EACVI survey on hypertrophic cardiomyopathy
European Heart Journal - Cardiovascular Imaging, vol. 23, pp. 590–597
Abstract
AIMS: The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey to evaluate current practice for the assessment and management of patients with hypertrophic cardiomyopathy (HCM). METHODS AND RESULTS: A total of 213 centres from 38 different countries (87% European) responded to the survey. One hundred twenty-one (57%) centres followed HCM patients in a general cardiology outpatient clinic and 85 (40%) centres in a specialized HCM/cardiomyopathy clinic. While echocardiography was the primary imaging modality, cardiovascular magnetic resonance (CMR) has become an important complementary tool. Cardiac anatomy, left ventricular (LV) systolic, and diastolic function were assessed according to current European guidelines and recommendations. To evaluate LV obstruction, 49% of the centres performed bedside provocation manoeuvres in every patient and 55% of the centres used exercise stress echocardiography. The majority of centres used the 5-year risk assessment of sudden cardiac death (SCD) calculated with the HCM Risk-SCD score. However, 34% of the centres also used extensive non-infarct late gadolinium enhancement on CMR and 27% the presence of LV apical aneurysm to help select patients for primary prevention implantable cardioverter-defibrillator therapy. Ninety-nine percent of the responding centres performed regular imaging follow-up of HCM patients. CONCLUSION: Most centres followed European guidelines and recommendations for the diagnosis and management of patients with HCM. The importance of bedside provocation manoeuvres and exercise stress echocardiography to diagnose LV outflow obstruction requires emphasis. Additional risk markers for SCD are used in many centres and might indicate the need for an update of current European recommendations.
Authors 12
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Tomaž Podlesnikar corresponding
Ljubljana University Medical Centre · University Clinical Centre Maribor
Affiliation as printed
Department of Cardiac Surgery, University Medical Centre Maribor , Ljubljanska ulica 5, 2000 Maribor,
Department of Cardiology, University Medical Centre Ljubljana , Zaloska cesta 2, 1000 Ljubljana,
Department of Cardiac Surgery, University Medical Centre Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia
Department of Cardiology, University Medical Centre Ljubljana, Zaloska cesta 2, 1000 Ljubljana, Slovenia
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Hospital da Luz · Universidade Nova de Lisboa
Affiliation as printed
Department of Cardiology, Hospital da Luz-Lisbon , Lisbon,
Nova Medical School , Lisbon,
Department of Cardiology, Hospital da Luz-Lisbon, Lisbon, Portugal
Nova Medical School, Lisbon, Portugal
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Leiden University Medical Center
Affiliation as printed
Department of Cardiology, Leiden University Medical Center , Albinusdreef 2, 2300 RC Leiden,
Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, 2300 RC Leiden, The Netherlands
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University of Campania "Luigi Vanvitelli" · Azienda Sanitaria Locale Salerno
Affiliation as printed
Department of Cardiology, Umberto I Hospital, Luigi Vanvitelli University - Nocera Inferiore (ASL Salerno) , Viale San Francesco - 84014 Caserta,
Department of Cardiology, Umberto I Hospital, Luigi Vanvitelli University - Nocera Inferiore (ASL Salerno), Viale San Francesco - 84014 Caserta, Italy
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Affiliation as printed
Department of Medical Biotechnologies, Section of Cardiology, University of Siena, Policlinico Le Scotte , 53100 Siena,
Department of Medical Biotechnologies, Section of Cardiology, University of Siena, Policlinico Le Scotte, 53100 Siena, Italy
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Carol Davila University of Medicine and Pharmacy · Institutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu"
Affiliation as printed
Department of Cardiology, University of Medicine and Pharmacy ‘Carol Davila’, Euroecolab, Emergency Institute for Cardiovascular Diseases ‘Prof. Dr. C. C. Iliescu’ , Sos. Fundeni 258, sector 2, 022328 Bucharest,
Department of Cardiology, University of Medicine and Pharmacy 'Carol Davila', Euroecolab, Emergency Institute for Cardiovascular Diseases 'Prof. Dr. C. C. Iliescu', Sos. Fundeni 258, sector 2, 022328 Bucharest, Romania
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Humboldt-Universität zu Berlin · German Centre for Cardiovascular Research · Charité - Universitätsmedizin Berlin
Affiliation as printed
Charité ECRC Medical Faculty of the Humboldt University Berlin and Helios-Clinics , 13125 Berlin,
DZHK, Partnersite Berlin , Berlin,
Charité ECRC Medical Faculty of the Humboldt University Berlin and Helios-Clinics, 13125 Berlin, Germany
DZHK, Partnersite Berlin, Berlin, Germany
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University of Belgrade · Zemun Hospital
Affiliation as printed
Department of Cardiology, Faculty of Medicine, Clinical Hospital Centre Zemun, University of Belgrade , 11080 Belgrade,
Department of Cardiology, Faculty of Medicine, Clinical Hospital Centre Zemun, University of Belgrade, 11080 Belgrade, Serbia
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Ljubljana University Medical Centre
Affiliation as printed
Department of Cardiology, University Medical Centre Ljubljana , Zaloska cesta 2, 1000 Ljubljana,
Department of Cardiology, University Medical Centre Ljubljana, Zaloska cesta 2, 1000 Ljubljana, Slovenia
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Affiliation as printed
Division of Cardiology, Medical University of Vienna , Wahringer Gurtel 18-20, 1090 Wien,
Division of Cardiology, Medical University of Vienna, Wahringer Gurtel 18-20, 1090 Wien, Austria
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Oslo University Hospital · University of Oslo
Affiliation as printed
Department of Cardiology, ProCardio Center for Innovation, Oslo University Hospital , 0424 Oslo,
Institute for Clinical Medicine, University of Oslo , Blindern, 0318 Oslo,
Department of Cardiology, ProCardio Center for Innovation, Oslo University Hospital, 0424 Oslo, Norway
Institute for Clinical Medicine, University of Oslo, Blindern, 0318 Oslo, Norway
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Affiliation as printed
BHF Centre for Cardiovascular Science, University of Edinburgh, Chancellors Building, Little France Crescent , Edinburgh EH16 4SB,
BHF Centre for Cardiovascular Science, University of Edinburgh, Chancellors Building, Little France Crescent, Edinburgh EH16 4SB, UK
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