Table 1.
Variable |
Total N=2268 |
Earlier Surgery N=950 |
Class I Indication N=1318 |
---|---|---|---|
Age, y | 56±14 | 55±14 | 56±12 |
Male sex | 1246 (55%) | 541 (57%) | 705 (54%) |
Body‐surface area, m2 | 2.0±0.2 | 2.0±0.3 | 2.0±0.2 |
Hypertension | 817 (36%) | 333 (35%) | 487 (37%) |
Diabetes mellitus | 278 (12%) | 124 (13%) | 154 (12%) |
Smoking history | 598 (26%) | 241 (26%) | 351 (27%) |
Obstructive CAD | 222 (10%) | 85 (9%) | 134 (10%) |
Family history of HCM | 408 (18%) | 162 (17%) | 246 (18%) |
Family history of SCD | 227 (10%) | 95 (10%) | 132 (10%) |
History SCD | 25 (1.1%) | 11 (1.2%) | 14 (1.1%) |
History of NSVT | 223 (10%) | 93 (10%) | 130 (10%) |
History of syncope | 295 (13%) |
76 (8%) None exertional |
219 (17%) All exertional |
History of atrial fibrillation | 535 (24%) | 228 (24%) | 307 (23%) |
History of stroke | 91 (4%) | 38 (4%) | 53 (4%) |
History of prior alcohol septal ablation | 18 (0.8%) | 0 | 18 (1%) |
Implantable defibrillator | 287 (13%) | 114 (12%) | 173 (13%) |
Permanent pacemaker | 60 (3%) | 29 (3%) | 31 (2%) |
β‐Blockers | 1769 (78%) | 684 (72%) | 1085 (82%) |
Calcium channel blocker | 635 (28%) | 247 (26%) | 388 (29%) |
Disopyramide | 91 (4%) | 38 (4%) | 53 (4%) |
Angina | 431 (19%) | 114 (12%) | 317 (24%) |
NYHA class | |||
I | 209 (9%) | 209* (22%) | 0 |
II | 1005 (44%) | 741 (78%) | 264 (20%) † |
≥III | 1054 (46%) | 0 | 1054 (80%) |
ESC % 5‐y SCD risk score | 3.7±2 | 3.7±2 | 3.7±2 |
ESC % 5‐y SCD risk categories | |||
Low risk (<4%) | 1369 (60%) | 555 (58%) | 814 (62%) |
Intermediate (4–6%) | 702 (31%) | 306 (32%) | 396 (30%) |
High (>6%) | 197 (9%) | 89 (9%) | 108 (8%) |
CAD indicates coronary artery disease; ESC, European Society of Cardiology; HCM, hypertrophic cardiomyopathy; LVOT, left ventricular outflow tract; NSVT, nonsustained ventricular tachycardia; NYHA, New York Heart Association; and SCD, sudden cardiac death.
All patients deemed to be in NYHA class I at baseline had symptomatic impairment of exercise capacity on stress echocardiography along with severe LVOT obstruction.
All patients in this subgroup also had intractable angina or exertional syncope on maximally tolerated medical therapy.