Document Detail


Comparative study of dilated cardiomyopathy and specific heart muscle diseases from pathophysiological aspects--echocardiographic observation.
MedLine Citation:
PMID:  2148354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To investigate the causative factors of dilated cardiomyopathy (DCM), 29 DCM patients were echocardiographically and histopathologically compared with 17 patients with specific heart muscle diseases mimicking DCM. These consisted of 6 cases of myocarditis and 11 of alcoholic heart muscle disease. Myocarditis patients had less dilation of the left ventricle, more marked segmental wall motion abnormality on admission and more extensive myocardial fibrosis than patients with alcoholic heart muscle disease and DCM. Four myocarditis patients died of congestive heart failure before showing a marked dilatation of the left ventricle. The alcoholic heart muscle disease patients revealed diffuse wall motion abnormality on admission. Out of these 8 patients who had abstained showed amelioration. However, in 3 who had not abstained, both wall motion abnormality and dilatation of the left ventricle markedly progressed and 2 died of congestive heart failure. Although the DCM patients as a group showed deterioration throughout the follow-up period, individual patients revealed a variety of echocardiographic and pathological findings, which led to the regrouping of 29 patients with DCM into 2 subgroups. One group had characteristic features similar to these of patients with myocarditis, and the other had characteristics similar to these of patients with alcoholic heart muscle disease. These findings suggested that different causative factors might coexist in DCM.
Authors:
O Nakanishi; Y Yokota; H Fukuzaki
Related Documents :
11131114 - Correlation of radionuclide ventriculography with roentgenological findings in chemothe...
15190534 - Attenuated respiratory modulation of chemoreflex-mediated sympathoexcitation in patient...
9193324 - Delayed administration of dexrazoxane provides cardioprotection for patients with advan...
9730104 - Enalapril restores depressed circulating insulin-like growth factor 1 in patients with ...
16843774 - The clinical and laboratory response to recombinant factor viia in trauma and surgical ...
2919934 - Pulmonary disease in progressive systemic sclerosis. a complication of gastroesophageal...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  54     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1991-02-14     Completed Date:  1991-02-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  1147-57     Citation Subset:  IM    
Affiliation:
1st Department of Internal Medicine, Kobe University School of Medicine, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Biopsy
Cardiomegaly / pathology
Cardiomyopathies / pathology,  physiopathology*,  ultrasonography
Cardiomyopathy, Alcoholic / pathology,  physiopathology,  ultrasonography
Cardiomyopathy, Dilated / pathology,  physiopathology*,  ultrasonography
Echocardiography
Endomyocardial Fibrosis / pathology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Contraction
Myocarditis / pathology,  physiopathology,  ultrasonography
Myocardium / pathology
Prognosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Specific motor abilities associated with speech fluency in Down's syndrome.
Next Document:  The myosin gene switching in human cardiac hypertrophy.