Inflammation and Immunity in Cardiovascular Diseases

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Mechanisms of Diseases".

Deadline for manuscript submissions: 15 February 2027 | Viewed by 710

Special Issue Editor


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Guest Editor
Department of Medical Education, Paul L. Foster School of Medicine, Texas Tech Health Sciences Center El Paso, 130 Rick Francis Dr., El Paso, TX 79905, USA
Interests: inflammation; ischemia–reperfusion injury; cardiovascular physiology; hypertension; cardiovascular disease

Special Issue Information

Dear Colleagues,

Chronic inflammation and dysregulated immune responses are central contributors to the development and progression of cardiovascular diseases (CVDs), including atherosclerosis, heart failure, and ischemic injury. As our understanding of the immune–cardiovascular interface deepens, precision strategies targeting inflammatory pathways have emerged as promising tools for both risk stratification and therapeutic intervention. This Special Issue invites original research and review articles that explore the roles of innate and adaptive immunity, inflammatory signaling cascades, and immune–metabolic crosstalk in cardiovascular pathology. We welcome studies examining the impact of comorbidities such as obesity, diabetes, and environmental exposures on immune activation in the cardiovascular system. Submissions highlighting novel biomarkers, therapeutic targets, or personalized treatment strategies in the context of cardiovascular inflammation are especially encouraged. Our aim is to bring together interdisciplinary insights that advance the precision medicine approach to cardiovascular care.

Dr. Nathan A. Holland
Guest Editor

Manuscript Submission Information

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Keywords

  • cardiovascular inflammation
  • immune modulation
  • ischemia–reperfusion injury
  • personalized medicine
  • inflammatory biomarkers
  • cardiometabolic disease
  • environmental exposures

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Published Papers (1 paper)

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Review

16 pages, 1052 KB  
Review
Personalized Sudden Cardiac Death Risk Stratification in Hypertrophic Cardiomyopathy: Beyond Conventional Risk Scores
by Jacopo Costantino, Federico Ballatore, Daniele Porcelli, Barbara Romani, Massimiliano Campoli, Lorenzo Maria Zuccaro, Giulia Marchionni, Maria Alfarano, Samuel Costantino and Cristina Chimenti
J. Pers. Med. 2026, 16(6), 287; https://doi.org/10.3390/jpm16060287 - 26 May 2026
Viewed by 352
Abstract
Hypertrophic Cardiomyopathy (HCM) is one of the most common inherited cardiomyopathies and remains an important cause of ventricular arrhythmias and sudden cardiac death (SCD), particularly in younger individuals. Although the annual incidence of arrhythmic death is relatively low in contemporary cohorts, identifying those [...] Read more.
Hypertrophic Cardiomyopathy (HCM) is one of the most common inherited cardiomyopathies and remains an important cause of ventricular arrhythmias and sudden cardiac death (SCD), particularly in younger individuals. Although the annual incidence of arrhythmic death is relatively low in contemporary cohorts, identifying those patients who may benefit from primary prevention with an implantable cardioverter-defibrillator (ICD) remains a major clinical challenge. Current risk stratification strategies rely on two principal paradigms. The European approach is centered on the HCM Risk-SCD score, whereas the American approach is mainly based on major clinical risk markers. Both strategies have important strengths and limitations, reflecting the persistent difficulty of accurately predicting arrhythmic events in such a heterogeneous disease. The HCM Risk-SCD score has demonstrated robust external validation and high specificity for identifying patients at higher risk, but it may fail to recognize some vulnerable individuals who remain below conventional treatment thresholds. For this reason, several additional risk modifiers have gained increasing relevance in contemporary practice. Among them, extensive late gadolinium enhancement, left ventricular systolic dysfunction, apical aneurysm, and clinically meaningful genetic findings may provide important incremental prognostic information beyond traditional models. Emerging disease-modifying therapies, in particular Mavacamten, may also influence future risk assessment. However, whether these improvements translate into a true reduction in SCD risk remains uncertain. Importantly, the decision to implant an ICD should not depend on numerical risk alone. It should arise from a process of shared decision-making integrating estimated risk, treatment burden, competing comorbidities, age, lifestyle, and patient values. In this context, the concept of an individualized threshold of “acceptable risk” becomes central. In conclusion, prevention of SCD in HCM is moving beyond conventional scores toward a personalized and dynamic framework in which predictive tools, advanced phenotyping, evolving therapies, clinical expertise, and patient preferences are combined to guide individualized care. Full article
(This article belongs to the Special Issue Inflammation and Immunity in Cardiovascular Diseases)
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