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How to assess sudden cardiac death risk in hypertrophic cardiomyopathy? Current challenges and directions for the future

Norrish, Gabrielle; Niemiec, Małgorzata; Kaski, Juan P; Mizia-Stec, Katarzyna; (2024) How to assess sudden cardiac death risk in hypertrophic cardiomyopathy? Current challenges and directions for the future. Kardiologia Polska 10.33963/v.phj.104052. (In press). Green open access

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Abstract

Over the past decade, knowledge about the risk of sudden cardiac death (SCD) in patients with hypertrophic cardiomyopathy (HCM) has advanced significantly. A standard well-recognised approach to risk stratification is based on the fundamental risk factors and SCD risk models that should be incorporated into the shared decision-making process. More detailed analysis including additional indicators, such as reduced left ventricular systolic function, the presence of late gadolinium enhancement or in some cases genetic variants, may provide valuable insights for intermediate-risk patients, enabling more personalized diagnosis and treatment. Risk stratification remains challenging in specific groups, such as patients who have undergone septal reduction therapy, those taking mavacamten, or those with phenocopies of HCM. The advancement of modern methodologies, including multifactorial approaches supported by artificial intelligence algorithms, offers hope for more precise and individualized SCD risk assessment in individuals with HCM.

Type: Article
Title: How to assess sudden cardiac death risk in hypertrophic cardiomyopathy? Current challenges and directions for the future
Location: Poland
Open access status: An open access version is available from UCL Discovery
DOI: 10.33963/v.phj.104052
Publisher version: https://doi.org/10.33963/v.phj.104052
Language: English
Additional information: This article is available in open access under the Creative Common Attribution International (CC BY) license, which allows copying, distributing, and transmitting work, adapting work, and making commercial use of the work under the condition that the user must attribute the work in the manner specified by the author or licensor (but not in any way that suggests they endorse the user or their use of the work).
Keywords: artificial intelligence, hypertrophic cardiomyopathy, prediction, risk, sudden cardiac death
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10203160
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