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Myocardial strain for assessment of hypertrophic cardiomyopathy (HCM) is of importance and may play a role in identifying obstruction in HCM patients. To evaluate the utility of myocardial strain for detecting left ventricular (LV) outflow tract (LVOT) obstruction in HCM patients based on magnetic resonance tissue tracking. Retrospective. In all, 44 adult HCM patients with LVOT obstruction and 108 adult HCM patients without LVOT obstruction. 1.5 T; Steady-state free-precession cine sequence; phase-sensitive inversion-prepared segmented gradient echo