Table 30: Cardiac hypertrophy including hypertrophic cardiomyopathy versus restrictive cardiomyopathy
Cardiac hypertrophy Restrictive cardiomyopathy
Prevalence High Low
Onset Late Early
Gender Female > male Male = female
Family history Uncommon except in HCM ≈ 30%
Hypertension Common Uncommon
Obesity Common Uncommon
Hypertrophy Moderate/Marked None/mild
Echocardiographic/MRI findings Diastolic dysfunction grade 1-2, mild left atrial enlargement, usually preserved ejection fraction Diastolic dysfunction grade 3, severe biatrial enlargement, preserved ejection fraction
Hemodynamics Elevated left ventricular end-diastolic pressure Steep “Y” descent, dip and plateau pattern
Coronary heart disease Common co-morbid condition Uncommon
Natriuretic peptide Variable Elevated
Endomyocardial biopsy Non-specific Specific findings