Mar 3, 2026
In this episode of JACC This Week, Dr. Carolyn Lam and Dr.
Harlan Krumholz spotlight a mini-focus issue on hypertrophic
cardiomyopathy (HCM), a field undergoing rapid transformation.
The discussion centers on the MAPLE-HCM trial comparing aficamten
and metoprolol in symptomatic obstructive HCM, highlighting
multidomain response analysis and what it means to measure
meaningful improvement. Beyond gradients and biomarkers, the
conversation explores a critical question: when physiologic
surrogates improve, how should we interpret patient-centered
outcomes?
Framed by the Editor’s Page, “What Does Improvement Mean?”, this
episode examines the evolving role of myosin inhibitors, disease
modification, and the tension between surrogate markers and
real-world clinical benefit.
Additional highlights include disaggregation of Asian ethnicities
in heart failure quality-of-care research and emerging evidence on
AI-driven ECG models to predict incident heart failure—underscoring
JACC’s commitment to precision, equity, and innovation.
This issue reflects a broader shift across cardiology: transforming
once-static diseases into treatable chronic conditions guided by
rigorous evidence.