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Impact of SARS-Cov-2 infection in patients with hypertrophic cardiomyopathy: results of an international multicentre registry

dc.contributor.authorGimeno, Juan R.
dc.contributor.authorOlivotto, Iacopo
dc.contributor.authorRodríguez, Ana Isabel
dc.contributor.authorHo, Carolyn Y.
dc.contributor.authorFernández, Adrián
dc.contributor.authorQuiroga, Alejandro
dc.contributor.authorEspinosa, Mari Angeles
dc.contributor.authorGómez-González, Cristina
dc.contributor.authorRobledo, María
dc.contributor.authorTojal-Sierra, Lucas
dc.contributor.authorDay, Sharlene M.
dc.contributor.authorOwens, Anjali
dc.contributor.authorBarriales-Villa, Roberto
dc.contributor.authorLarrañaga, Jose María
dc.contributor.authorRodríguez-Palomares, Jose
dc.contributor.authorGonzález-del-Hoyo, Maribel
dc.contributor.authorPiqueras-Flores, Jesús
dc.contributor.authorReza, Nosheen
dc.contributor.authorChumakova, Olga
dc.contributor.authorAshley, Euan A.
dc.contributor.authorParikh, Victoria
dc.contributor.authorWheeler, Matthew
dc.contributor.authorJacoby, Daniel
dc.contributor.authorPereira, Alexandre C.
dc.contributor.authorSaberi, Sara
dc.contributor.authorHelms, Adam S.
dc.contributor.authorVillacorta, Eduardo
dc.contributor.authorGallego-Delgado, María
dc.contributor.authorCastro, Daniel
dc.contributor.authorDomínguez, Fernando
dc.contributor.authorRipoll-Vera, Tomás
dc.contributor.authorZorio-Grima, Esther
dc.contributor.authorSánchez-Martínez, José Carlos
dc.contributor.authorGarcía-Álvarez, Ana
dc.contributor.authorArbelo, Elena
dc.contributor.authorMogollón, María Victoria
dc.contributor.authorFuentes-Cañamero, María Eugenia
dc.contributor.authorGrande, Elias
dc.contributor.authorPeña, Carlos
dc.contributor.authorMonserrat, Lorenzo
dc.contributor.authorLakdawala, Neal K.
dc.contributor.authorMuñoz-Esparza, Carmen
dc.date.accessioned2022-08-02T18:56:13Z
dc.date.available2023-09-02 14:56:12en
dc.date.available2022-08-02T18:56:13Z
dc.date.issued2022-08
dc.identifier.citationGimeno, Juan R.; Olivotto, Iacopo; Rodríguez, Ana Isabel ; Ho, Carolyn Y.; Fernández, Adrián ; Quiroga, Alejandro; Espinosa, Mari Angeles; Gómez-González, Cristina ; Robledo, María ; Tojal-Sierra, Lucas ; Day, Sharlene M.; Owens, Anjali; Barriales-Villa, Roberto ; Larrañaga, Jose María ; Rodríguez-Palomares, Jose ; González-del-Hoyo, Maribel ; Piqueras-Flores, Jesús ; Reza, Nosheen; Chumakova, Olga; Ashley, Euan A.; Parikh, Victoria; Wheeler, Matthew; Jacoby, Daniel; Pereira, Alexandre C.; Saberi, Sara; Helms, Adam S.; Villacorta, Eduardo; Gallego-Delgado, María ; Castro, Daniel; Domínguez, Fernando ; Ripoll-Vera, Tomás ; Zorio-Grima, Esther ; Sánchez-Martínez, José Carlos ; García-Álvarez, Ana ; Arbelo, Elena; Mogollón, María Victoria ; Fuentes-Cañamero, María Eugenia ; Grande, Elias; Peña, Carlos ; Monserrat, Lorenzo; Lakdawala, Neal K.; Muñoz-Esparza, Carmen (2022). "Impact of SARS- Cov- 2 infection in patients with hypertrophic cardiomyopathy: results of an international multicentre registry." ESC Heart Failure 9(4): 2189-2198.
dc.identifier.issn2055-5822
dc.identifier.issn2055-5822
dc.identifier.urihttps://hdl.handle.net/2027.42/173082
dc.description.abstractAimsTo describe the natural history of SARS-CoV-2 infection in patients with hypertrophic cardiomyopathy (HCM) compared with a control group and to identify predictors of adverse events.Methods and resultsThree hundred and five patients [age 56.6 ± 16.9 years old, 191 (62.6%) male patients] with HCM and SARS-Cov-2 infection were enrolled. The control group consisted of 91 131 infected individuals. Endpoints were (i) SARS-CoV-2 related mortality and (ii) severe clinical course [death or intensive care unit (ICU) admission]. New onset of atrial fibrillation, ventricular arrhythmias, shock, stroke, and cardiac arrest were also recorded. Sixty-nine (22.9%) HCM patients were hospitalized for non-ICU level care, and 21 (7.0%) required ICU care. Seventeen (5.6%) died: eight (2.6%) of respiratory failure, four (1.3%) of heart failure, two (0.7%) suddenly, and three (1.0%) due to other SARS-CoV-2-related complications. Covariates associated with mortality in the multivariable were age {odds ratio (OR) per 10 year increase 2.25 [95% confidence interval (CI): 1.12–4.51], P = 0.0229}, baseline New York Heart Association class [OR per one-unit increase 4.01 (95%CI: 1.75–9.20), P = 0.0011], presence of left ventricular outflow tract obstruction [OR 5.59 (95%CI: 1.16–26.92), P = 0.0317], and left ventricular systolic impairment [OR 7.72 (95%CI: 1.20–49.79), P = 0.0316]. Controlling for age and sex and comparing HCM patients with a community-based SARS-CoV-2 cohort, the presence of HCM was associated with a borderline significant increased risk of mortality OR 1.70 (95%CI: 0.98–2.91, P = 0.0600).ConclusionsOver one-fourth of HCM patients infected with SARS-Cov-2 required hospitalization, including 6% in an ICU setting. Age and cardiac features related to HCM, including baseline functional class, left ventricular outflow tract obstruction, and systolic impairment, conveyed increased risk of mortality.
dc.publisherWiley Periodicals, Inc.
dc.subject.otherSARS-CoV-2 infection
dc.subject.otherRegistry
dc.subject.otherPrognosis
dc.subject.otherHypertrophic cardiomyopathy
dc.subject.otherCOVID-19
dc.subject.otherHeart failure
dc.titleImpact of SARS-Cov-2 infection in patients with hypertrophic cardiomyopathy: results of an international multicentre registry
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelCardiovascular Medicine
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/173082/1/ehf213964_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/173082/2/ehf213964.pdf
dc.identifier.doi10.1002/ehf2.13964
dc.identifier.sourceESC Heart Failure
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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