Heart failure & cardiomyopathies

Detection of Transthyretin Amyloid Cardiomyopathy by Automated Data Extraction from Electronic Health Records

ESC Heart FailPublished Retrospective cohort study

Main finding · Predictors of ATTR-CMResult — go to the resultOdds ratio 2.03 95% CI 1.28–3.22

Authors' conclusion

Not only well-known variables associated with ATTR-CM but also unique combinations of cardiac and non-cardiac phenotypes are able to predict ATTR-CM in a real-world HF population, aiding in early identification of ATTR-CM patients.

Study context

Population
Heart Failure (HF) patients, OLV Hospital Aalst, Belgium (2012–20)
Participants
3,127 HF patients
Exposure
ATTR-CM vs non-ATTR-CM
  • ATTR-CMn = 103
Outcome
Predictors of ATTR-CM
Methodological detailssingle-centre, natural language processing of electronic health records (EHRs)
  • Single-centre
  • Natural language processing of EHRs

Main finding

As reported in the abstract

Odds ratio

2.03

95% CI 1.28–3.22

ATTR-CMvs non-ATTR-CM
OR 2.03 (95% CI 1.28–3.22)
Atrial fibrillation (AF) (strongest cardiac predictor): 72% vs 60%
P = 0.02
Carpal tunnel syndrome (strongest non-cardiac predictor): 21% vs 3%
P < 0.001

Observational data: associations, not effects.

Further findings

Diagnostic delay between HF and ATTR-CM diagnosis
1.8 · mean · years

Original publication

Detection of Transthyretin Amyloid Cardiomyopathy by Automated Data Extraction from Electronic Health Records. ESC Heart Fail. Published 19 September 2023. doi:10.1002/ehf2.14517

Composed by AI from the published abstract and checked against it. How Briefs are made →

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