Registo Português de Miocardiopatia Hipertrófica

Bibliographic Details
Main Author: Cardim, Nuno
Publication Date: 2018
Other Authors: Brito, Dulce, Rocha Lopes, Luís, Freitas, António, Araújo, Carla, Belo, Adriana, Gonçalves, Lino, Mimoso, Jorge, Olivotto, Iacopo, Elliott, Perry, Madeira, Hugo
Format: Article
Language: por
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/147561
Summary: Funding Information: Gold: Jaba Recordati, Merck Serono, Sanofi-Genzyme, Shire; Silver: Medinfar, Servier IOi was supported by the Italian Ministry of Health (“LVH in aortic valve disease and HCM: genetic basis, biophysical correlates and viral therapy models” (RF-2013-02356787), and NET-2011-02347173 (“Mechanisms and treatment of coronary microvascular dysfunction in patients with genetic or secondary LVH”); and by Telethon Italy (GGP13162). Publisher Copyright: © 2017 Sociedade Portuguesa de Cardiologia
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spelling Registo Português de Miocardiopatia HipertróficaThe Portuguese Registry of Hypertrophic CardiomyopathyOverall resultsresultados globaisHypertrophic cardiomyopathyLeft ventricular hypertrophyOutcomeRegistryCardiology and Cardiovascular MedicineFunding Information: Gold: Jaba Recordati, Merck Serono, Sanofi-Genzyme, Shire; Silver: Medinfar, Servier IOi was supported by the Italian Ministry of Health (“LVH in aortic valve disease and HCM: genetic basis, biophysical correlates and viral therapy models” (RF-2013-02356787), and NET-2011-02347173 (“Mechanisms and treatment of coronary microvascular dysfunction in patients with genetic or secondary LVH”); and by Telethon Italy (GGP13162). Publisher Copyright: © 2017 Sociedade Portuguesa de CardiologiaIntroduction: We report the results of the Portuguese Registry of Hypertrophic Cardiomyopathy, an initiative that reflects the current spectrum of cardiology centers throughout the territory of Portugal. Methods: A direct invitation to participate was sent to cardiology departments. Baseline and outcome data were collected. Results: A total of 29 centers participated and 1042 patients were recruited. Four centers recruited 49% of the patients, of whom 59% were male, and mean age at diagnosis was 53±16 years. Hypertrophic cardiomyopathy (HCM) was identified as familial in 33%. The major reason for diagnosis was symptoms (53%). HCM was obstructive in 35% of cases and genetic testing was performed in 51%. Invasive septal reduction therapy was offered to 8% (23% of obstructive patients). Most patients (84%) had an estimated five-year risk of sudden death of <6%. Thirteen percent received an implantable cardioverter-defibrillator. After a median follow-up of 3.3 years (interquartile range [P25-P75] 1.3-6.5 years), 31% were asymptomatic. All-cause mortality was 1.19%/year and cardiovascular mortality 0.65%/year. The incidence of heart failure-related death was 0.25%/year, of sudden cardiac death 0.22%/year and of stroke-related death 0.04%/year. Heart failure-related death plus heart transplantation occurred in 0.27%/year and sudden cardiac death plus equivalents occurred in 0.53%/year. Conclusions: Contemporary HCM in Portugal is characterized by relatively advanced age at diagnosis, and a high proportion of invasive treatment of obstructive forms. Long-term mortality is low; heart failure is the most common cause of death followed by sudden cardiac death. However, the burden of morbidity remains considerable, emphasizing the need for disease-specific treatments that impact the natural history of the disease.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNCardim, NunoBrito, DulceRocha Lopes, LuísFreitas, AntónioAraújo, CarlaBelo, AdrianaGonçalves, LinoMimoso, JorgeOlivotto, IacopoElliott, PerryMadeira, Hugo2023-01-13T22:20:47Z2018-012018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://hdl.handle.net/10362/147561por0870-2551PURE: 50444911https://doi.org/10.1016/j.repc.2017.08.005info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-10-21T01:36:31Zoai:run.unl.pt:10362/147561Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:38:38.275348Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Registo Português de Miocardiopatia Hipertrófica
The Portuguese Registry of Hypertrophic CardiomyopathyOverall results
resultados globais
title Registo Português de Miocardiopatia Hipertrófica
spellingShingle Registo Português de Miocardiopatia Hipertrófica
Cardim, Nuno
Hypertrophic cardiomyopathy
Left ventricular hypertrophy
Outcome
Registry
Cardiology and Cardiovascular Medicine
title_short Registo Português de Miocardiopatia Hipertrófica
title_full Registo Português de Miocardiopatia Hipertrófica
title_fullStr Registo Português de Miocardiopatia Hipertrófica
title_full_unstemmed Registo Português de Miocardiopatia Hipertrófica
title_sort Registo Português de Miocardiopatia Hipertrófica
author Cardim, Nuno
author_facet Cardim, Nuno
Brito, Dulce
Rocha Lopes, Luís
Freitas, António
Araújo, Carla
Belo, Adriana
Gonçalves, Lino
Mimoso, Jorge
Olivotto, Iacopo
Elliott, Perry
Madeira, Hugo
author_role author
author2 Brito, Dulce
Rocha Lopes, Luís
Freitas, António
Araújo, Carla
Belo, Adriana
Gonçalves, Lino
Mimoso, Jorge
Olivotto, Iacopo
Elliott, Perry
Madeira, Hugo
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Cardim, Nuno
Brito, Dulce
Rocha Lopes, Luís
Freitas, António
Araújo, Carla
Belo, Adriana
Gonçalves, Lino
Mimoso, Jorge
Olivotto, Iacopo
Elliott, Perry
Madeira, Hugo
dc.subject.por.fl_str_mv Hypertrophic cardiomyopathy
Left ventricular hypertrophy
Outcome
Registry
Cardiology and Cardiovascular Medicine
topic Hypertrophic cardiomyopathy
Left ventricular hypertrophy
Outcome
Registry
Cardiology and Cardiovascular Medicine
description Funding Information: Gold: Jaba Recordati, Merck Serono, Sanofi-Genzyme, Shire; Silver: Medinfar, Servier IOi was supported by the Italian Ministry of Health (“LVH in aortic valve disease and HCM: genetic basis, biophysical correlates and viral therapy models” (RF-2013-02356787), and NET-2011-02347173 (“Mechanisms and treatment of coronary microvascular dysfunction in patients with genetic or secondary LVH”); and by Telethon Italy (GGP13162). Publisher Copyright: © 2017 Sociedade Portuguesa de Cardiologia
publishDate 2018
dc.date.none.fl_str_mv 2018-01
2018-01-01T00:00:00Z
2023-01-13T22:20:47Z
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PURE: 50444911
https://doi.org/10.1016/j.repc.2017.08.005
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