Publication: Historical trends in reported survival rates in patients with hypertrophic cardiomyopathy
| dc.contributor.author | Elliott, Perry M. | |
| dc.contributor.author | Gimeno Blanes, Juan Ramón | |
| dc.contributor.author | Thaman, R. | |
| dc.contributor.author | Shah, J. | |
| dc.contributor.author | Ward, D. | |
| dc.contributor.author | Dickie, S. | |
| dc.contributor.author | Tome Esteban, María T. | |
| dc.contributor.author | McKenna, W.J. | |
| dc.contributor.department | Medicina | |
| dc.contributor.other | Facultad de Medicina | |
| dc.date.accessioned | 2026-01-15T11:20:46Z | |
| dc.date.available | 2026-01-15T11:20:46Z | |
| dc.date.copyright | © 2005, BMJ Publishing Group | |
| dc.date.issued | 2005-10-10 | |
| dc.description.abstract | Objective: To determine the range of survival rates of patients with hypertrophic cardiomyopathy (HCM) by comparing and contrasting the natural history of a cohort of patients seen between 1988 and 2002 with that of other published series. Methods: 956 adult (> or = 16 years old) patients with HCM (572 men, mean (SD) age 42 (15) years, range 16-88) were evaluated by ECG, Holter, exercise testing, and echocardiography. Patient characteristics and survival data were compared with those in natural history studies from referral and non-referral centres published between 1960 and January 2003. Results: The duration of follow up was 69 (45) months. 120 (12.6%) patients died or underwent cardiac transplantation. Sudden cardiac death (n = 48) was the most common mode of death. The annual rate of sudden death or implantable cardioverter-defibrillator discharge was 1.02 (95% confidence interval (CI) 0.76 to 1.26). Annual rates for heart failure death or transplantation and stroke related death were 0.55% (95% CI 0.37% to 0.78%) and 0.07% (95% CI 0.02% to 0.19%), respectively. When studies published within the last 10 years of the study period were compared with earlier reports, the size of individual study cohorts was larger (309 (240.6) v 136.5 (98.8), p = 0.058) and the proportion with severe functional limitation NYHA class III/IV lower (12.4% v 24.8%, p < 0.0001), and fewer patients underwent septal myotomy-myectomy (5.2% v 18.7%, p < 0.0001). Published sudden death rates over the last 10 years were lower than previously published figures (median 1.0% (range 0.1-1.7) v 2.0% (0-3.5)). Conclusion: Published survival rates in HCM cohorts have improved progressively over the past 40 years. In the modern era the prevalence of disease related complications is similar in all reporting centres. | |
| dc.format | application/pdf | |
| dc.format.extent | 7 | |
| dc.identifier.citation | Heart 2006;92:785–791 | |
| dc.identifier.doi | https://doi.org/10.1136/hrt.2005.068577 | |
| dc.identifier.eissn | 1468-201X | |
| dc.identifier.issn | 1355-6037 | |
| dc.identifier.uri | http://hdl.handle.net/10201/187109 | |
| dc.language | eng | |
| dc.publisher | BMJ Publishing Group | |
| dc.relation | Sin financiación externa a la Universidad | |
| dc.relation.publisherversion | https://heart.bmj.com/content/92/6/785 | |
| dc.rights.accessRights | info:eu-repo/semantics/restrictedAccess | |
| dc.subject.ods | No relacionado con ningún objetivo de desarrollo sostenible | |
| dc.title | Historical trends in reported survival rates in patients with hypertrophic cardiomyopathy | |
| dc.type | info:eu-repo/semantics/article | |
| dc.type.version | info:eu-repo/semantics/publishedVersion | |
| dspace.entity.type | Publication | es |
| relation.isAuthorOfPublication | 4d37f6b7-66c0-4f9a-81c7-72d9bd67f2fb | |
| relation.isAuthorOfPublication.latestForDiscovery | 4d37f6b7-66c0-4f9a-81c7-72d9bd67f2fb |
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