| Good prognosis for dilated cardiomyopathy without severe heart failure or arrhythmia. | |
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MedLine Citation:
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PMID: 2385738 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In 124 patients with dilated cardiomyopathy, symptoms of heart failure and ventricular arrhythmia at initial assessment were related to outcome a mean of 43 months later. Using life table analysis, the two-year mortality from progressive heart failure was 59 per cent (90 per cent symptoms, six per cent (1-11 per cent) for patients with class 2 symptoms and zero for patients with class 1 symptoms. The two-year mortality from sudden death was 18 per cent (5-32 per cent) for patients with class 3 symptoms, eight per cent (3-14 per cent) for patients with class 2 symptoms and seven per cent (0-17 per cent) for patients with class 1 symptoms. Sudden death was more frequent in patients with ventricular tachycardia or frequent ventricular ectopics, irrespective of the severity of heart failure (15 per cent (7-23 per cent) vs. three per cent (0-8 per cent) at two years). These findings suggest that patients with dilated cardiomyopathy and mild symptoms often have a benign clinical course. However, occult ventricular arrhythmia is associated with an increased risk of sudden death. |
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Authors:
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R A Stewart; W J McKenna; C M Oakley |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Quarterly journal of medicine Volume: 74 ISSN: 0033-5622 ISO Abbreviation: Q. J. Med. Publication Date: 1990 Mar |
Date Detail:
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Created Date: 1990-09-20 Completed Date: 1990-09-20 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0401027 Medline TA: Q J Med Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 309-18 Citation Subset: IM |
Affiliation:
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Department of Medicine, Hammersmith Hospital, Royal Postgraduate Medical School, London. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arrhythmias, Cardiac
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mortality Cardiomyopathy, Dilated / mortality* Cause of Death Heart Failure / mortality Humans Life Tables Prognosis Retrospective Studies Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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