Novel Treatments of Hypertrophic Cardiomyopathy in GDMT for Heart Failure: A State-of-art Review

Curr Probl Cardiol. 2023 Sep;48(9):101740. doi: 10.1016/j.cpcardiol.2023.101740. Epub 2023 Apr 11.

Abstract

This state-of-the-art review discuss the available evidence on the use of novel treatments of hypertrophic cardiomyopathy such as omecamtiv mecarbil, EMD-57033, levosimendan, pimobendan, and mavacamten for the treatment of heart failure (HF) in the context of guideline-directed medical therapy (GDMT). The paper provides a detailed overview of these agents' mechanisms of action, potential benefits and limitations, and their effects on clinical outcomes. The review also evaluates the efficacy of the novel treatments in comparison to traditional medications such as digoxin. Finally, we seek to provide insight and guidance to clinicians and researchers in the management of HF patients.

Publication types

  • Review

MeSH terms

  • Cardiomyopathy, Hypertrophic* / complications
  • Cardiomyopathy, Hypertrophic* / drug therapy
  • Heart Failure* / drug therapy
  • Heart Failure* / etiology
  • Humans
  • Simendan / therapeutic use
  • Stroke Volume

Substances

  • Simendan