Aggarwal, Chhaya

Aronow, Wilbert S

Cooper, Howard A

Frishman, William H

Gass, Alan L

Harikrishnan, Prakash

Iwai, Sei

Lanier, Gregg M

Panza, Julio A

Solangi, Zeeshan

Sule, Sachin

Yandrapalli, Srikanth

English

The Touro College and University System

Touro Scholar NYMC Faculty Posters Faculty Spring 3-3-2017 Arrhythmias in Hospitalized Heart Transplanted Patients: A United States National Study Srikanth Yandrapalli Prakash Harikrishnan New York Medical College, harikrishnanP@wcmc.com Zeeshan Solangi New York Medical College, zeeshan_solangi@nymc.edu Wilbert S. Aronow New York Medical College, wilbert_aronow@nymc.edu Sachin Sule New York Medical College, sachin_sule@nymc.edu See next page for additional authors Follow this and additional works at: https://touroscholar.touro.edu/nymc_fac_posters  Part of the Cardiology Commons Recommended Citation Yandrapalli, S., Tariq, S., Vuddanda, V., Harikrishnan, P., Anugu, V., Solangi, Z., ... Lanier, G. M. (2017, March). Arrhythmias in hospitalized heart transplanted patients: a United States national study. Poster presented at the ACC Scientific Sessions, Washington, DC. This Poster is brought to you for free and open access by the Faculty at Touro Scholar. It has been accepted for inclusion in NYMC Faculty Posters by an authorized administrator of Touro Scholar. For more information, please contact daloia@nymc.edu. Authors Srikanth Yandrapalli, Prakash Harikrishnan, Zeeshan Solangi, Wilbert S. Aronow, Sachin Sule, Alan L. Gass, Chhaya Aggarwal, William H. Frishman, Sei Iwai, Howard A. Cooper, Julio A. Panza, and Gregg M. Lanier This poster is available at Touro Scholar: https://touroscholar.touro.edu/nymc_fac_posters/18       Arrhythmias in Hospitalized Heart Transplanted Patients: A United States National Study  Srikanth Yandrapalli, Sohaib Tariq, Venkat Vuddanda, Prakash Harikrishnan, Viswajit Reddy Anugu, Zeeshan Solangi, Wilbert S. Aronow, Sachin Sule, Alan L. Gass, Chhaya Aggarwal, William H. Frishman, Gregg Fonarow, Ali Ahmed, Jason Jacobson, Sei Iwai, Howard A.Cooper, Julio A. Panza, Gregg M. Lanier, MD.  New York Medical College at Westchester Medical Center, Valhalla, New York.   Results Conclusion Methods Objective  Background   • Abnormal anatomy, sympathetic denervation, rejection, infection, and immunosuppressive drugs may increase the risk for arrhythmias in heart transplanted (HT) patients.  • Data are limited regarding arrhythmias in hospitalized HT patients. • To identify various arrhythmias identified and documented in hospitalized HT patients using a large US national database. • Nationwide Inpatient Sample databases from 2003 through 2012 were queried for hospitalizations in HT recipient patients ≥ 18 years of age using ICD9 code V42.1 • Hospitalizations with a primary or secondary discharge diagnosis of acute myocardial infarction were excluded. • Individual arrhythmias and associated discharge diagnoses were then identified using appropriate ICD-9 and CCS codes.  • Among hospitalizations in which an arrhythmia was present in a HT patient, the primary discharge diagnosis was more likely to be an infectious disease (21%), rather than the arrhythmia (13%) or congestive heart failure (5.5%; Figure 1B). • In patients primarily admitted with complications of the transplanted heart including rejection and allograft vasculopathy (n=443), 24.7% had a diagnosis of an arrhythmia, with almost half having AF (11%).   Results • Of the 132,552 hospitalizations in HT patients, a diagnosis of arrhythmia was present in in 17,693 (13.3%). • Atrial arrhythmias (7.8%) were substantially more common than ventricular arrhythmias (1.0%). Atrial fibrillation (AF) (6.0%) was the most common arrhythmia followed by atrial flutter (1.8%; Figure 1A). • Arrhythmias are common in hospitalized HT patients, with AF being the most common.  In this patient population, arrhythmias may often represent a consequence of HT-related complications such as infection or rejection. • Given the anatomical and functional alterations of the transplanted heart, studies are needed to better understand and manage these arrhythmias.    • None of the authors have any relevant disclosures. Disclosures Presented at ACC Scientific Sessions 03/2017, Washington D.C  

Arrhythmias in Hospitalized Heart Transplanted Patients: A United States National Study

https://touroscholar.touro.edu/cgi/viewcontent.cgi?article=1018&amp;context=nymc_fac_posters

Arrhythmias in Hospitalized Heart Transplanted Patients: A United States National Study

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