enlargement of the heart thickness of heart muscle
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Male or Female, aged 18-65 • Established diagnosis of HCM defined as unexplained LVH defined as any segment >= 15mm thick • Signed informed consent • Able (in the investigator's opinion) and willing to comply with all study requirements
Exclusion criteria
Exclusion criteria: • Uncontrolled hypertension as judged by the investigator • Uncontrolled atrial fibrillation at time of enrollment • Angiographically documented >50% coronary stenosis • Prior septal myectomy or alcohol septal ablation • Prior myocardial infarction • Incessant ventricular arrhythmias • Diabetes with end organ damage • Stage IV/V chronic kidney disease (eGFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes Using exploratory data mining methods to identify demographic, clinical, and novel cardiac magnetic resonance imaging, genetic and biomarker variables associated with the outcomes. Risk Markers 1. CMR to measure cardiac volumes, mass, function and fibrosis 2. Genotyping 3. Serum biomarkers of fibrosis 4. Clinical risk factors Clinical outcome Primary 1. The composite of cardiac death due to sudden cardiac death (SCD) and congestive heart failure (CHF) 2. Aborted SCD including appropriate intracardiac defibrillator (ICD) firing 3. Need for heart transplantation Secondary 1. All-cause mortality 2. Ventricular tachyarrhythmias 3. Hospitalisation for heart failure 4. Atrial fibrillation 5. Stroke | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes Using the demographic, clinical, imaging, biomarker and genetic measures, plus any interactions, identified in the tree analysis, Cox proportional hazards regression will be used to develop a predictive model. | — |
Countries
Netherlands