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Table 1 Clinical, echocardiographic, electrocardiographic, and cardiac magnetic resonance imaging findings in controls and patients with hypertrophic cardiomyopathy according to sarcomere gene mutations

From: Contribution of sarcomere gene mutations to left atrial function in patients with hypertrophic cardiomyopathy

 

Control (n = 30)

HCM (n = 212)

 

Presence of sarcomere protein gene variant group (n = 67)

Absence of sarcomere protein gene variant group (n = 145)

‡p

Age, years

58.9 ± 2.6

54.8 ± 14.3

61.3 ± 12.8

0.001

Women, n (%)

10 (33)

25 (37)

38 (26)

0.106

Hypertension, n (%)

11 (37)*

28 (42)

91 (63)

0.004

Diabetes, n (%)

5 (17)

12 (18)

27 (19)

0.884

Persistent AF at echo, n (%)

 

11 (16)

14 (10)

0.156

NSVT at 24-h Holter, n (%) (n = 123)

 

10 (22)

7 (9)

0.049

5-year SCD risk, % (n = 123)

 

2.64 ± 1.51

2.01 ± 1.66

0.040

Echocardiography

 ApHCM, n (%)

 

21 (31)

79 (55)

0.001

 Dynamic obstruction, n (%)

 

13 (19)

36 (25)

0.370

 LV ejection fraction, %

65.7 ± 3.8

63.8 ± 7.3

64.9 ± 5.8

0.239

 LA volume index, mL/m2

19.8 ± 3.4†

41.0 ± 22.0

34.9 ± 15.0

0.045

 e’, cm/s

6.9 ± 1.5†

5.1 ± 1.8

5.1 ± 1.7

0.960

 a’, cm/s

10.3 ± 1.7†

6.9 ± 2.0

7.8 ± 1.9

0.004

 s′, cm/s

8.8 ± 1.6†

6.6 ± 1.6

6.8 ± 1.8

0.408

 E, cm/s

64.5 ± 14.1

71.0 ± 23.2

68.7 ± 18.0

0.463

 A, cm/s

75.7 ± 15.9

61.9 ± 19.6

72.4 ± 20.8

0.001

 E/e′

9.8 ± 2.8†

15.4 ± 6.7

14.6 ± 5.5

0.371

 Maximal thickness, mm

 

19.7 ± 3.7

18.6 ± 3.4

0.035

CMR (n = 135)

 LVEDV, mL

 

133.6 ± 28.6

135.7 ± 28.2

0.698

 LVESV, mL

 

51.7 ± 23.1

46.9 ± 18.5

0.208

 LV mass index, g/m2

 

88.0 ± 21.1

84.8 ± 23.8

0.456

 LV mass/volume ratio

 

1.19 ± 0.32

1.14 ± 0.32

0.469

 Presence of LGE in LV (n = 133)

 

37 (90)

55 (60)

< 0.001

 Number of LGE segments in LV(n = 133)

 

4.9 ± 2.8

2.9 ± 3.5

0.002

 % LGE amount of LV(n = 133)

 

10.6 ± 10.1

6.4 ± 9.3

0.040

 LV myocardial GLS, %

 

−14.6 ± 5.7

−16.2 ± 4.0

0.100

 LV endocardial GLS, %

 

−17.5 ± 5.5

−20.6 ± 4.2

0.058

 LA minimal volume index, mL/m2

 

49.0 ± 35.9

37.3 ± 20.4

0.053

 LA GLS, %

 

17.7 ± 11.5

19.8 ± 9.1

0.288

 LA total emptying fraction, %

 

37.0 ± 18.5

44.2 ± 12.4

0.025

 LA reserve fraction, %

 

73.1 ± 52.1

89.3 ± 50.8

0.090

 LA conduit fraction, % (n = 119)

 

20.0 ± 11.7

21.8 ± 8.3

0.433

 LA active emptying fraction, % (n = 119)

 

27.0 ± 14.8

31.3 ± 11.3

0.093

  1. *p < 0.05; †p < 0.01, compared with total patients with hypertrophic cardiomyopathy; ‡p, comparisons between patients with and without sarcomere gene mutations; HCM hypertrophic cardiomyopathy; ApHCM apical HCM; AF atrial fibrillation; NSVT non-sustained ventricular tachycardia; SCD sudden cardiac death; LV left ventricle; LVEDV LV end-diastolic volume; LVESV LV end-systolic volume; LVEF LV ejection fraction; LA left atrial; e’ early diastolic mitral annular velocity; a’ late diastolic mitral annular velocity; s’, systolic mitral annular tissue velocity; E early diastolic transmitral inflow velocity; A late diastolic transmitral inflow velocity; LGE late gadolinium enhancement, GLS global longitudinal strain