Ethnic Differences Among Implantable Cardioverter Defibrillators Recipients in Israel

Heart failure is an increasingly common condition arising from a variety of different pathophysiological processes. Little is known about the unique features of Israeli Arabs who present with heart failure and who undergo cardiac device implantation. The study population comprised of 4,671 patients...

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Published in:The American journal of cardiology 2015-04, Vol.115 (8), p.1102-1106
Main Authors: Sabbag, Avi, MD, Suleiman, Mahmoud, MD, Glick, Aharon, MD, Medina, Aharon, MD, Golovchiner, Gregory, MD, Steiner, Hillel, MD, Arad, Michael, MD, Goldenberg, Ilan, MD, Glikson, Michael, MD, Beinart, Roy, MD
Format: Article
Language:English
Subjects:
Age
Aged
Arab people
Cardiac arrhythmia
Cardiomyopathy
Cardiovascular
Cardiovascular disease
Cause of Death - trends
Death, Sudden, Cardiac - ethnology
Death, Sudden, Cardiac - prevention & control
Defibrillators, Implantable
Diabetes
Disease prevention
Diuretics
Ethnic Groups
Ethnicity
Family medical history
Female
Follow-Up Studies
Heart attacks
Heart failure
Heart Failure - ethnology
Heart Failure - therapy
Humans
Israel - epidemiology
Jewish people
Male
Middle Aged
Mortality
Multivariate analysis
Population
Prevalence
Prognosis
Prospective Studies
Survival Rate - trends
Variables
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creator Sabbag, Avi, MD
Suleiman, Mahmoud, MD
Glick, Aharon, MD
Medina, Aharon, MD
Golovchiner, Gregory, MD
Steiner, Hillel, MD
Arad, Michael, MD
Goldenberg, Ilan, MD
Glikson, Michael, MD
Beinart, Roy, MD
description Heart failure is an increasingly common condition arising from a variety of different pathophysiological processes. Little is known about the unique features of Israeli Arabs who present with heart failure and who undergo cardiac device implantation. The study population comprised of 4,671 patients who were enrolled in the national Israeli Implantable Cardioverter Defibrillator registry. We compared demographic, clinical, and echocardiographic characteristics; device-related indications; and outcomes between Israeli Arabs (n = 733) and Jews (n = 3,938), who were enrolled in the registry from July 2010 through December 2013. Israeli Arabs constituted 15.7% of the study population. They were younger at presentation compared with Jews (57 ± 15 vs 66 ± 12 years, respectively; p 
doi_str_mv 10.1016/j.amjcard.2015.01.538
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Little is known about the unique features of Israeli Arabs who present with heart failure and who undergo cardiac device implantation. The study population comprised of 4,671 patients who were enrolled in the national Israeli Implantable Cardioverter Defibrillator registry. We compared demographic, clinical, and echocardiographic characteristics; device-related indications; and outcomes between Israeli Arabs (n = 733) and Jews (n = 3,938), who were enrolled in the registry from July 2010 through December 2013. Israeli Arabs constituted 15.7% of the study population. They were younger at presentation compared with Jews (57 ± 15 vs 66 ± 12 years, respectively; p &lt;0.001), with a greater burden of co-morbidities, including diabetes mellitus and chronic obstructive lung disease and smoking. In addition, Arab patients had a greater frequency of non-ischemic cardiomyopathy (40.2% vs 24.6%, respectively; p &lt;0.001), which was associated with a greater frequency of familial history of sudden cardiac death. During 15 ± 9 month follow-up, the mortality rates and appropriate device therapy were similar in both ethnic groups. 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All rights reserved.</rights><rights>Copyright Elsevier Limited Apr 15, 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-5af79587d40bf4b734cb613016af7dfc17c60b6229ff6a78d577c8c1a55c3ae93</citedby><cites>FETCH-LOGICAL-c518t-5af79587d40bf4b734cb613016af7dfc17c60b6229ff6a78d577c8c1a55c3ae93</cites><orcidid>0000-0003-4295-6679</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25743210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sabbag, Avi, MD</creatorcontrib><creatorcontrib>Suleiman, Mahmoud, MD</creatorcontrib><creatorcontrib>Glick, Aharon, MD</creatorcontrib><creatorcontrib>Medina, Aharon, MD</creatorcontrib><creatorcontrib>Golovchiner, Gregory, MD</creatorcontrib><creatorcontrib>Steiner, Hillel, MD</creatorcontrib><creatorcontrib>Arad, Michael, MD</creatorcontrib><creatorcontrib>Goldenberg, Ilan, MD</creatorcontrib><creatorcontrib>Glikson, Michael, MD</creatorcontrib><creatorcontrib>Beinart, Roy, MD</creatorcontrib><title>Ethnic Differences Among Implantable Cardioverter Defibrillators Recipients in Israel</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Heart failure is an increasingly common condition arising from a variety of different pathophysiological processes. 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In addition, Arab patients had a greater frequency of non-ischemic cardiomyopathy (40.2% vs 24.6%, respectively; p &lt;0.001), which was associated with a greater frequency of familial history of sudden cardiac death. During 15 ± 9 month follow-up, the mortality rates and appropriate device therapy were similar in both ethnic groups. In conclusion, Israeli Arab patients implanted with implantable cardioverter defibrillators display unique clinical features with greater prevalence of non-ischemic cardiomyopathy characterized by an early-onset and rapid deterioration.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25743210</pmid><doi>10.1016/j.amjcard.2015.01.538</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-4295-6679</orcidid></addata></record>
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ispartof The American journal of cardiology, 2015-04, Vol.115 (8), p.1102-1106
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source ScienceDirect Journals
subjects Age
Aged
Arab people
Cardiac arrhythmia
Cardiomyopathy
Cardiovascular
Cardiovascular disease
Cause of Death - trends
Death, Sudden, Cardiac - ethnology
Death, Sudden, Cardiac - prevention & control
Defibrillators, Implantable
Diabetes
Disease prevention
Diuretics
Ethnic Groups
Ethnicity
Family medical history
Female
Follow-Up Studies
Heart attacks
Heart failure
Heart Failure - ethnology
Heart Failure - therapy
Humans
Israel - epidemiology
Jewish people
Male
Middle Aged
Mortality
Multivariate analysis
Population
Prevalence
Prognosis
Prospective Studies
Survival Rate - trends
Variables
title Ethnic Differences Among Implantable Cardioverter Defibrillators Recipients in Israel
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