Abstract
Over the last 5 years, there has been great interest in how advanced imaging can be used in hypertrophic cardiomyopathy (HCM) to better understand the disease and improve patient diagnosis, monitoring and outcomes. The role of imaging has progressed beyond its initial purpose of simply identifying hypertrophic regions of myocardium, and now has the potential for in vivo tissue characterization reflecting the pathological histological underlying changes. This article aims to review the recent developments in advanced imaging and their potential clinical implications in HCM. The majority of these developments have occurred in the field of cardiac magnetic resonance (CMR) imaging, which is reflected in CMR forming a large proportion of the article, with other non-CMR techniques discussed in relation to these findings. Realizing the histological progression of HCM through advanced imaging has the potential to revolutionize diagnosis, management and future treatment.
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