Risk factors for cardiovascular disease mortality in patients with myelodysplastic syndromes: A nationwide,

Konstantinos Liapis1, Georgios Vrachiolias1, Vasileios Papadopoulos1

  • 1Department of Hematology Democritus University of Thrace Medical School Alexandroupolis Greece.

Ejhaem
|July 18, 2022
PubMed

Insights

Cardiovascular disease (CVD) is a leading cause of death in myelodysplastic syndrome (MDS) patients. Lower-risk MDS, older age, prior CVD, and specific treatments predict higher CVD mortality risk.

Area of Science:

  • Hematology
  • Cardiology
  • Oncology

Background:

  • Cardiovascular disease (CVD) is a significant cause of mortality in myelodysplastic syndrome (MDS) patients.
  • Predictors of fatal CVD and the impact of MDS treatments on CVD mortality are not well understood.

Purpose of the Study:

  • To identify predictors of cardiovascular disease (CVD) mortality in patients with myelodysplastic syndrome (MDS).
  • To investigate the influence of MDS-specific treatments on CVD mortality.

Main Methods:

  • Retrospective analysis of 831 myelodysplastic syndrome (MDS) patients with documented causes of death.
  • Statistical analysis to determine independent associations between patient characteristics, treatments, and CVD mortality.

Main Results:

  • Lower-risk myelodysplastic syndrome (MDS), age over 70 years, pre-existing cardiovascular disease (CVD), and treatment with erythropoiesis-stimulating agents were independently associated with increased CVD mortality.
  • Identified key risk factors for fatal CVD in the MDS population.

Conclusions:

  • Simple risk factors can predict cardiovascular disease (CVD) mortality in myelodysplastic syndrome (MDS) patients.
  • Findings may enhance clinician awareness of CVD complications and guide early preventive strategies in MDS patients.

Related Concept Videos

Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
53
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
30
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
20
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
46
Cardiomyopathy I: Introduction and Classification01:25

Cardiomyopathy I: Introduction and Classification

Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
48
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
43