Does cardiopulmonary exercise testing combined with stress echocardiography provide prognostic value and risk stratification in patients with hypertrophic cardiomyopathy?
Patients with Hypertrophic Cardiomyopathy (HCM), specifically those with severe dynamic LVOT obstruction.
Cardiopulmonary exercise testing combined with stress echocardiography (TTE-CPET)
Exercise capacity and prognosis/outcomes
TTE-CPET offers critical insight for risk stratification and early intervention in patients with hypertrophic cardiomyopathy and LVOT obstruction.
Severe dynamic LVOT obstruction identifies a high-risk HCM subgroup with impaired exercise capacity and poor prognosis. Intermediate gradients may still warrant close monitoring. TTE-CPET offers critical insight for risk stratification and early intervention.
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Raffaella Mistrulli
Federica Re
Guido Giacalone
European Heart Journal - Quality of Care and Clinical Outcomes
Sapienza University of Rome
Università Campus Bio-Medico
Onze Lieve Vrouwziekenhuis Hospital
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Mistrulli et al. (Sat,) studied this question.
www.synapsesocial.com/papers/69d896566c1944d70ce07b06 — DOI: https://doi.org/10.1093/ehjqcco/qcag056