Athanasios Samaras, Andreas S Papazoglou, Dimitrios V Moysidis, Alexandra Bekiaridou, Grigorios Tsoumakas, Apostolos Tzikas, Georgios K Chalikias, Dimitrios Farmakis, Grigorios Tsigkas, George Lazaros, Grigorios Giamouzis, Antonios Ziakas, Panos E Vardas, Lampros K Michalis, Konstantinos Toutouzas, Charalambos Vlachopoulos, Vassilios Vassilikos, Nikolaos Fragakis, Ioannis Zarifis, Dimitrios N Tziakas, Konstantinos Tsioufis, Periklis Davlouros, George Giannakoulas
{"title":"希腊12年来37,741例心血管住院的临床概况和时间趋势：来自CardioMining数据库的初步见解","authors":"Athanasios Samaras, Andreas S Papazoglou, Dimitrios V Moysidis, Alexandra Bekiaridou, Grigorios Tsoumakas, Apostolos Tzikas, Georgios K Chalikias, Dimitrios Farmakis, Grigorios Tsigkas, George Lazaros, Grigorios Giamouzis, Antonios Ziakas, Panos E Vardas, Lampros K Michalis, Konstantinos Toutouzas, Charalambos Vlachopoulos, Vassilios Vassilikos, Nikolaos Fragakis, Ioannis Zarifis, Dimitrios N Tziakas, Konstantinos Tsioufis, Periklis Davlouros, George Giannakoulas","doi":"10.1016/j.hjc.2025.06.007","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular disease remains the leading cause of morbidity and mortality in Europe, yet nationwide data on cardiovascular hospitalizations in Greece are limited.</p><p><strong>Aim: </strong>To examine clinical profiles and hospitalization trends of patients with cardiovascular disease in Greece from 2012 to 2023.</p><p><strong>Methods: </strong>This retrospective cohort study utilized the CardioMining Database, which integrates electronic health record data from multiple tertiary hospitals. Temporal disease trends, treatment patterns, and subgroup differences by sex and age were assessed.</p><p><strong>Results: </strong>A total of 37,741 hospitalizations among 33,645 patients were analyzed [median age: 70 years, 66.4% male]. The most frequent primary discharge diagnoses were coronary artery disease (CAD) (40.8%), acute decompensated heart failure (HF) (20.4%), and arrhythmias (18.6%). Hospitalizations due to chronic coronary syndrome and hypertensive heart disease gradually declined, while those due to aortic stenosis, HF, pulmonary embolism, pericarditis, and non-ST-elevation acute coronary syndrome increased. The overall prevalence of HF with reduced ejection fraction, valvular heart disease (VHD), pulmonary embolism, and tachyarrhythmias rose over time. Sodium-glucose cotransporter-2 inhibitors, mineralocorticoid receptor antagonists, non-vitamin K antagonist oral anticoagulants, and statin-ezetimibe therapy showed increased use, while vitamin K antagonists and dual antiplatelet therapy declined. Percutaneous coronary interventions declined over time. Women had higher rates of VHD, arrhythmias, and pulmonary embolism; men had more CAD and cardiomyopathies. Older patients more frequently had HF and VHD, while younger patients had more ischemic events and myo/endocarditis.</p><p><strong>Conclusions: </strong>This first nationwide analysis of cardiovascular hospitalizations in Greece highlights evolving trends that support the need for data-driven policies and personalized care.</p>","PeriodicalId":520639,"journal":{"name":"Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Profiles and Temporal Trends of 37,741 Cardiovascular Hospitalizations in Greece over 12 years: Initial Insights from the CardioMining Database.\",\"authors\":\"Athanasios Samaras, Andreas S Papazoglou, Dimitrios V Moysidis, Alexandra Bekiaridou, Grigorios Tsoumakas, Apostolos Tzikas, Georgios K Chalikias, Dimitrios Farmakis, Grigorios Tsigkas, George Lazaros, Grigorios Giamouzis, Antonios Ziakas, Panos E Vardas, Lampros K Michalis, Konstantinos Toutouzas, Charalambos Vlachopoulos, Vassilios Vassilikos, Nikolaos Fragakis, Ioannis Zarifis, Dimitrios N Tziakas, Konstantinos Tsioufis, Periklis Davlouros, George Giannakoulas\",\"doi\":\"10.1016/j.hjc.2025.06.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Cardiovascular disease remains the leading cause of morbidity and mortality in Europe, yet nationwide data on cardiovascular hospitalizations in Greece are limited.</p><p><strong>Aim: </strong>To examine clinical profiles and hospitalization trends of patients with cardiovascular disease in Greece from 2012 to 2023.</p><p><strong>Methods: </strong>This retrospective cohort study utilized the CardioMining Database, which integrates electronic health record data from multiple tertiary hospitals. Temporal disease trends, treatment patterns, and subgroup differences by sex and age were assessed.</p><p><strong>Results: </strong>A total of 37,741 hospitalizations among 33,645 patients were analyzed [median age: 70 years, 66.4% male]. The most frequent primary discharge diagnoses were coronary artery disease (CAD) (40.8%), acute decompensated heart failure (HF) (20.4%), and arrhythmias (18.6%). Hospitalizations due to chronic coronary syndrome and hypertensive heart disease gradually declined, while those due to aortic stenosis, HF, pulmonary embolism, pericarditis, and non-ST-elevation acute coronary syndrome increased. The overall prevalence of HF with reduced ejection fraction, valvular heart disease (VHD), pulmonary embolism, and tachyarrhythmias rose over time. Sodium-glucose cotransporter-2 inhibitors, mineralocorticoid receptor antagonists, non-vitamin K antagonist oral anticoagulants, and statin-ezetimibe therapy showed increased use, while vitamin K antagonists and dual antiplatelet therapy declined. Percutaneous coronary interventions declined over time. Women had higher rates of VHD, arrhythmias, and pulmonary embolism; men had more CAD and cardiomyopathies. Older patients more frequently had HF and VHD, while younger patients had more ischemic events and myo/endocarditis.</p><p><strong>Conclusions: </strong>This first nationwide analysis of cardiovascular hospitalizations in Greece highlights evolving trends that support the need for data-driven policies and personalized care.</p>\",\"PeriodicalId\":520639,\"journal\":{\"name\":\"Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.hjc.2025.06.007\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.hjc.2025.06.007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Clinical Profiles and Temporal Trends of 37,741 Cardiovascular Hospitalizations in Greece over 12 years: Initial Insights from the CardioMining Database.
Introduction: Cardiovascular disease remains the leading cause of morbidity and mortality in Europe, yet nationwide data on cardiovascular hospitalizations in Greece are limited.
Aim: To examine clinical profiles and hospitalization trends of patients with cardiovascular disease in Greece from 2012 to 2023.
Methods: This retrospective cohort study utilized the CardioMining Database, which integrates electronic health record data from multiple tertiary hospitals. Temporal disease trends, treatment patterns, and subgroup differences by sex and age were assessed.
Results: A total of 37,741 hospitalizations among 33,645 patients were analyzed [median age: 70 years, 66.4% male]. The most frequent primary discharge diagnoses were coronary artery disease (CAD) (40.8%), acute decompensated heart failure (HF) (20.4%), and arrhythmias (18.6%). Hospitalizations due to chronic coronary syndrome and hypertensive heart disease gradually declined, while those due to aortic stenosis, HF, pulmonary embolism, pericarditis, and non-ST-elevation acute coronary syndrome increased. The overall prevalence of HF with reduced ejection fraction, valvular heart disease (VHD), pulmonary embolism, and tachyarrhythmias rose over time. Sodium-glucose cotransporter-2 inhibitors, mineralocorticoid receptor antagonists, non-vitamin K antagonist oral anticoagulants, and statin-ezetimibe therapy showed increased use, while vitamin K antagonists and dual antiplatelet therapy declined. Percutaneous coronary interventions declined over time. Women had higher rates of VHD, arrhythmias, and pulmonary embolism; men had more CAD and cardiomyopathies. Older patients more frequently had HF and VHD, while younger patients had more ischemic events and myo/endocarditis.
Conclusions: This first nationwide analysis of cardiovascular hospitalizations in Greece highlights evolving trends that support the need for data-driven policies and personalized care.
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