Evidence map›Paper›PMID 42164734›Full record

ArticleCardiovascular diagnosis and therapy2026

Left ventricular flow components and myocardial deformation following treatment for hypertrophic obstructive cardiomyopathy: a retrospective cardiac magnetic resonance-based cohort of mavacamten

Yinzhu Chen, Xinyi Luo, Yuelong Yang, Jiehao Ou, Hui Liu

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Article in Cardiovascular diagnosis and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yinzhu ChenSchool of Medicine, South China University of Technology, Guangzhou, China.
Xinyi LuoDepartment of Radiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Yuelong YangDepartment of Radiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Jiehao OuDepartment of Radiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Hui LiuSchool of Medicine, South China University of Technology, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The differential therapeutic effects of the novel medication mavacamten and septal myectomy in patients with hypertrophic obstructive cardiomyopathy (HOCM) remain unclear. This study combined cardiac magnetic resonance (CMR) feature tracking (CMR-FT) with four-dimensional flow (4D-flow) imaging to compare the differential improvements in myocardial deformation function and ventricular hemodynamics achieved by these two treatments. Methods: This retrospective study reviewed CMR images from all HOCM patients treated with mavacamten or septal myectomy (February 2021-May 2023) at baseline and 30 weeks (during continued mavacamten or post-operation), along with 10 healthy volunteers without cardiovascular disease or risk factors. CMR parameters included: FT-based left ventricular (LV) global longitudinal strain (GLS), global circumferential strain (GCS), and global radial strain (GRS); and LV flow components derived from 4D-flow, including direct flow (DF), retained inflow (RIF) component, delayed ejection flow (DEF), and residual volume (RV). Intra-group differences were compared using paired t-tests, while inter-group differences were assessed using independent samples Results: This single-center study analyzed CMR images from 10 HOCM patients treated with mavacamten, 10 HOCM patients treated with myectomy, and 10 healthy volunteers. From baseline to 30 weeks, the mavacamten group and myectomy group showed similar degrees of improvement in LV structure, function, and myocardial deformation (mavacamten Conclusions: For HOCM patients, short-term treatment with either mavacamten or septal myectomy yields comparable improvements in LV structure, function, and myocardial deformation. However, septal myectomy appears to confer a modest advantage in the short-term improvement of LV flow components. It will be essential to further investigate the long-term 4D-flow CMR outcomes in HOCM patients following treatment. Furthermore, reduced DF and elevated RV may be important hemodynamic characteristics of HOCM.

Indexed as

cardiac myosin inhibitors (CMIs)cardiac surgical proceduresfour-dimensional flow (4D-flow)Hypertrophic obstructive cardiomyopathy (HOCM)magnetic resonance imaging (MRI)

Identifiers

PMID42164734
PMCPMC13184928

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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.