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- W2890640438 abstract "Introduction We aim to evaluate trends in patient characteristics, causes of hospitalization, procedure utilization, and outcomes in hypertrophic cardiomyopathy (HCM) patients. Methods Data from the Nationwide Inpatient Sample database (NIS) were analyzed to identify all patients who had secondary diagnosis of HCM from 2007-2014. Results We identified 139,342 HCM admissions from 2007 to 2014 (mean age 66±16 years, 62% female and 75% Caucasian). There was no significant difference in nationwide trends in regard to the number of admissions. The most common reason for hospitalizations were: acute heart failure (47%), atrial fibrillation (16%), cerebrovascular accident (2%), syncope (1.5%) ventricular tachycardia (1%), and ventricular fibrillation or sudden cardiac death (VF/SCD) (0.3%) ( Table 1 ). In regard to interventions, 659 (0.47%) patients underwent alcohol septal ablation, 4790 (3.44%) underwent septal myomectomy, 659 (0.47%) underwent ablation for atrial fibrillation, 99 (0.07%) underwent ventricular tachycardia ablation, 4931 (3.54%) underwent implantable cardiac defibrillator (ICD) implantation, and 3823 (2.74%) underwent mitral valve replacement (MVR) ( Table-2 ). Overall in-hospital mortality was 3%. There was a significant trend towards lower all-cause mortality from 2007 to 2014 (3.43% Vs 2.74% respectively; P trend Conclusion AHF is the most common reason for admission among HCM patients. While there is a trend towards lower mortality in recent years, HCM patients admitted for VF/SCD and CVA have the highest mortality. Despite female patients with HCM being more likely to be hospitalized, they are less likely to undergo interventions." @default.
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- W2890640438 date "2018-08-01" @default.
- W2890640438 modified "2023-10-17" @default.
- W2890640438 title "A Comprehensive Analysis of Trends in Demographics, Interventions and Outcomes Among Patients with Hypertrophic Cardiomyopathy: A Nationwide Inpatient Sample Registry Study" @default.
- W2890640438 doi "https://doi.org/10.1016/j.cardfail.2018.07.367" @default.
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