Original Investigation

Predictors of Long-Term Outcomes in Hypertrophic Cardiomyopathy

JAMA 10.1001/jama.2026.5633

May 11, 2026 at 11:00 AM EDT

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What are the important historical, imaging, genetic, and blood biomarker predictors of risks in hypertrophic cardiomyopathy?In this prospective registry-based study of 2698 patients with hypertrophic cardiomyopathy, primary composite outcomes in hypertrophic cardiomyopathy were predicted by cardiac magnetic resonance (CMR) imaging measures of left ventricular (LV) structure including mass and scar extent, LV function, heart failure history, and N-terminal pro–B-type natriuretic peptide (NT-proBNP). Sudden cardiac death outcomes, including appropriately treated ventricular arrhythmias, were predicted by LV structure and function and NT-proBNP.These results provide prospective evidence for incorporating CMR and NT-proBNP in the evaluation of patients with hypertrophic cardiomyopathy.

Corresponding Author: Christopher M. Kramer, MD, University of Virginia Health, 1215 Lee St, Box 800158, Charlottesville, VA 22908 (ckramer@virginia.edu).

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