TY - JOUR T1 - Impact of the creation of specialized units for patients with hypertrophic cardiomyopathy JO - Revista Portuguesa de Cardiologia (English edition) T2 - AU - Negreira-Caamaño,Martín AU - Piqueras-Flores,Jesús AU - Vivo-Ortega,Inmaculada AU - Arántzazu-González-Marín,María AU - Muñoz-García,Manuel AU - Jiménez-Lozano,Alberto SN - 21742049 M3 - 10.1016/j.repce.2020.08.005 DO - 10.1016/j.repce.2020.08.005 UR - https://revportcardiol.org/en-impact-creation-specialized-units-for-articulo-S217420492100074X AB - Introduction and objectivesAccording to current international guidelines, hypertrophic cardiomyopathy (HCM) patients should be managed in specialized units. However, there is lack of data on the impact of the creation of these units in the management of HCM patients. Our goal was to assess the impact of the creation of an Inherited Inherited Diseases Cardiac Unit (ICDU) in the current management of patients with HCM. MethodsWe analyzed 114 consecutive patients (62.6±8 years old, 70.2% males) with HCM. Variables related to optimal management of HCM patients and their family study were recorded, as well as guidance on the risk of sudden death. We analyzed whether patients were assessed by the ICDU or at a general cardiology consultation (GCC). Results50 patients were assessed in the IDCU and 64 in the GCC. Familial screening was more frequent in patients assessed by the IDCU (45.3% vs. 4%; p<0.01), requesting more genetic studies of the index case (70.3% vs. 14%; p<0.01) and cardiac magnetic resonance (53.1% vs. 18%; p<0.01). Sudden death risk score was performed more frequently in patients after the creation of an IDCU (67.2% vs. 28%; p<0.01). Treatment with beta-blockers was similar in both groups (72% vs. 78.1%; p=0.24). An implantable cardiac defibrillator was indicated similarly in both groups (12.5% in ICDU and 6% in GC; p=0.24). ConclusionsThe implementation of an IDCU improved the quality of the medical care for HCM patients by performing a better study of the patients and their families. ER -