commonly used imaging methods. Moreover, this review presents the management strategies of this heterogeneous clinical entity. In this review, we introduce a novel transapical beating-heart septal myectomy procedure for ApHCM patients with a promising short-time result.
(© 2023. The Author(s).)
Databáze: MEDLINE
Externí odkaz: