Heart failure & cardiomyopathies

Stroke in Individuals With Hypertrophic Cardiomyopathy and Sleep Apnea

JACC AdvPublished Retrospective cross-sectional study

Authors' conclusion

Subjects with HCM and SAS are at risk for stroke.

Study context

Population
Adult inpatients with hypertrophic cardiomyopathy (HCM) and sleep apnea syndrome (aged >21 years), US National Inpatient Sample 2010–2019
Participants
13,581 inpatients
Outcome
Stroke and factors associated with stroke
Methodological detailsNational Inpatient Sample 2010-2019, multivariable logistic regression
  • National Inpatient Sample 2010-2019
  • Multivariable logistic regression

Main finding

As reported in the abstract

Stroke
Prevalence of stroke
3.3%
Female (positive association)
OR: 1.30
Hypertension (positive association)
OR: 1.48
Ischemic heart disease (positive association)
OR: 1.37
Dyslipidemia (positive association)
OR: 1.55
Peripheral vascular disease (positive association)
OR: 2.17
Urinary tract infections (positive association)
OR: 1.53
Age 21 to 50 years (negative association)
OR: 0.722
Obesity (negative association)
OR: 0.69
Chronic HF (negative association)
OR: 0.79
Anticoagulant use (negative association)
OR: 0.76

Observational data: associations, not effects.

Original publication

Stroke in Individuals With Hypertrophic Cardiomyopathy and Sleep Apnea. JACC Adv. Published 23 October 2025. doi:10.1016/j.jacadv.2025.102288

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