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July 11, 2026Current Cardiology Reports

Women with HCM face delayed diagnosis, worse HF burden, and greater LVOT obstruction than men.

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Population

Patients with hypertrophic cardiomyopathy (HCM)

Design

Review

Key result

Women with hypertrophic cardiomyopathy are diagnosed later and present with more advanced symptoms, greater left ventricular outflow tract obstruction, and worse heart failure burden compared to men.

Authors

SASonu AbrahamNTNatalie TapaskarASAnu Saji

Discussion

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Overview

Current sex-neutral HCM risk tools may underestimate severity in women; leaves open whether sex-specific adjustments improve outcomes.

Key Points

  • This review aims to summarize the differences in hypertrophic cardiomyopathy between sexes, focusing on presentation, progression, and management.
  • The review presents contemporary evidence regarding sex-based differences in hypertrophic cardiomyopathy.
  • It discusses disparities in diagnosis, symptoms, management, and outcomes based on sex.
  • Women with HCM are diagnosed later and present with more advanced symptoms than men.
  • Despite similar ventricular arrhythmias, women face greater heart failure progression and reduced quality of life.
  • Current risk assessment tools may underestimate the severity of HCM in women.

Structured PICO

P
Population
Patients with hypertrophic cardiomyopathy (HCM)

Women with hypertrophic cardiomyopathy face delayed diagnosis and worse heart failure progression, underscoring the need for sex-specific risk assessment and management strategies.

Cite This Study

Abraham et al. (2026) conducted a review in Hypertrophic cardiomyopathy. Female sex vs. Male sex was evaluated. Women with hypertrophic cardiomyopathy are diagnosed later and present with more advanced symptoms, greater left ventricular outflow tract obstruction, and worse heart failure burden compared to men.

synapsesocial.com/papers/6a51e44bc18d7f28ca501705https://doi.org/10.1007/s11886-026-02387-z
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