Heart 2001;86:709-714 ( December )

Education in Heart

CARDIOMYOPATHY

The diagnosis of hypertrophic cardiomyopathy

E Douglas Wigle

Toronto General Hospital, University Health Network and University of Toronto, Toronto, Ontario, Canada

Correspondence to: E Douglas Wigle MD, Department of Medicine (Cardiology), Toronto General Hospital, 200 Elizabeth Street, 12-EN-217, Toronto, Ontario M5G 2C4, Canada

The first 150 words of the full text of this article appear below.

	Introduction

Although the pathology of hypertrophic cardiomyopathy (HCM) was first described by French pathologists in the mid 19th century, it remained for the virtually simultaneous reports of Brock and Teare in England some 43 years ago to bring modern attention to this fascinating entity.^1 2 Subsequent to these surgical¹ and pathological² observations, there has been an almost exponential growth in the number of research reports and in our knowledge of HCM, and a number of extensive reviews have been published.^3-9 HCM was initially thought to be relatively rare, but it is now recognised to be an important cause of morbidity and mortality in people of all ages. In tertiary referral populations the annual mortality is 3-4% per annum (higher in the young) and 1-2% per annum in non-referred populations. It occurs in 1 in 500 live births, making it as common as cystic fibrosis, and is the most common cause of sudden death during athletic . . . [Full text of this article]

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