Predicting therapies in Japanese hypertrophic cardiomyopathy patients with an implantable cardioverter–defibrillator using the 2014 European Society of Cardiology guidelines
| Autor: | Miyo Nakano, Yoshio Kobayashi, Tomohiko Hayashi, Yusuke Kondo, Haruhiro Takahira, Ryo Ito, Takatsugu Kajiyama, Masahiro Nakano, Kazuo Miyazawa |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Risk Assessment Sudden cardiac death 03 medical and health sciences 0302 clinical medicine Japan Risk Factors Internal medicine medicine Humans cardiovascular diseases 030212 general & internal medicine Societies Medical Aged Retrospective Studies business.industry Incidence Incidence (epidemiology) Hypertrophic cardiomyopathy Guideline Cardiomyopathy Hypertrophic Middle Aged Vascular surgery medicine.disease Implantable cardioverter-defibrillator Defibrillators Implantable Icd implantation Cardiac surgery Europe Primary Prevention Death Sudden Cardiac ROC Curve Cardiology Female Guideline Adherence Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart and Vessels. 36:99-104 |
| ISSN: | 1615-2573 0910-8327 |
| DOI: | 10.1007/s00380-020-01668-z |
| Popis: | Previous studies have shown that the sudden cardiac death (SCD) prediction model proposed by the 2014 European Society of Cardiology (ESC) guideline (5-Year Risk-SCD) was validated in European patients with hypertrophic cardiomyopathy (HCM). However, there are limited data on Asian patients with HCM. We assessed the validity of the estimated 5-Year Risk-SCD in Japanese HCM patients with an implantable cardioverter-defibrillator (ICD) using the2014 ESC guidelines. We retrospectively examined data of 492 consecutive Japanese patients with an ICD. Sixty-two Japanese HCM patients with an ICD were enrolled in this study, and 50 patients (81%) were followed up for ≥ 5 years. We analyzed the characteristics and outcomes of these 50 patients. We investigated the incidence of appropriate ICD therapy as categorized by the ESC guideline and compared the 5-Year Risk-SCD with the 5-year rate of appropriate shock therapies. Based on the 2012 Japanese Circulation Society guideline and the 2011guidelines of the American Heart Association and American College of Cardiology Foundation, 10 and 40 patients met classes I and IIa of the ICD recommendation, respectively. However, only 18 (36%) patients were classified into class I or IIa of the ESC guideline. Among 50 patients followed up for ≥ 5 years after ICD implantation, the incidences of appropriate ICD therapies for classes I, IIa, IIb, and III indications based on the 2014 ESC guideline were 50%, 38%, 17%, and 0%, respectively. Risk stratification for SCD using 5-Year Risk-SCD is valid in Japanese HCM patients with an ICD, and the 2014 ESC guideline might be useful for the indication of ICD implantation in Japan. |
| Databáze: | OpenAIRE |
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