Pub Date : 2023-12-31DOI: 10.23937/2643-3966/1710060
Camkiran Volkan, Ozden Ozge, Atar Ilyas
Background: Brugada syndrome (BS) is characterized by ST segment elevation in right precordial leads (V1-3), ventricular tachycardia (VT), ventricular fibrillation (VF) and sudden cardiac death (SCD) in individuals without structural heart disease. The aim of this study was to assess parameters associated with in patients with BS. Methods: A total of 68 patients diagnosed with BS or had Brugada Type ECG Change (BTEC) between January 1997 and July 2012 at the Department of Cardiology of Başkent University Faculty of Medicine, Ankara, Turkey were included. Patients were screened every 6 months for arrhythmia-related syncope, SCD, appropriate and inappropriate defibrillation (shock), AF development and death; collectively defined as “arrhythmic events” and were the primary endpoints. Patients with and without arrhythmic events were compared. Results: The mean age was 34.9 ± 12.2 years (9-71 years), and 52 (76.5%) patients were male. Mean follow-up was 49.6 ± 37.6 months (4-188 months). Univariate analysis showed that male sex (p = 0.004), Type 1 electrocardiographic pattern (p = 0.008), SCD (p = 0.036), VT/VF history (p = 0.046), requirement for electrophysiological studies (p = 0.034), implantable cardioverter-defibrillator (ICD) placement (p = 0.014) was found to demonstrate significant differences in patients with and without arrhythmic events. In multivariable analyzes, spontaneous Type 1 ECG presence (HR = 8.54, 95% CI: 0.38-26.37; p = 0.003) and VT/VF history (HR = 9.21, 95% CI: 0.004-1.88; p = 0.002) were found to be independently associated with arrhythmic events. Conclusion: We found the presence of spontaneous type 1 ECG and a history of VT/VF to be associated with increased likelihood of arrhythmic events in BS. Comprehensive studies investigating factors that could be used for risk assessment are necessary.
{"title":"Long-Term Follow-Up of Patients with Brugada Syndrome: Foremost Risk Factors Associated with Arrhythmic Events","authors":"Camkiran Volkan, Ozden Ozge, Atar Ilyas","doi":"10.23937/2643-3966/1710060","DOIUrl":"https://doi.org/10.23937/2643-3966/1710060","url":null,"abstract":"Background: Brugada syndrome (BS) is characterized by ST segment elevation in right precordial leads (V1-3), ventricular tachycardia (VT), ventricular fibrillation (VF) and sudden cardiac death (SCD) in individuals without structural heart disease. The aim of this study was to assess parameters associated with in patients with BS. Methods: A total of 68 patients diagnosed with BS or had Brugada Type ECG Change (BTEC) between January 1997 and July 2012 at the Department of Cardiology of Başkent University Faculty of Medicine, Ankara, Turkey were included. Patients were screened every 6 months for arrhythmia-related syncope, SCD, appropriate and inappropriate defibrillation (shock), AF development and death; collectively defined as “arrhythmic events” and were the primary endpoints. Patients with and without arrhythmic events were compared. Results: The mean age was 34.9 ± 12.2 years (9-71 years), and 52 (76.5%) patients were male. Mean follow-up was 49.6 ± 37.6 months (4-188 months). Univariate analysis showed that male sex (p = 0.004), Type 1 electrocardiographic pattern (p = 0.008), SCD (p = 0.036), VT/VF history (p = 0.046), requirement for electrophysiological studies (p = 0.034), implantable cardioverter-defibrillator (ICD) placement (p = 0.014) was found to demonstrate significant differences in patients with and without arrhythmic events. In multivariable analyzes, spontaneous Type 1 ECG presence (HR = 8.54, 95% CI: 0.38-26.37; p = 0.003) and VT/VF history (HR = 9.21, 95% CI: 0.004-1.88; p = 0.002) were found to be independently associated with arrhythmic events. Conclusion: We found the presence of spontaneous type 1 ECG and a history of VT/VF to be associated with increased likelihood of arrhythmic events in BS. Comprehensive studies investigating factors that could be used for risk assessment are necessary.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"122 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139132823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical and Day-to-Day Burden on Families of Children with Hypoplastic Left Heart Syndrome Who Have Undergone Single Ventricle Surgical Palliation over a Decade","authors":"Hanft Erin, Abascal Elena, Ferris Anne, Parravicini Elvira","doi":"10.23937/2643-3966/1710059","DOIUrl":"https://doi.org/10.23937/2643-3966/1710059","url":null,"abstract":"","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"1 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.23937/2643-3966/1710052
W. Sachini, Paudel Grish, Yadav Uday Narayan, I. Shariful, Rawal Lal
{"title":"Cardiovascular Diseases Risk Assessment among South and South-East Asian Migrants Living in Greater Sydney, Australia: A Cross-Sectional Study","authors":"W. Sachini, Paudel Grish, Yadav Uday Narayan, I. Shariful, Rawal Lal","doi":"10.23937/2643-3966/1710052","DOIUrl":"https://doi.org/10.23937/2643-3966/1710052","url":null,"abstract":"","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121831649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.23937/2643-3966/1710053
Kapuku Gaston K, Brown Michelle L, Suzuki Shin, Coughlin Stephen
{"title":"Persistence of Stress Related Left Ventricular Filling Abnormality in Treated Hypertensive Patients","authors":"Kapuku Gaston K, Brown Michelle L, Suzuki Shin, Coughlin Stephen","doi":"10.23937/2643-3966/1710053","DOIUrl":"https://doi.org/10.23937/2643-3966/1710053","url":null,"abstract":"","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131102807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.23937/2643-3966/1710050
G. Zagarese, A. Varriale, G. Puntel, G. Pesarini, A. Cristofaletti, C. Sandrini, F. Ribichini, M. Prioli
{"title":"A Case Series: Long-Term Follow-Up of Four Patients with Kawasaki Disease who Developed Coronary Artery Disease","authors":"G. Zagarese, A. Varriale, G. Puntel, G. Pesarini, A. Cristofaletti, C. Sandrini, F. Ribichini, M. Prioli","doi":"10.23937/2643-3966/1710050","DOIUrl":"https://doi.org/10.23937/2643-3966/1710050","url":null,"abstract":"","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124497912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.23937/2643-3966/1710048
A. Nashwa
Background: Contrast induced acute kidney injury (CIAKI) is a known complication of percutaneous coronary intervention (PCI). Mehran Risk Score (MR score) has been previously shown to predict CIAKI, renal replacement therapy (RRT), and one-year mortality in patients undergoing PCI. The purpose of our study was to externally validate the MR score. Methods: To examine the utility of the MR score we reviewed records of 931 adult patients who underwent PCI in 2005 at 3 academic medical centers. Patients with acute myocardial infarction, end stage renal disease and contrast exposure within one week of PCI were excluded. MR score was calculated for each patient and stratified into 4 groups: MR score 0-5 (group 1), 6-10 (group 2), 11-15 (group 3), ≥ 16 (group 4). CIAKI was defined as an increase in serum creatinine of 25% or 0.5 mg/dl over baseline 48 hours post PCI. Need for hemodialysis was assessed within 1 month after PCI. All-cause mortality was assessed 1 year after PCI. Likelihood ratio was calculated to assess the MR score discrimination for our data as well as Mehran, et al. Results: The overall incidence of CIAKI, hemodialysis and mortality were 12.2%, 0.4%, and 9.0% respectively. A higher MR score was strongly associated with development of CIAKI and mortality (p < 0.01 for trend). There was no difference in the rate of CIAKI overall or in each MR score group when the 2 populations were compared, however, the risk of death was higher in our population (RR 1.58, CI 1.371.89, p < 0.001). Conclusion: In conclusion, we were able to externally validate the MR score as a useful tool to predict CIAKI and one-year all-cause mortality post PCI.
背景:造影剂引起的急性肾损伤(CIAKI)是经皮冠状动脉介入治疗(PCI)的一种已知并发症。Mehran风险评分(MR评分)先前已被证明可预测PCI患者的CIAKI、肾脏替代治疗(RRT)和一年死亡率。我们研究的目的是外部验证MR评分。方法:为了检验MR评分的实用性，我们回顾了2005年在3个学术医疗中心接受PCI治疗的931名成年患者的记录。排除急性心肌梗死、终末期肾脏疾病和PCI治疗一周内造影剂暴露的患者。计算每位患者的MR评分，并将其分为4组:MR评分0-5分(1组)、6-10分(2组)、11-15分(3组)、≥16分(4组)。CIAKI定义为PCI后48小时血清肌酐比基线升高25%或0.5 mg/dl。PCI术后1个月内评估血液透析需求。PCI术后1年评估全因死亡率。计算似然比来评估我们的数据以及Mehran等人的MR评分歧视。结果:CIAKI、血液透析和死亡率的总发生率分别为12.2%、0.4%和9.0%。较高的MR评分与CIAKI的发展和死亡率密切相关(趋势p < 0.01)。在比较两组人群时，CIAKI的总体发生率和各MR评分组没有差异，但是，我们的人群的死亡风险更高(RR 1.58, CI 1.371.89, p < 0.001)。结论:总之，我们能够从外部验证MR评分作为预测PCI术后CIAKI和一年全因死亡率的有用工具。
{"title":"External Multicenter Validation of the Mehran Risk Score for Contrast Induced Acute Kidney Injury","authors":"A. Nashwa","doi":"10.23937/2643-3966/1710048","DOIUrl":"https://doi.org/10.23937/2643-3966/1710048","url":null,"abstract":"Background: Contrast induced acute kidney injury (CIAKI) is a known complication of percutaneous coronary intervention (PCI). Mehran Risk Score (MR score) has been previously shown to predict CIAKI, renal replacement therapy (RRT), and one-year mortality in patients undergoing PCI. The purpose of our study was to externally validate the MR score. Methods: To examine the utility of the MR score we reviewed records of 931 adult patients who underwent PCI in 2005 at 3 academic medical centers. Patients with acute myocardial infarction, end stage renal disease and contrast exposure within one week of PCI were excluded. MR score was calculated for each patient and stratified into 4 groups: MR score 0-5 (group 1), 6-10 (group 2), 11-15 (group 3), ≥ 16 (group 4). CIAKI was defined as an increase in serum creatinine of 25% or 0.5 mg/dl over baseline 48 hours post PCI. Need for hemodialysis was assessed within 1 month after PCI. All-cause mortality was assessed 1 year after PCI. Likelihood ratio was calculated to assess the MR score discrimination for our data as well as Mehran, et al. Results: The overall incidence of CIAKI, hemodialysis and mortality were 12.2%, 0.4%, and 9.0% respectively. A higher MR score was strongly associated with development of CIAKI and mortality (p < 0.01 for trend). There was no difference in the rate of CIAKI overall or in each MR score group when the 2 populations were compared, however, the risk of death was higher in our population (RR 1.58, CI 1.371.89, p < 0.001). Conclusion: In conclusion, we were able to externally validate the MR score as a useful tool to predict CIAKI and one-year all-cause mortality post PCI.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129879201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.23937/2643-3966/1710044
Khorsandi Michael, M. Nirmala, Ebrahimihoor Elnaz, Muganlinskaya Nargiz
Brugada syndrome (BrS) is an inherited electrophysiological abnormality which typically manifests in patients with diverse ethnicities as ventricular arrhythmias or sudden cardiac death. The onset is frequently unmasked by various precipitating factors including but not limited to febrile diseases. Severe acute respiratory syndrome (SARS) coronavirus 2 (SARS-CoV-2) infection and associated COVID-19 illness continues to evolve. We are reporting a severe case of Covid-19 infection unveiling the undiagnosed Brugada syndrome, and the complicated course requiring mechanical ventilation and rounds of Cardiopulmonary resuscitation. A 57-years-old Hispanic man with no known prior cardiac history presented to the emergency department with fever and altered mental status. Initial investigations revealed mild leukocytosis, and positive SARS-CoV-2 PCR. The patient was transferred to intensive care unit (ICU) due to hemodynamic instability and electrolyte derangements. On day 2 of ICU stay, patient became febrile, hypotensive, tachycardic, and his hypoxemia worsened with increased supplemental oxygen requirement. His electrocardiogram (ECG) was consistent with atrial fibrillation and covedtyped Brugada pattern. At the early hours of the subsequent day, patient developed first episode of asystolic cardiac arrest requiring cardiopulmonary resuscitations (CPR) and intubation leading to return of spontaneous circulation (ROSC) after 10 mins. Only 3 days after the initial cardiac arrest episode, patient suffered from another episode of asystolic cardiac arrest requiring CPR leading to return of normal sinus rhythm and ROSC. Patient had a successful recovery from COVID-19 pneumonia with no additional cardiac events during his hospitalization, and was subsequently extubated and discharged from hospital with close follow up monitoring. Reported cases of Brugada syndrome in Hispanic population are scarce. Covid-19 positive patients have a guarded prognosis when they require intubation with mechanical ventilation with no chances of survival when they suffer cardiac arrest requiring cardiopulmonary resuscitation. This stimulated us to report a case of Brugada syndrome presented in Hispanic man who recovered a deadly course of Covid-19 infection despite requiring intubation and complicated course by two rounds of cardiopulmonary resuscitation (CPR).
{"title":"Surviving the Death Roll; Unveiling the Undiagnosed: Case of Hispanic Man with Covid-19 Pneumonia","authors":"Khorsandi Michael, M. Nirmala, Ebrahimihoor Elnaz, Muganlinskaya Nargiz","doi":"10.23937/2643-3966/1710044","DOIUrl":"https://doi.org/10.23937/2643-3966/1710044","url":null,"abstract":"Brugada syndrome (BrS) is an inherited electrophysiological abnormality which typically manifests in patients with diverse ethnicities as ventricular arrhythmias or sudden cardiac death. The onset is frequently unmasked by various precipitating factors including but not limited to febrile diseases. Severe acute respiratory syndrome (SARS) coronavirus 2 (SARS-CoV-2) infection and associated COVID-19 illness continues to evolve. We are reporting a severe case of Covid-19 infection unveiling the undiagnosed Brugada syndrome, and the complicated course requiring mechanical ventilation and rounds of Cardiopulmonary resuscitation. A 57-years-old Hispanic man with no known prior cardiac history presented to the emergency department with fever and altered mental status. Initial investigations revealed mild leukocytosis, and positive SARS-CoV-2 PCR. The patient was transferred to intensive care unit (ICU) due to hemodynamic instability and electrolyte derangements. On day 2 of ICU stay, patient became febrile, hypotensive, tachycardic, and his hypoxemia worsened with increased supplemental oxygen requirement. His electrocardiogram (ECG) was consistent with atrial fibrillation and covedtyped Brugada pattern. At the early hours of the subsequent day, patient developed first episode of asystolic cardiac arrest requiring cardiopulmonary resuscitations (CPR) and intubation leading to return of spontaneous circulation (ROSC) after 10 mins. Only 3 days after the initial cardiac arrest episode, patient suffered from another episode of asystolic cardiac arrest requiring CPR leading to return of normal sinus rhythm and ROSC. Patient had a successful recovery from COVID-19 pneumonia with no additional cardiac events during his hospitalization, and was subsequently extubated and discharged from hospital with close follow up monitoring. Reported cases of Brugada syndrome in Hispanic population are scarce. Covid-19 positive patients have a guarded prognosis when they require intubation with mechanical ventilation with no chances of survival when they suffer cardiac arrest requiring cardiopulmonary resuscitation. This stimulated us to report a case of Brugada syndrome presented in Hispanic man who recovered a deadly course of Covid-19 infection despite requiring intubation and complicated course by two rounds of cardiopulmonary resuscitation (CPR).","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130483982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 59-year-old woman was referred for evaluation of chest pain and she was diagnosed of acute coronary syndrome. Coronary arteriography showed a severe stenosis of left anterior descending artery but also the presence of multiple coronary artery-left ventricle micro-fistulae. Echocardiographic findings were consistent with apical hypertrophic cardiomyopathy and the fistulae were also patent by colour Doppler echocardiography. Little is known about clinical features of micro-fistulae arising from both coronary arteries and emptying into left ventricle, especially when they are associated with apical hypertrophic cardiomyopathy.
{"title":"A Rare Association: Apical Hypertrophic Cardiomyopathy with Multiple Coronary Artery-Left Ventricular Fistulae","authors":"Monedero-Sánchez Isabel, Robles-Velasco Pablo, Rubio-Caballero Amador, González-Doforno Yago, Marco-Quirós Cecilia, Espejo-Bares Victoria, Artiaga-de-la-Barrera Verónica, Jiménez-Martínez Carla","doi":"10.23937/2643-3966/1710045","DOIUrl":"https://doi.org/10.23937/2643-3966/1710045","url":null,"abstract":"A 59-year-old woman was referred for evaluation of chest pain and she was diagnosed of acute coronary syndrome. Coronary arteriography showed a severe stenosis of left anterior descending artery but also the presence of multiple coronary artery-left ventricle micro-fistulae. Echocardiographic findings were consistent with apical hypertrophic cardiomyopathy and the fistulae were also patent by colour Doppler echocardiography. Little is known about clinical features of micro-fistulae arising from both coronary arteries and emptying into left ventricle, especially when they are associated with apical hypertrophic cardiomyopathy.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127066750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.23937/2643-3966/1710046
Niraula Sristee, Oli Shital, L. Janette
{"title":"Cardiac Arrhythmia Associated with Remdesivir in COVID-19","authors":"Niraula Sristee, Oli Shital, L. Janette","doi":"10.23937/2643-3966/1710046","DOIUrl":"https://doi.org/10.23937/2643-3966/1710046","url":null,"abstract":"","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132641354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-25DOI: 10.23937/2643-3966/1710047
Watanabe Shingo
Background: The number of patients with heart failure (HF) is increasing, which is a socio-economic problem. Past overseas studies have reported that low-income patients with HF do not receive adequate treatment for financial reasons and have poor clinical outcomes. In Japan, medical expenses are free if they receive public assistance called Seikatsu hogo (PA), and there is no disadvantage to low-income patients regarding medical expenses. The purpose of this study is to investigate the clinical characteristics of patients with HF who receive PA in Japan. Methods: We enrolled 301 patients who were admitted to our hospital for the congestive HF. We divided patients into groups of patients receiving PA (PA group, N = 51) and groups of patients not receiving PA (Non-WPA group, N = 250). We compared patient clinical characteristics at admission, and the incidence of one-year cardiovascular events (cardiac death, readmission for HF) in both groups. Results: The PA group was significantly younger (71.1y ± 12.7 vs. 79.9y ± 12.4 P < 0.001) and more smokers (62.7% vs. 35.6% P < 0.001) than the Non-PA group. The left ventricular ejection fraction was significantly lower in the PA group than in the Non-PA group (34.6% ± 17.9 vs. 43.0% ± 18.7 P = 0.04). There was no significant difference in mortality between the two groups. The incidence of readmissions for HF was significantly higher in the PA group than in the Non-PA group (33.3% vs. 18.2% P = 0.02). Conclusion: Patients with HF who received public assistance had a poor cardiac function, and the incidence of readmission due to HF was high.
背景:心力衰竭(HF)患者数量不断增加，这是一个社会经济问题。国外既往研究报道，低收入心衰患者因经济原因得不到充分治疗，临床预后较差。在日本，如果接受公共援助(PA)，医疗费用是免费的，而且低收入患者在医疗费用方面没有任何劣势。本研究的目的是探讨日本接受PA治疗的心衰患者的临床特征。方法:选取我院收治的301例充血性心力衰竭患者。我们将患者分为接受PA治疗组(PA组，N = 51)和未接受PA治疗组(Non-WPA组，N = 250)。我们比较了两组患者入院时的临床特征和一年内心血管事件(心源性死亡、心衰再入院)的发生率。结果:与非PA组相比，PA组明显更年轻(71.1y±12.7比79.9y±12.4 P < 0.001)，吸烟者更多(62.7%比35.6% P < 0.001)。PA组左室射血分数明显低于非PA组(34.6%±17.9∶43.0%±18.7 P = 0.04)。两组患者的死亡率无显著差异。PA组HF再入院率明显高于非PA组(33.3% vs. 18.2% P = 0.02)。结论:接受公共救助的心衰患者心功能差，心衰再入院发生率高。
{"title":"Clinical Characteristics and Clinical Outcomes of Patients with Heart Failure Who Receive Public Assistance in Japan","authors":"Watanabe Shingo","doi":"10.23937/2643-3966/1710047","DOIUrl":"https://doi.org/10.23937/2643-3966/1710047","url":null,"abstract":"Background: The number of patients with heart failure (HF) is increasing, which is a socio-economic problem. Past overseas studies have reported that low-income patients with HF do not receive adequate treatment for financial reasons and have poor clinical outcomes. In Japan, medical expenses are free if they receive public assistance called Seikatsu hogo (PA), and there is no disadvantage to low-income patients regarding medical expenses. The purpose of this study is to investigate the clinical characteristics of patients with HF who receive PA in Japan. Methods: We enrolled 301 patients who were admitted to our hospital for the congestive HF. We divided patients into groups of patients receiving PA (PA group, N = 51) and groups of patients not receiving PA (Non-WPA group, N = 250). We compared patient clinical characteristics at admission, and the incidence of one-year cardiovascular events (cardiac death, readmission for HF) in both groups. Results: The PA group was significantly younger (71.1y ± 12.7 vs. 79.9y ± 12.4 P < 0.001) and more smokers (62.7% vs. 35.6% P < 0.001) than the Non-PA group. The left ventricular ejection fraction was significantly lower in the PA group than in the Non-PA group (34.6% ± 17.9 vs. 43.0% ± 18.7 P = 0.04). There was no significant difference in mortality between the two groups. The incidence of readmissions for HF was significantly higher in the PA group than in the Non-PA group (33.3% vs. 18.2% P = 0.02). Conclusion: Patients with HF who received public assistance had a poor cardiac function, and the incidence of readmission due to HF was high.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127250232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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