Division of Cardiology, Department of Internal Medicine, Wayne State University, Detroit, Michigan, USA.
Department of Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.
Cardiology. 2021;146(6):748-753. doi: 10.1159/000519290. Epub 2021 Sep 1.
Cardiac neoplasms are uncommon tumors. For epidemiological purposes, they can be divided into benign and malignant subtypes, with the former occurring at a significantly higher rate than the latter. Due to their uncommon nature, there are few data-driven studies examining the characteristics and trends of benign cardiac neoplasms. Our retrospective HCUP-NIS data review purports to illuminate some of the trends surrounding benign cardiac neoplasms and their associated co-occurrences. The data consisted of 482,872,274 weighted discharges. There were 45,568 weighted discharges that included a benign cardiac neoplasm. Benign cardiac neoplasms were more often observed in women (64.33%), and the average age was 63.8 years. The most common cardiovascular co-occurrences in patients with benign cardiac neoplasm were atrial tachyarrhythmias (28.93%), heart failure (19.61%), and embolic events such as stroke, myocardial infarct, or pulmonary embolism (19.82%). Other co-occurrences included pulmonary hypertension (7.55%), ventricular arrhythmias (3.23%), and other EKG abnormalities (3.70%). Procedures were numerous in patients with benign cardiac neoplasms. 43% of patients with this diagnosis had some form of cardiac surgery during their hospitalization. Overall, this study found low incidence of benign cardiac neoplasms in the USA during this 13-year study period. However, in the presence of benign cardiac neoplasms, our study showed that cardiovascular co-occurrences are not uncommon and may help to illuminate this otherwise rare diagnosis.
心脏肿瘤并不常见。出于流行病学目的，它们可以分为良性和恶性亚型，前者的发生率明显高于后者。由于其罕见性，很少有基于数据的研究来检查良性心脏肿瘤的特征和趋势。我们的回顾性 HCUP-NIS 数据分析旨在阐明一些与良性心脏肿瘤及其相关合并症相关的趋势。该数据包括 482,872,274 次加权出院。其中有 45,568 次加权出院记录包含良性心脏肿瘤。良性心脏肿瘤更常见于女性（64.33%），平均年龄为 63.8 岁。患有良性心脏肿瘤的患者最常见的心血管合并症是房性心动过速（28.93%）、心力衰竭（19.61%）以及中风、心肌梗死或肺栓塞等栓塞事件（19.82%）。其他合并症包括肺动脉高压（7.55%）、室性心律失常（3.23%）和其他心电图异常（3.70%）。患有良性心脏肿瘤的患者接受了许多治疗。在这一诊断中，43%的患者在住院期间接受了某种形式的心脏手术。总体而言，这项研究发现美国在 13 年的研究期间良性心脏肿瘤的发病率较低。然而，在存在良性心脏肿瘤的情况下，我们的研究表明心血管合并症并不少见，可能有助于阐明这种罕见的诊断。
