Role of Provocation and Exercise Imaging for the Identification of Candidates for Cardiac Myosin Inhibitors

Patients requiring exercise echocardiography to document qualifying LVOTO do not exhibit a milder disease phenotype and derive similar treatment benefits from mavacamten compared to those with resting or Valsalva-provoked obstruction. Exercise echocardiography identifies a substantial proportion of symptomatic HCM patients with significant LVOTO missed by resting assessment and is essential for guiding treatment eligibility.

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Publication Details

Journal
ESC Heart Failure
Published
2026-03-23
DOI
https://doi.org/10.1093/eschf/xvag087
Primary Topic
Cardiomyopathy and Myosin Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Role of Provocation and Exercise Imaging for the Identification of Candidates for Cardiac Myosin Inhibitors

Marnicq Van Es, Philippe B. Bertrand, Sebastiaan Dhont, Wilfried Müllens et al.
ESC Heart Failure
Cardiomyopathy and Myosin Studies
article

Role of Provocation and Exercise Imaging for the Identification of Candidates for Cardiac Myosin Inhibitors

Marnicq Van Es, Philippe B. Bertrand, Sebastiaan Dhont, Wilfried Müllens, Jonas Erzeel, Duhan Ulgar, Pieter Martens
article en

Abstract

Patients requiring exercise echocardiography to document qualifying LVOTO do not exhibit a milder disease phenotype and derive similar treatment benefits from mavacamten compared to those with resting or Valsalva-provoked obstruction. Exercise echocardiography identifies a substantial proportion of symptomatic HCM patients with significant LVOTO missed by resting assessment and is essential for guiding treatment eligibility.

ESC Heart Failure
Ziekenhuis Oost-Limburg (BE), Hasselt University (BE)
Good health and well-being
Openalex Percentile: Top 16%
Cardiomyopathy and Myosin Studies
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Role of Provocation and Exercise Imaging for the Identification of Candidates for Cardiac Myosin Inhibitors — Marnicq Van Es, Philippe B. Bertrand, et al. · ESC Heart Failure (2026) | TGRS Research Map | TGRS