Evidence map›Paper›PMID 40888685›Full record

Observational studyJournal of the American Heart Association2025

Real-World Observations in Patients With Obstructive Hypertrophic Cardiomyopathy Treated With Mavacamten: Evidence of Favorable Disease Modification.

Milind Y Desai, Andrew Gaballa, Yuichiro Okushi, Mohammed Abusafia, Shada Jadam, Katy Rutkowski, Susan Ospina, Sanaa Sultana, Maran Thamilarasan, Craig Asher and 2 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Milind Y DesaiFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.ORCID 0000-0003-0010-9797
Andrew GaballaFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.ORCID 0009-0008-8619-3400
Yuichiro OkushiFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.ORCID 0009-0004-8534-6760
Mohammed AbusafiaFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.ORCID 0009-0008-8658-8656
Shada JadamFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.ORCID 0009-0005-6175-4775
Katy RutkowskiFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.
Susan OspinaFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.ORCID 0009-0004-7175-6582
Sanaa SultanaFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.
Maran ThamilarasanFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.
Craig AsherFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.
Zoran B PopovicFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.ORCID 0000-0001-5692-2299
Bo XuFrom the Hypertrophic Cardiomyopathy Center Heart Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-2985-7468

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMavacamten is commercially approved for use in symptomatic patients with obstructive hypertrophic cardiomyopathy. This study evaluated its real-world impact on symptoms, echocardiographic changes, and the need for septal reduction therapy in patients with obstructive hypertrophic cardiomyopathy treated at a multihospital referral center.

methodsWe included 244 patients with obstructive hypertrophic cardiomyopathy (mean age, 64 years; 57% women, 21% with atrial fibrillation, 51% New York Heart Association class III, 82% on β-blockers) treated with mavacamten for ≥3 months (171 for ≥12 months). Serial clinical and echocardiographic assessments were performed.

resultsNew York Heart Association class distribution improved over time: at 3 months 21% class I, 61% class II, and 18% class III; at 12 months 36% class I, 57% class II, and 8% class III. After a mean of 1.02 years, significant improvements were observed in resting and post-Valsalva left ventricular outflow tract gradients (-31±33 and -57±46 mm Hg), interventricular septal thickness (-1.7±4 mm), left ventricular mass index (-9.5±32 g/m

conclusionsIn this real-world cohort, mavacamten treatment was associated with sustained symptomatic and echocardiographic improvements, suggesting a favorable disease-modifying impact with minimal need for septal reduction therapy.

Indexed as

BenzylaminesCardiomyopathy, HypertrophicUracilAgedEchocardiographyFemaleHumansMaleMiddle AgedTime FactorsTreatment OutcomeVentricular Function, LeftBenzylaminesMYK-461Uracilechocardiographyhypertrophic cardiomyopathymavacamtenreal worldremodeling

Identifiers

PMID40888685
PMCPMC12684477

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.