Cardiovascular Outcomes in Patients With Mitochondrial Disease in the United States: A Propensity Score Analysis.


Journal

Texas Heart Institute journal
ISSN: 1526-6702
Titre abrégé: Tex Heart Inst J
Pays: United States
ID NLM: 8214622

Informations de publication

Date de publication:
01 Jul 2021
Historique:
entrez: 12 8 2021
pubmed: 13 8 2021
medline: 7 9 2021
Statut: ppublish

Résumé

Mitochondrial disease comprises a wide range of genetic disorders caused by mitochondrial dysfunction. Its rarity, however, has limited the ability to assess its effects on clinical outcomes. To evaluate this relationship, we collected data from the 2016 National Inpatient Sample, which includes data from >7 million hospital stays. We identified 705 patients (mean age, 22 ± 20.7 yr; 54.2% female; 67.4% white) whose records included the ICD-10-CM code E88.4. We also identified a propensity-matched cohort of 705 patients without mitochondrial disease to examine the effect of mitochondrial disease on major adverse cardiovascular events, including all-cause in-hospital death, cardiac arrest, and acute congestive heart failure. Patients with mitochondrial disease were at significantly greater risk of major adverse cardiovascular events (odds ratio [OR]=2.42; 95% CI, 1.29-4.57; P=0.005), systolic heart failure (OR=2.37; 95% CI, 1.08-5.22; P=0.027), and all-cause in-hospital death (OR=14.22; 95% CI, 1.87-108.45; P<0.001). These findings suggest that mitochondrial disease significantly increases the risk of inpatient major adverse cardiovascular events.

Identifiants

pubmed: 34383956
pii: 469117
doi: 10.14503/THIJ-20-7243
pmc: PMC8367288
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2021 by the Texas Heart® Institute, Houston.

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Auteurs

Tran Nguyen (T)

Division of Cardiology, Department of Medicine, George Washington University, Washington, DC.

Talal Alzahrani (T)

Division of Cardiology, Department of Medicine, George Washington University, Washington, DC.

Joseph Krepp (J)

Division of Cardiology, Department of Medicine, George Washington University, Washington, DC.

Gurusher Panjrath (G)

Division of Cardiology, Department of Medicine, George Washington University, Washington, DC.

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Classifications MeSH