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Impaired left ventricular energy metabolism in hypertrophic cardiomyopathy is not due to fibrosis
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To the editor: Esposito et al deal with an important pathophysiological question—that is, whether altered cardiac energy metabolism in hypertrophic cardiomyopathy (HCM) is primary or secondary, due to fibrosis.1 The authors conclude that the inverse relation seen between LE extension (LE, late enhancement a measure of fibrosis) and …
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Competing interests: None declared.
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2009 BMJ Publishing Group and British Cardiovascular Society
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