Evidence for Microvascular Dysfunction in Hypertrophic Cardiomyopathy
Author(s) -
Steffen E. Petersen,
Michael JeroschHerold,
Lucy Hudsmith,
Matthew D. Robson,
Jane M Francis,
Helen Doll,
Joseph B. Selvanayagam,
Stefan Neubauer,
Hugh Watkins
Publication year - 2007
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.106.657023
Subject(s) - medicine , hypertrophic cardiomyopathy , cardiology , muscle hypertrophy , perfusion , diastole , reactive hyperemia , fibrosis , left ventricular hypertrophy , sudden death , magnetic resonance imaging , cardiomyopathy , blood flow , heart failure , blood pressure , radiology
Microvascular dysfunction in hypertrophic cardiomyopathy (HCM) may create an ischemic substrate conducive to sudden death, but it remains unknown whether the extent of hypertrophy is associated with proportionally poorer perfusion reserve. Comparisons between magnitude of hypertrophy, impairment of perfusion reserve, and extent of fibrosis may offer new insights for future clinical risk stratification in HCM but require multiparametric imaging with high spatial and temporal resolution.
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