ArticleTrauma case reports2025
Hypertrophic cardiomyopathy in the trauma patient: A case report and review of the literature.
Article in Trauma case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Introduction: Hypertrophic cardiomyopathy (HCM), a prevalent genetic cardiac condition characterized by myocardial thickening, poses unique challenges in trauma care. Sparse evidence seems to agree that HCM patients have worse outcomes following non-cardiac surgeries, particularly emergent procedures. However, despite a prevalence of 1 in 500 in the US population, the intersection of HCM and Advanced Trauma Life Support (ATLS) remains undiscussed in current literature. Case presentation: A 54-year-old female with unknown past medical history presented as a level 2 trauma alert following a motor vehicle collision. Due to persistent hypotension and transient bradycardia in the trauma bay a further cardiologic evaluation was performed and found severe hypertrophic obstructive cardiomyopathy (HOCM). Clinical discussion: We report a case of a polytrauma patient found to have severe HOCM as well as provide a review of the literature including pathophysiological considerations in the management of the trauma patient with HCM. Conclusions: Caring for the trauma patient with HCM requires a multidisciplinary strategy that integrates advanced cardiac imaging and cautious hemodynamic management, underlining the necessity for heightened awareness.
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