Heart failure & cardiomyopathies

The Cardiomyopathy Registry of the EURObservational Research Programme of the European Society of Cardiology: baseline data and contemporary management of adult patients with cardiomyopathies

Eur Heart JPublished Prospective observational registry

Authors' conclusion

By providing contemporary observational data on characteristics and management of patients with cardiomyopathies, the registry provides a platform for the evaluation of guideline implementation.

Study context

Population
Adults with cardiomyopathy (hypertrophic cardiomyopathy (HCM), dilated cardiomyopathy (DCM), arrhythmogenic right ventricular cardiomyopathy (ARVC) or restrictive cardiomyopathy (RCM)) in the ESC EURObservational Cardiomyopathy Registry
Participants
3,208 adults69 centres18 countries
Exposure
HCM vs DCM vs ARVC vs RCM
  • HCMn = 1,739
  • DCMn = 1,260
  • ARVCn = 143
  • RCMn = 66
Outcome
Baseline characteristics and management
Methodological detailsmultinational, consecutive patients, 69 centres in 18 countries
  • Multinational
  • Consecutive patients
  • 69 centres in 18 countries

Main finding

As reported in the abstract

Differences between cardiomyopathy subtypes in age at diagnosis, familial disease history, sustained ventricular arrhythmia history, MRI or genetic testing use, and defibrillator implantation
P < 0.001
Relatives vs probands: lower age at diagnosis
P < 0.001

Observational data: associations, not effects.

Further findings

Pilot phase (more expert centres) vs Long-Term phase

More frequent familial disease in Pilot phase
P < 0.001
More frequent diagnosis of rare underlying disease in Pilot phase
P < 0.001
More frequent defibrillator implantation in Pilot phase
P = 0.023

Southern Europe vs other geographical areas (4 areas)

More frequent familial disease in Southern Europe
P < 0.001
More frequent diagnosis via family screening in Southern Europe
P < 0.001
More frequent diagnosis of rare underlying disease in Southern Europe
P < 0.001

Original publication

The Cardiomyopathy Registry of the EURObservational Research Programme of the European Society of Cardiology: baseline data and contemporary management of adult patients with cardiomyopathies. Eur Heart J. Published 24 January 2018. doi:10.1093/eurheartj/ehx819

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