Iran: A new study published in the BMJ journal Heart has shown that adults with hypertrophic cardiomyopathy (HCM) who also have diabetes mellitus (DM) face significantly worse clinical outcomes than those without diabetes. The findings are from a GRADE-based meta-analysis conducted by Seyedeh-Tarlan Mirzohreh and colleagues from the Cardiovascular Research Center, Tabriz University of Medical Sciences, Iran. The researchers found that diabetes in HCM patients was associated with higher risks of all-cause mortality, heart failure, and atrial fibrillation (AF) . The risk of AF was especially elevated among younger patients under the age of 50, suggesting that diabetes may accelerate disease progression in this population. The systematic review and meta-analysis pooled data from

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