RT Book, Section A1 Arbustini, Eloisa A1 Maron, Barry J. A1 Narula, Navneet A1 Narula, Jagat A2 Fuster, Valentin A2 Narula, Jagat A2 Vaishnava, Prashant A2 Leon, Martin B. A2 Callans, David J. A2 Rumsfeld, John S. A2 Poppas, Athena SR Print(0) ID 1202447930 T1 Classification of Cardiomyopathies T2 Fuster and Hurst's The Heart, 15e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264257560 LK accesscardiology.mhmedical.com/content.aspx?aid=1202447930 RD 2024/04/23 AB Chapter SummaryThis chapter reviews the evolving classification of cardiomyopathies over the last 65 years, which were first defined in 1957 as noncoronary cardiomyopathies or isolated noncoronary myocardial diseases (see Fuster and Hurst’s Central Illustration). In 2013, the World Heart Federation (WHF) endorsed a systematic classification referred to as MOGE(S), which combined two complementary concepts from the previous American Heart Association (AHA) and European Society of Cardiology (ESC) recommendations. The system of classification describes morphofunctional presentation (M), organ involvement (O), genetic basis (G), precise description of (genetic or acquired) etiology (E) and functional New York Heart Association (NYHA) class and American College of Cardiology (ACC)–AHA status (S). In the 2019 classification of cardiomyopathies in children, the AHA incorporated the elements of MOGE(S) in a hierarchy system based on the structural and functional phenotype with genetic and nongenetic causes as subcategories. Going forward, each new formula for reporting the classification will have to realize the need for short and rapid communication tools that can be universally adopted, but we must also recognize that the acceptance of every new proposal by the clinical community takes time. Any commitment of the clinical community has to go beyond the phenotype and include the cause as mandatory information, so that all cardiologists share a common diagnostic language.