From: Cardiac device implantation and device usage in Fabry and hypertrophic cardiomyopathy
Fabry | HCM: primary prevention | p valuec | |||
---|---|---|---|---|---|
Primary prevention | Secondary prevention | p valueb | |||
Sample size (n, %) | 36 (72) | 14 (28) | N/A | 64 | N/A |
Follow-up duration (years) | 3.8 ± 2.6 | 5.8 ± 3.9 | 0.036 | 6.4 ± 2.9 | < 0.001 |
Age (years) | 58 ± 12 | 57 ± 12 | 0.922 | 56 ± 19 | 0.516 |
Male gender (n, %) | 8 (16) | 2 (4) | 0.704 | 21 (33) | 0.373 |
On ERT (n, %) | 23 (46) | 11 (22) | 0.501 | – | N/A |
Classical mutation (n, %) | 16 (32) | 4 (8) | 0.353 | – | N/A |
BMI (kg/m2) | 27.0 ± 6.0 | 31.6 ± 7.2 | 0.087 | 28.4 ± 6.2 | 0.411 |
HR (bpm) | 64 ± 16 | 55 ± 8 | 0.265 | 66 ± 12 | 0.633 |
SBP (mmHg) | 122 ± 22 | 124 ± 19 | 0.824 | 128 ± 22 | 0.436 |
DBP (mmHg) | 71 ± 16 | 73 ± 7 | 0.785 | 76 ± 12 | 0.292 |
MSSI | 16.7 ± 9.4 | 11.9 ± 7.1 | 0.104 | – | N/A |
Comorbidities | |||||
IHD (n, %) | 2 (4) | 0 (0) | 1.000 | 3 (5) | 1.000 |
CKD stage 3–5 (n, %) | 8 (16) | 0 (0) | 0.087 | 0 (0) | < 0.005 |
HTN (n, %) | 8 (16) | 2 (4) | 0.704 | 16 (25) | 0.946 |
DM (n, %) | 3 (6) | 2 (4) | 0.611 | 4 (6) | 0.700 |
Stroke/TIA (n, %) | 7 (14) | 0 (0) | 0.169 | 2 (3) | 0.010 |
ECG | n = 48 | n = 53 | |||
Abnormal (n, %) | 33 (69) | 13 (27) | 1.000 | 43 (81) | 0.114 |
AF/PAF (n, %) | 3 (6) | 0 (0) | 0.550 | 3 (6) | 0.664 |
PR interval (ms) | 172 ± 36 | 145 ± 30 | 0.051 | 178 ± 39 | 0.557 |
QRS duration (ms) | 135 ± 32 | 134 ± 32 | 0.939 | 116 ± 31 | 0.006 |
Echocardiography | n = 48 | n = 62 | |||
LVH (n, %) | 32 (67) | 12 (25) | 1.000 | 55 (89) | 0.485 |
LA dilated (n, %) | 24 (50) | 10 (21) | 1.000 | 30 (48) | 0.060 |
CMR | n = 27 | n = 28 | |||
LVEDV (ml) | 158.2 ± 75.0 | 143.0 ± 18.3 | 0.791 | 145.0 ± 53.2 | 0.564 |
LVESV (ml) | 73.0 ± 80.3 | 26.0 | 0.594 | 54.5 ± 44.9 | 0.386 |
LVEF (%)a | 58 (53–65) | 55 (43–65) | 0.747 | 57 (55–64) | 0.904 |
LVMi (g/m2) | 143.6 ± 38.4 | 164.0 ± 45.0 | 0.379 | 102.4 ± 35.7 | 0.009 |
MWT (mm) | 21.8 ± 5.2 | 21.3 ± 4.0 | 0.867 | 21.6 ± 5.5 | 0.965 |
LGE (n, %)d | 14/16 (88) | 5/9 (56) | 0.072 | 25 (89) | 1.000 |
Extensive (> 3 AHA segments) | 11/16 (69) | 3/9 (33) | 0.115 | 14 (50) | 0.373 |
Mild (1–2 AHA segment e.g. BIFL) | 3/16 (19) | 2/9 (22) | 1.000 | 9 (32) | 0.487 |
RV insertion point | 0 (0) | 0 (0) | N/A | 2 (7) | 0.526 |
Biomarkers | |||||
High sensitive troponin T (ng/L)a | 121 (51–154) | 90 (44–272) | 0.927 | 19 (13–38) | < 0.001 |
NT-pro BNP (ng/l)a | 1708 (626–4068) | 1319 (719–1894) | 0.667 | 888 (353–2070) | 0.081 |