Abstract
This study investigates emerging strategies in the clinical management of Hypertrophic Cardiomyopathy (HCM), adopting an integrative and innovative approach. Initially, advancements in pharmacological therapies are highlighted, focusing on promising agents for treatment and specific modulation that have demonstrated efficacy in preserving cardiac function and reducing disease progression.
Beyond pharmacological approaches, the analysis extends to consider interventions exploring the underlying mechanisms of HCM. The identification of molecular targets and emerging biological pathways emphasizes the importance of understanding the disease's pathophysiology for the development of more targeted therapies.
Another focal point addresses complementary therapies, such as optimizing surgical strategies and innovative drug delivery methods to enhance efficacy and minimize adverse effects. The analysis includes discussions on advanced surgical techniques and minimally invasive therapeutic approaches, representing significant advances in the pursuit of more effective and well-tolerated treatments.
Simultaneously, therapies aiming not only at symptom relief but also at the preservation and improvement of compromised cardiac function are considered. This involves exploring regenerative approaches, such as cellular therapies and growth factors, highlighting their promising contribution to restoring cardiac health.
In addition to therapeutic innovations, this work underscores the need for a comprehensive understanding of HCM, including genetic, metabolic, and environmental factors influencing individual responses to proposed therapies. The emphasis on personalized interventions underscores the complexity of the disease and the importance of considering individual patient characteristics.
In conclusion, the study emphasizes the importance of a multidisciplinary approach, integrating different therapeutic modalities to optimize outcomes in HCM treatment. The combination of innovative pharmacological approaches, advanced surgical strategies, and regenerative therapies emerges as a promising perspective to comprehensively and effectively address this cardiac challenge.
References
BISHEV, Daniel et al. Efficacy and Safety of Mavacamten in the Treatment of Hypertrophic Cardiomyopathy: A Systematic Review. Heart, Lung and Circulation, v. 32, n. 00, p. 1049–1056, 2023.
GRIFFETH, Elaine M. et al. Septal Myectomy Outcomes in Children and Adolescents With Obstructive Hypertrophic Cardiomyopathy. Ann Thorac Surg, v. 116, p. 499-507, 2023.
MARON, Barry J. et al. Management of Hypertrophic Cardiomyopathy. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, v. 79, n. 4, 2022.
MARON, Barry J. et al. Ventricular Septal Myectomy for Obstructive Hypertrophic Cardiomyopathy (Analysis Spanning 60 Years Of Practice): AJC Expert Panel. The American Journal of Cardiology, v. 180, p. 124-139, 2022.
MARON, Martin S. et al. Phase 2 Study of Aficamten in Patients With Obstructive Hypertrophic Cardiomyopathy. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, v. 81, n. 1, 2023.
MI, Keying et al. Comparing the efficacy and safety of medications in adults with hypertrophic cardiomyopathy: a systematic review and network meta-analysis. Front. Cardiovasc. Med., v. 10, p. 1190181, 2023.
MIHOS, Christos G. et al. A systematic review and pooled analysis of septal myectomy and edge-to-edge mitral valve repair in obstructive hypertrophic cardiomyopathy. Rev. Cardiovasc. Med., v. 22, n. 4, p. 1471-1477, 2021.
PALANDRI, Chiara et al. Pharmacological Management of Hypertrophic Cardiomyopathy: From Bench to Bedside. Drugs, v. 82, p. 889–912, 2022.
RADER, Florian et al. Mavacamten Treatment for Symptomatic Obstructive Hypertrophic Cardiomyopathy: Interim Results From the MAVA-LTE Study, EXPLORER-LTE Cohort. JACC: HEART FAILURE, v. 12, n. 1, 2024.
SAWAN, Mariem A. et al. A systematic review of present and future pharmaco‐structural therapies for hypertrophic cardiomyopathy. Clin Cardiol, v. 47, p. e24207, 2024.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Eloísa Leal Silva Marim , Amanda de Andrade Gomes, Luana Laurito Batista, Andressa Fonseca Sampaio, Gabriel de Assis Carnelós, André Gontijo Perez de Queiroz, Luiz Felipe Ayres Furtado, Izaias Longhitano Neto, Lethycia Milhomem Martins , Allexia Zopé Sartório Brum , Leticia Januzzi Resende