Key result
Advanced heart failure therapies require special considerations in patients with less-common cardiomyopathies.
Why the study?
Clinical characteristics of progressive heart failure warranting advanced heart failure therapies are not well defined in patients with atypical cause-specific cardiomyopathies compared with conventional ischemic and dilated cardiomyopathies.
This review outlines special considerations for utilizing heart transplantation and durable mechanical circulatory support in patients with less-common cardiomyopathies.
Answers are grounded in this paper and cite their sources.
May require etiology-specific considerations in advanced HF therapies; leaves open prospective validation in rare cardiomyopathies.
Clinical characteristics of progressive heart failure warranting advanced heart failure (AHF) therapies are not well defined in patients with atypical cause-specific cardiomyopathies, as in conventional ischemic and dilated cardiomyopathies. Some of these specific cardiomyopathies are associated with systemic diseases, and the impact and the severity of extracardiac involvement is crucial in defining the appropriate choice of AHF therapies. This review focuses on special considerations in cause-specific cardiomyopathies, such as hypertrophic cardiomyopathy, cardiac sarcoidosis, cardiac amyloidosis, and arrhythmogenic right ventricular cardiomyopathy. The review evaluates AHF therapies, including heart transplantation and durable mechanical circulatory support devices, along with nuances in the management of these patients after they receive AHF therapies.
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Roussoulières et al. (2025) conducted a review in Less-common cardiomyopathies. Advanced heart failure therapies (heart transplantation and durable mechanical circulatory support) was evaluated. Advanced heart failure therapies, including heart transplantation and durable mechanical circulatory support, require special considerations in patients with specific less-common cardiomyopathies.
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