Measuring the myocardial morphological and functional changes is not sufficient to assess the underlying subclinical myocardial microstructural changes in hypertrophic cardiomyopathy (HCM). Despite cardiac MRI (CMR) is advanced in characterizing the changes in myocardial microstructure, in vivo assessment of the kinetics of microstructural changes including microvasculature deficits and the mechanism underlying disease progression is still missing. We hypothesize that the impairment of myocardial perfusion may contribute to the microstructural changes in HCM. To test this, we used state-of-the-art arterial spin labeling (ASL) based CMR method to quantify the myocardial perfusion changes in a HCM mouse model.
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