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European Heart Journal Advance Access originally published online on March 5, 2007
European Heart Journal 2007 28(6):661-663; doi:10.1093/eurheartj/ehm008
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Hypertrophy and inflammation: too much for one heart

Antoni Bayes-Genis*

Departament de Medicina, Cardiac Regeneration Program, Cardiology Service, Hospital de la Santa Creu i Sant Pau, Institut Català de Ciencies Cardiovasculars, Universitat Autònoma de Barcelona, Barcelona, Spain

* Corresponding author. Tel: +34 93 2919258; fax: +34 93 5565603. E-mail address: abayesgenis@santpau.es

This editorial refers to ‘Myocarditis in hypertrophic cardiomyopathy patients presenting acute clinical deterioration’{dagger} by A. Frustaci et al., on page 733

The first 10% of the full text of this article appears below.

Hypertrophic cardiomyopathy (HCM) is a genetically determined disease characterized by heterogeneous genetic, morphologic, and clinical patterns. Although it is half a century since Teare1 first described the disease, interest in HCM is growing as we move from understanding disease pathology towards prognostic assessment and risk stratification.

Microscopic findings of HCM are distinctive and include myocardial hypertrophy and gross disorganization of cardiac fibres. Cellular disarray and disorganization of the myofibrillar architecture within a given cell are standard.2 Patients with HCM often exhibit myocyte necrosis and replacement fibrosis in the left ventricle. A spectrum of severity and distribution is observed, ranging from isolated small scars to extensive transmural fibrosis. These pathological features are considered the consequence of myocardial ischaemia due to coronary microvascular . . . [Full Text of this Article]


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Related articles in EHJ:

Myocarditis in hypertrophic cardiomyopathy patients presenting acute clinical deterioration
Andrea Frustaci, Romina Verardo, Marina Caldarulo, Maria Cristina Acconcia, Matteo A. Russo, and Cristina Chimenti
EHJ 2007 28: 733-740. [Abstract] [FREE Full Text]