Abstract WP311: Prevalence and In-Hospital Outcomes Associated with Cardiomyopathy Subtypes in Patients with Acute Ischemic Stroke

• DOI: 10.1161/str.56.suppl_1.wp311
• Publication Date: 2025-01-30T10:18:44Z
• Authors: Katelyn McNamara; Reza Peyravi; Ohm Parikh; David Tirschwell; Deepak Bhatt; Karen Furie; Scott Kasner; Alexander Merkler; Fadar Otite; Richa Sharma
• Keywords: Stroke; Ischemic Cardiomyopathy

Introduction: Cardiomyopathy (CM) can occur in patients hospitalized with acute ischemic stroke (AIS). The epidemiology of AIS and concomitant CM subtypes is not well-described. Methods: Adult hospitalizations the National Inpatient Sample (NIS) from 2018-2020 diagnosis were characterized by etiologies using International Classification Diseases-10 codes. Demographic characteristics clinical outcome rates computed among each subtype. outcomes interest are detailed Table 1. Further statistical analyses within etiology subgroups performed given that encoded mutually exclusive. Results: Of 1,918,985 weighted hospitalizations, there 144,875 (7.6%) diagnosis, one-third due to two-thirds non-ischemic (CM exclusive, 1). Patients such as amyloid-induced older (mean ages 70.5 72.3 years, respectively) versus those peripartum sarcoidosis-related 33.5 48.5 respectively). There sex differences, more likely be male (71%) stress (24.9%). (72%) (68%) identified White, sarcoid-induced (88%) (54%) mostly Black. Intracardiac thrombus was detected decreasing order subtype: drug-induced (13.6%), alcohol-induced (7.7%), dilated (6.2%), restrictive (5.9%), (5.2%). Circulatory support most common (2.4% IABP). Thrombolysis use frequent (18%), (9.3%), (8.8%), (8.2%). EVT subtype were: Chagas-associated, wet Beriberi, sarcoidosis-induced CMs (88-100%), (10.1%), stress-induced (7.7%). Stress-induced associated highest in-hospital mortality rate (17%) lowest frequency routine discharge (18%). Conclusions: We describe AIS, cardiac stroke-related procedures these undergo, their outcomes. Understanding demographic specific may provide insight into multidisciplinary management this vulnerable population.