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Mavacamten: A Novel Disease-Specific Treatment for Hypertrophic Cardiomyopathy

Journal

CARDIOLOGY IN REVIEW
Volume 31, Issue 1, Pages 45-51

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/CRD.0000000000000433

Keywords

mavacamten; Myk461; hypertrophic cardiomyopathy; obstructive hypertrophic cardiomyopathy; HCM

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Hypertrophic cardiomyopathy (HCM) is a condition characterized by abnormal thickening of the heart muscle, which causes obstruction to blood flow. Current treatments for HCM are non-specific and include medications like beta blockers, or invasive procedures. Mavacamten is a potential disease-specific treatment for HCM, as it targets specific proteins and calcium sensitivity in the heart muscle. Clinical trials have shown that mavacamten improves blood flow obstruction and other symptoms of HCM. Although trials have been small, mavacamten shows promise as a future treatment for HCM.
Hypertrophic cardiomyopathy (HCM) is characterized by an abnormal thickening of the myocardium, leading to left ventricular outflow tract obstruction. Current treatments for HCM include non-disease-specific medications such as beta blockers or invasive interventions. Mavacamten has been studied for its effects on adenosine triphosphatase, myocardial-specific sarcomeric proteins, and myocardial tissue calcium sensitivity. Given these properties, mavacamten could be used as a disease-specific treatment for HCM. Clinical trials of mavacamten have shown improvements in left ventricular outflow tract obstruction among other favorable improvements in biochemical markers and the clinical symptoms of the disease. While trials to date have been relatively small, mavacamten shows promise as a future disease-specific treatment for HCM.

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