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A Real-World Study on Hypertrophic Cardiomyopathy in the Chinese Population

Not yet recruiting
Conditions
Hypertrophic Cardiomyopathy (HCM)
Registration Number
NCT06775665
Lead Sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Brief Summary

This study is a prospective cohort study aimed at exploring the baseline characteristics and treatment patterns of the Chinese population with hypertrophic cardiomyopathy (HCM) in real-world settings. The objective is to assess the real-world treatment approaches and longitudinal outcomes in this population.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
3000
Inclusion Criteria
  1. Willing and able to provide written informed consent (ICF) and any required privacy authorization before the start of the study.

  2. Aged ≥18 years at the time of signing the written informed consent.

  3. Diagnosed with hypertrophic cardiomyopathy (HCM) according to the 2023 Guideline for Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy, meeting the following criteria:

    1. Left ventricular wall thickness ≥15 mm in any segment at end-diastole, as assessed by echocardiography or cardiac magnetic resonance imaging (MRI).
    2. Left ventricular wall thickness ≥13 mm in individuals with a positive pathogenic gene test or those identified as members of a genetically affected family.
    3. Exclusion of other cardiovascular diseases or systemic/metabolic diseases causing ventricular wall thickening.
Exclusion Criteria
  1. Uncontrolled primary hypertension.
  2. Moderate or severe aortic valve stenosis and/or primary mitral valve disease with severe mitral regurgitation.
  3. Confirmed infiltrative or storage diseases with a phenotype resembling hypertrophic cardiomyopathy (e.g., Fabry disease, amyloidosis).
  4. Expected life expectancy <1 years.
  5. Severe infections, liver failure, renal failure, or other life-threatening conditions.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Composite Cardiovascular Endpoints5 years

A composite cardiovascular endpoint consisting of ischemic stroke, heart failure hospitalization, and cardiovascular death

Secondary Outcome Measures
NameTimeMethod
New-onset arrhythmia5 years
New York Heart Association (NYHA) Classification5 years

Percentage of participants with changes in NYHA classification

Sudden cardiac death (SCD)5 years
Troponin T/I5 years

Changes in serum cardiac troponin concentrations compared to baseline

All-cause mortality5 years

death resulting from any cause, encompassing both disease-related and non-disease-related factors

Cardiovascular death5 years
Non-fatal acute myocardial infarction5 years
Ischemic stroke5 years
Heart failure hospitalization5 years
Kansas City Cardiomyopathy Questionnaire-23 (KCCQ-23)5 years

The KCCQ-23 is a disease-specific health status assessment tool consisting of 23 items that quantify physical limitation, symptoms, self-efficacy, social limitation, and quality of life related to heart failure. Scores range from 0 to 100, with higher scores indicating better health status

BNP/NT-proBNP5 years

Changes in serum BNP/NT-proBNP concentrations compared to baseline

Trial Locations

Locations (1)

2nd Affiliated Hospital, School of Medicine, Zhejiang University, China

🇨🇳

Hangzhou, Zhejiang, China

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