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Open AccessReview

Exploring the Continuum of Hypertrophic Cardiomyopathy—From DNA to Clinical Expression

Department of Cardiology, Clinical Emergency Hospital of Bucharest, Floreasca Street 8, 014461 Bucharest, Romania
Department 4-Cardiothoracic Pathology, University of Medicine and Pharmacy Carol Davila, Eroii Sanitari Bvd. 8, 050474 Bucharest, Romania
Cardiomyopathy Center, Monza Hospital, Tony Bulandra Street 27, 021968 Bucharest, Romania
Author to whom correspondence should be addressed.
Medicina 2019, 55(6), 299;
Received: 23 March 2019 / Revised: 20 June 2019 / Accepted: 20 June 2019 / Published: 23 June 2019
PDF [1660 KB, uploaded 23 June 2019]


The concepts underlying hypertrophic cardiomyopathy (HCM) pathogenesis have evolved greatly over the last 60 years since the pioneering work of the British pathologist Donald Teare, presenting the autopsy findings of “asymmetric hypertrophy of the heart in young adults”. Advances in human genome analysis and cardiac imaging techniques have enriched our understanding of the complex architecture of the malady and shaped the way we perceive the illness continuum. Presently, HCM is acknowledged as “a disease of the sarcomere”, where the relationship between genotype and phenotype is not straightforward but subject to various genetic and nongenetic influences. The focus of this review is to discuss key aspects related to molecular mechanisms and imaging aspects that have prompted genotype–phenotype correlations, which will hopefully empower patient-tailored health interventions. View Full-Text
Keywords: hypertrophic cardiomyopathy; causative mutations; modifiers; cardiac imaging hypertrophic cardiomyopathy; causative mutations; modifiers; cardiac imaging

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Popa-Fotea, N.M.; Micheu, M.M.; Bataila, V.; Scafa-Udriste, A.; Dorobantu, L.; Scarlatescu, A.I.; Zamfir, D.; Stoian, M.; Onciul, S.; Dorobantu, M. Exploring the Continuum of Hypertrophic Cardiomyopathy—From DNA to Clinical Expression. Medicina 2019, 55, 299.

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