The prospective Austrian hypertrophic cardiomyopathy registry – design, methods and results of the run-in period
The diagnosis and management of hypertrophic cardiomyopathy (HCM) is increasingly complex, and systematic evidence remains sparse. The Austrian HCM registry aims to provide representative real-world data addressing gaps in evidence. Here, we report design, methods and results after one year enrolment. The Austrian HCM Registry is an ongoing prospective, multicenter registry including University and community hospitals across Austria. Patients with written informed consent undergo a structured assessment of symptoms, past medical history, family history and the presence of HCM-specific red flags. Clinical data derived from electrocardiogram, echocardiography, laboratory analysis, and genetic testing are collected and entered into a web-based, responsive electronic case report form. Bilateral data transfer agreements ensure legal protection of each site. Between March 2024 and May 2025, 7 University centers and 7 community hospitals from 6 out of 9 Austrian federal states were initiated. Overall, recruitment rate was 2.5 patients per site and month, with University centers and community hospitals contributing 92% and 8%. Among 303 enrolled participants, median age was 60 (25th, 75th percentile; 50, 68), 44% were women. Echocardiography, cardiac magnetic resonance imaging and genetic testing were available in 99%, 86% and 60%, respectively. In this first year, participating sites of the Austrian HCM Registry achieved a consistent and fast recruitment rate. Data availability is high and cohort characteristics align well with other registries. The Austrian HCM Registry will serve as a robust research platform providing contemporary real-world data on epidemiology, diagnosis and management of HCM in a Central European country. ClinicalTrials.gov identifier. NCT06368518.
Authors
- Anna Rab
- Deddo Moertl (ORCID: https://orcid.org/0000-0001-6408-8978)
- Silvia Charwat‐Resl (ORCID: https://orcid.org/0000-0002-4489-892X)
- Sarah X. Gharibeh (ORCID: https://orcid.org/0000-0001-7600-4196)
- Klemens Ablasser
- Carina Primus (ORCID: https://orcid.org/0000-0002-0878-1185)
- Peter P. Rainer (ORCID: https://orcid.org/0000-0002-2840-6454)
- Daniel Dalos (ORCID: https://orcid.org/0000-0002-9597-5745)
- Viktoria Höller (ORCID: https://orcid.org/0009-0001-7024-2131)
- Stephanie Schneiderbauer‐Porod
- Christof Baurecht
- Gert Waltl
- Nicolas Verheyen (ORCID: https://orcid.org/0000-0001-7414-4056)
- Christy Meledeth (ORCID: https://orcid.org/0000-0002-6056-302X)
- Clemens Steinwender (ORCID: https://orcid.org/0000-0002-4963-5563)
- Pia Auersperg
- Stephan Dobner (ORCID: https://orcid.org/0000-0003-2220-9799)
- Diana Bonderman (ORCID: https://orcid.org/0000-0002-6885-5924)
- Kathrin Danninger
- Moritz Messner (ORCID: https://orcid.org/0000-0003-3250-4353)
- Christian Ebner (ORCID: https://orcid.org/0000-0003-2206-1907)
- A Zirlik
- Marc‐Michael Zaruba (ORCID: https://orcid.org/0000-0003-1074-5463)
- Nora Schwegel (ORCID: https://orcid.org/0000-0001-8736-9625)
- Viktoria Santner (ORCID: https://orcid.org/0000-0001-8569-3683)
- Johannes Lanzerstorfer
- Johann Auer
- A Logtenberg
- C Mann
- Lydia Mackova
- Martin R. Grübler
- Thomas Weber
- Christina Granitz
- Shehroz Masood
- Christian Reiter
- Katharina Wörgötter
- Amelie Graf
- Susanne Winkler
- Hannah Tuppinger
- Rene Krenn
- Paul Harbich
Institutions
- Sigmund Freud Privatuniversität Wien (AT)
- Johannes Kepler University of Linz (AT)
- Danube Private University (AT)
- Innsbruck Medical University (AT)
- University of Salzburg (AT)
- Universität Innsbruck (AT)
- Medical University of Graz (AT)
- Rohde & Schwarz (Germany) (DE)
- University of Applied Sciences St Pölten (AT)
- Paracelsus Medical University (AT)
- St. Elizabeth Hospital in Enumclaw (US)
- Fachhochschule Wiener Neustadt (AT)
- Ludwig Boltzmann Institute for Cardiovascular Research (AT)
- Graz University Hospital (AT)
- Kepler Universitätsklinikum (AT)
- Tirol Kliniken (AT)
- Klinikum Wels-Grieskirchen (AT)
- Krankenhaus der Elisabethinen (AT)
- Hospital Braga (PT)
- Karl Landsteiner Society (AT)
- Medical University of Vienna (AT)
Publication Details
- Journal
- Heart Failure Reviews
- Published
- 2026-04-15
- DOI
- https://doi.org/10.1007/s10741-026-10630-6
- Primary Topic
- Cardiomyopathy and Myosin Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Medizinische Universität Graz