Acute Myocardial Infarction in Adult Congenital Patients with Bodily Isomerism. Congenit Heart Dis 2016 Dec;11(6):548-553
Date
02/18/2016Pubmed ID
26879777DOI
10.1111/chd.12336Scopus ID
2-s2.0-84959125191 (requires institutional sign-in at Scopus site) 1 CitationAbstract
INTRODUCTION: Children born with congenital malformations of the heart are increasingly surviving into adulthood. This population of patients possesses lesion-specific complication risks while still being at risk for common illnesses. Bodily isomerism or heterotaxy, is a unique clinical entity associated with congenital malformations of the heart which further increases the risk for future cardiovascular complications. We aimed to investigate the frequency of myocardial infarction in adults with bodily isomerism.
METHODS: We utilized the 2012 iteration of the Nationwide Inpatient Sample to identify adult inpatient admissions associated with acute myocardial infarction in patients with isomerism. Data regarding demographics, comorbidities and various procedures were collected and compared between those with and without isomerism.
RESULTS: A total of 6,907,109 admissions were analyzed with a total of 172,394 admissions being associated with an initial encounter for acute myocardial infarction. The frequency of myocardial infarction did not differ between those with and without isomerism and was roughly 2% in both groups. Similarly, the number of procedures and in-hospital mortality did not differ between the two groups.
CONCLUSIONS: The frequency and short-term prognosis of acute myocardial infarction is similar in patients with and without isomerism.
Author List
Loomba RS, Aggarwal S, Buelow M, Nijhawan K, Gupta N, Alla V, Arora RRAuthor
Matthew W. Buelow MD Associate Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultChi-Square Distribution
Databases, Factual
Female
Heterotaxy Syndrome
Hospital Mortality
Hospitalization
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
Myocardial Infarction
Odds Ratio
Risk Factors
Time Factors
United States
Young Adult
