Author + information
- Srikanth Yandrapalli,
- Sohaib Tariq,
- Prakash Harikrishnan,
- Venkat Lakshmi Kishan Vuddanda,
- Abdallah Sanaani,
- Wilbert Aronow,
- Sachin Sule,
- Alan Gass,
- Chhaya Aggarwal,
- William Frishman,
- Gregg Fonarow,
- Ali Ahmed,
- Gregg Lanier,
- Howard Cooper and
- Julio Panza
Background: Chagas heart disease (CHD) is an underdiagnosed entity with serious clinical implications. Data are limited regarding the demographics and clinical aspects of CHD in the United States.
Methods: Using the U.S. Nationwide Inpatient Sample databases 2003 through 2012 and appropriate ICD-9 codes, we identified hospitalizations in patients ≥ 18 years of age with a primary or secondary diagnosis of Chagas disease and CHD. Cardiac manifestations and outcomes were analyzed after excluding other cardiomyopathies.
Results: Of the 1,577 hospitalizations with a diagnosis of Chagas disease, 1050 (66.6%) had diagnosed CHD (mean age 57±15 years, 50.0% women, 74.1% Hispanic). The largest numbers of CHD cases were seen in California (33%), followed by Florida (14%) and New York (10%). Congestive heart failure (CHF) (28%) was the most common primary discharge diagnosis, followed by dysrhythmias (9.4%). In patients with CHD, CHF was present in 63%, arrhythmias in 58.5%, conduction abnormalities in 12.2%, and cardiac devices in 41.2% (Fig. 1). Median length of stay was 5 days, median hospitalization charges were US$ 33,591, and allcause inpatient mortality was 3.3%.
Conclusions: Hospitalization with a recognized diagnosis of CHD is uncommon in the US. Patients hospitalized with CHD are generally young and demonstrate severe cardiac disease, including a very high burden of CHF and arrhythmias. The rates of device implantation are high in CHD population. CHD is associated with substantial hospitalization costs.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: The Evolving World of LVADs, Transplant and Other Novel Discoveries
Abstract Category: 13. Heart Failure and Cardiomyopathies: Clinical
Presentation Number: 1294-275
- 2017 American College of Cardiology Foundation