This case report highlights that advanced familial hypertrophic cardiomyopathy can present with massive myocardial fibrosis and intramural small arterial thickening, leading to a decompensated stage mimicking dilated cardiomyopathy.
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Rare end-stage familial HCM may mimic DCM via septal fibrosis and arteriopathy; case report leaves open generalizability and mechanisms.
Adachi et al. (1985) studied this question.
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