PMID- 36582594 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230103 IS - 2514-2119 (Electronic) IS - 2514-2119 (Linking) VI - 7 IP - 1 DP - 2023 Jan TI - Hypertrophic cardiomyopathy in identical twins: a case series. PG - ytac452 LID - 10.1093/ehjcr/ytac452 [doi] LID - ytac452 AB - BACKGROUND: Hypertrophic cardiomyopathy in identical twins is rare. Cases of hypertrophic cardiomyopathy with homogenous and heterogeneous phenotypes have been described in the literature. CASE SUMMARY: We report a pair of monozygotic twins (Twin A and Twin B) with identical morphological expression of hypertrophic cardiomyopathy. On initial evaluation, both twins had resting left ventricular outflow tract obstruction, Grade II diastolic dysfunction, and New York Heart Association (NYHA) Class II symptoms, but they had a different clinical course afterward. Twin A progressed from NYHA Class II to Class III with a high left ventricular outflow tract pressure gradient that was unresponsive to medical treatment and required alcohol septal ablation. Twin B responded very well to medical treatment. Both patients had no risk factors for sudden cardiac death, and neither required an implantable cardioverter defibrillator. DISCUSSION: The morphology of hypertrophic cardiomyopathy has a strong genetic basis, but epigenetic factors may affect disease expression. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. FAU - Ashraf, Muddasir AU - Ashraf M AUID- ORCID: 0000-0001-9710-7610 AD - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Advocate Aurora Health, 2801 W. Kinnickinnic River Parkway, Ste. 880, Milwaukee, WI 53215, USA. FAU - Samad, Fatima AU - Samad F AUID- ORCID: 0000-0002-7388-9205 AD - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Advocate Aurora Health, 2801 W. Kinnickinnic River Parkway, Ste. 880, Milwaukee, WI 53215, USA. FAU - Jahangir, Arshad AU - Jahangir A AUID- ORCID: 0000-0001-5582-3336 AD - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Advocate Aurora Health, 2801 W. Kinnickinnic River Parkway, Ste. 880, Milwaukee, WI 53215, USA. FAU - Jan, Muhammad Fuad AU - Jan MF AUID- ORCID: 0000-0001-5072-710X AD - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Advocate Aurora Health, 2801 W. Kinnickinnic River Parkway, Ste. 880, Milwaukee, WI 53215, USA. FAU - Galazka, Patrycja AU - Galazka P AUID- ORCID: 0000-0002-5952-7996 AD - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Advocate Aurora Health, 2801 W. Kinnickinnic River Parkway, Ste. 880, Milwaukee, WI 53215, USA. FAU - Tajik, Abdul Jamil AU - Tajik AJ AUID- ORCID: 0000-0002-4784-1275 AD - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Advocate Aurora Health, 2801 W. Kinnickinnic River Parkway, Ste. 880, Milwaukee, WI 53215, USA. LA - eng PT - Case Reports DEP - 20221128 PL - England TA - Eur Heart J Case Rep JT - European heart journal. Case reports JID - 101730741 PMC - PMC9793770 OTO - NOTNLM OT - Case report OT - Environmental OT - Genetic OT - Hypertrophic cardiomyopathy OT - Identical twins COIS- Conflict of interest: None declared. EDAT- 2022/12/31 06:00 MHDA- 2022/12/31 06:01 PMCR- 2022/11/28 CRDT- 2022/12/30 02:26 PHST- 2022/05/26 00:00 [received] PHST- 2022/07/04 00:00 [revised] PHST- 2022/11/23 00:00 [accepted] PHST- 2022/12/30 02:26 [entrez] PHST- 2022/12/31 06:00 [pubmed] PHST- 2022/12/31 06:01 [medline] PHST- 2022/11/28 00:00 [pmc-release] AID - ytac452 [pii] AID - 10.1093/ehjcr/ytac452 [doi] PST - epublish SO - Eur Heart J Case Rep. 2022 Nov 28;7(1):ytac452. doi: 10.1093/ehjcr/ytac452. eCollection 2023 Jan.