Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy
Childhood hypertrophic cardiomyopathy; Outcomes; Phenotype
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:11351/8165 |
| Acceso en línea: | https://hdl.handle.net/11351/8165 http://hdl.handle.net/11351/8165 |
| Access Level: | acceso abierto |
| Palabra clave: | Miocardi - Malalties - Diagnòstic Cor - Hipertròfia - Diagnòstic Insuficiència cardíaca DISEASES::Cardiovascular Diseases::Heart Diseases::Cardiomyopathies::Cardiomyopathy, Hypertrophic Other subheadings::Other subheadings::/diagnosis DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Failure ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart Transplantation ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::miocardiopatías::miocardiopatía hipertrófica Otros calificadores::Otros calificadores::/diagnóstico ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::insuficiencia cardíaca TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos cardíacos::trasplante de corazón |
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Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy |
| title |
Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy |
| spellingShingle |
Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy Norrish, Gabrielle Miocardi - Malalties - Diagnòstic Cor - Hipertròfia - Diagnòstic Insuficiència cardíaca DISEASES::Cardiovascular Diseases::Heart Diseases::Cardiomyopathies::Cardiomyopathy, Hypertrophic Other subheadings::Other subheadings::/diagnosis DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Failure ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart Transplantation ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::miocardiopatías::miocardiopatía hipertrófica Otros calificadores::Otros calificadores::/diagnóstico ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::insuficiencia cardíaca TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos cardíacos::trasplante de corazón |
| title_short |
Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy |
| title_full |
Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy |
| title_fullStr |
Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy |
| title_full_unstemmed |
Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy |
| title_sort |
Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy |
| dc.creator.none.fl_str_mv |
Norrish, Gabrielle Cleary, Aoife Field, Ella Boleti, Olga Ziolkowska, Lidia Gran Ipiña, Ferran Cervi, Elena |
| author |
Norrish, Gabrielle |
| author_facet |
Norrish, Gabrielle Cleary, Aoife Field, Ella Boleti, Olga Ziolkowska, Lidia Gran Ipiña, Ferran Cervi, Elena |
| author_role |
author |
| author2 |
Cleary, Aoife Field, Ella Boleti, Olga Ziolkowska, Lidia Gran Ipiña, Ferran Cervi, Elena |
| author2_role |
author author author author author author |
| dc.contributor.none.fl_str_mv |
Institut Català de la Salut [Norrish G] Centre for Inherited Cardiovascular Diseases, Great Ormond Street Hospital, London, United Kingdom. Institute of Cardiovascular Sciences, University College London, London, United Kingdom. [Cleary A, Field E, Cervi E] Centre for Inherited Cardiovascular Diseases, Great Ormond Street Hospital, London, United Kingdom. [Boleti O] Institute of Cardiovascular Sciences, University College London, London, United Kingdom. [Ziółkowska L] The Children’s Memorial Health Institute, Warsaw, Poland. [Gran F] Vall d’Hebron Hospital Universitari, Barcelona, Spain Vall d'Hebron Barcelona Hospital Campus |
| dc.subject.none.fl_str_mv |
Miocardi - Malalties - Diagnòstic Cor - Hipertròfia - Diagnòstic Insuficiència cardíaca DISEASES::Cardiovascular Diseases::Heart Diseases::Cardiomyopathies::Cardiomyopathy, Hypertrophic Other subheadings::Other subheadings::/diagnosis DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Failure ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart Transplantation ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::miocardiopatías::miocardiopatía hipertrófica Otros calificadores::Otros calificadores::/diagnóstico ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::insuficiencia cardíaca TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos cardíacos::trasplante de corazón |
| topic |
Miocardi - Malalties - Diagnòstic Cor - Hipertròfia - Diagnòstic Insuficiència cardíaca DISEASES::Cardiovascular Diseases::Heart Diseases::Cardiomyopathies::Cardiomyopathy, Hypertrophic Other subheadings::Other subheadings::/diagnosis DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Failure ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart Transplantation ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::miocardiopatías::miocardiopatía hipertrófica Otros calificadores::Otros calificadores::/diagnóstico ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::insuficiencia cardíaca TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos cardíacos::trasplante de corazón |
| description |
Childhood hypertrophic cardiomyopathy; Outcomes; Phenotype |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 2022 2022 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://hdl.handle.net/11351/8165 http://hdl.handle.net/11351/8165 |
| url |
https://hdl.handle.net/11351/8165 http://hdl.handle.net/11351/8165 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Journal of the American College of Cardiology;79(20) https://doi.org/10.1016/j.jacc.2022.03.347 |
| dc.rights.none.fl_str_mv |
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
| dc.publisher.none.fl_str_mv |
Elsevier |
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Elsevier |
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Scientia reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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1869417807316254720 |
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Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic CardiomyopathyNorrish, GabrielleCleary, AoifeField, EllaBoleti, OlgaZiolkowska, LidiaGran Ipiña, FerranCervi, ElenaMiocardi - Malalties - DiagnòsticCor - Hipertròfia - DiagnòsticInsuficiència cardíacaDISEASES::Cardiovascular Diseases::Heart Diseases::Cardiomyopathies::Cardiomyopathy, HypertrophicOther subheadings::Other subheadings::/diagnosisDISEASES::Cardiovascular Diseases::Heart Diseases::Heart FailureANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart TransplantationENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::miocardiopatías::miocardiopatía hipertróficaOtros calificadores::Otros calificadores::/diagnósticoENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::insuficiencia cardíacaTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos cardíacos::trasplante de corazónChildhood hypertrophic cardiomyopathy; Outcomes; PhenotypeMiocardiopatía hipertrófica infantil; Resultados; FenotipoMiocardiopatia hipertròfica infantil; Resultats; FenotipBackground Up to one-half of childhood sarcomeric hypertrophic cardiomyopathy (HCM) presents before the age of 12 years, but this patient group has not been systematically characterized. Objectives The aim of this study was to describe the clinical presentation and natural history of patients presenting with nonsyndromic HCM before the age of 12 years. Methods Data from the International Paediatric Hypertrophic Cardiomyopathy Consortium on 639 children diagnosed with HCM younger than 12 years were collected and compared with those from 568 children diagnosed between 12 and 16 years. Results At baseline, 339 patients (53.6%) had family histories of HCM, 132 (20.9%) had heart failure symptoms, and 250 (39.2%) were prescribed cardiac medications. The median maximal left ventricular wall thickness z-score was 8.7 (IQR: 5.3-14.4), and 145 patients (27.2%) had left ventricular outflow tract obstruction. Over a median follow-up period of 5.6 years (IQR: 2.3-10.0 years), 42 patients (6.6%) died, 21 (3.3%) underwent cardiac transplantation, and 69 (10.8%) had life-threatening arrhythmic events. Compared with those presenting after 12 years, a higher proportion of younger patients underwent myectomy (10.5% vs 7.2%; P = 0.045), but fewer received primary prevention implantable cardioverter-defibrillators (18.9% vs 30.1%; P = 0.041). The incidence of mortality or life-threatening arrhythmic events did not differ, but events occurred at a younger age. Conclusions Early-onset childhood HCM is associated with a comparable symptom burden and cardiac phenotype as in patients presenting later in childhood. Long-term outcomes including mortality did not differ by age of presentation, but patients presenting at younger than 12 years experienced adverse events at younger ages.This work was supported by the British Heart Foundation (grant FS/16/72/32270) to Drs Norrish and Kaski. This work is (partly) funded by the National Institute for Health Research Great Ormond Street Hospital Biomedical Research Centre. Dr Norrish is supported by Great Ormond Street Hospital Children’s Charity. Drs Field and Kaski are supported by Max’s Foundation and Great Ormond Street Hospital Children’s Charity. Dr Kaski is supported by a Medical Research Council–National Institute for Health Research Clinical Academic Research Partnership award. This work was financially supported by the Foundation for Paediatric Research of Finland (Dr Ojala). Dr Fernandez has received speaker fees from Sanofi-Genzyme. Dr Kubus is supported by MH CZ – DRO, Motol University Hospital (00064203). All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.ElsevierInstitut Català de la Salut[Norrish G] Centre for Inherited Cardiovascular Diseases, Great Ormond Street Hospital, London, United Kingdom. Institute of Cardiovascular Sciences, University College London, London, United Kingdom. [Cleary A, Field E, Cervi E] Centre for Inherited Cardiovascular Diseases, Great Ormond Street Hospital, London, United Kingdom. [Boleti O] Institute of Cardiovascular Sciences, University College London, London, United Kingdom. [Ziółkowska L] The Children’s Memorial Health Institute, Warsaw, Poland. [Gran F] Vall d’Hebron Hospital Universitari, Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/8165http://hdl.handle.net/11351/8165Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésJournal of the American College of Cardiology;79(20)https://doi.org/10.1016/j.jacc.2022.03.347Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/81652026-05-29T05:05:01Z |
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15.811543 |