RT Journal Article SR Electronic T1 Hypertrophic cardiomyopathy without hypertrophy: two families with myocardial disarray in the absence of increased myocardial mass. JF British Heart Journal JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP 287 OP 290 DO 10.1136/hrt.63.5.287 VO 63 IS 5 A1 W J McKenna A1 J T Stewart A1 P Nihoyannopoulos A1 F McGinty A1 M J Davies YR 1990 UL http://heart.bmj.com/content/63/5/287.abstract AB Two families are described in which individuals showed widespread myocardial disarray at histological examination, in the absence of macroscopic cardiac hypertrophy. In one family the clinical presentation was that of sudden unexpected cardiac death in four family members; members of the other family presented with electrocardiographic repolarisation changes and abnormalities of left ventricular diastolic function. The finding of myocardial disarray, the characteristic histological abnormality of hypertrophic cardiomyopathy, in the absence of increased cardiac mass suggests a wider range of abnormality in hypertrophic cardiomyopathy than is currently recognised.