Document Detail

The idiopathic hyperkinetic heart syndrome: clinical course and long-term prognosis.
MedLine Citation:
PMID:  7282518     Owner:  NLM     Status:  MEDLINE    
Nineteen of the originally reported 24 patients having the idiopathic hyperkinetic heart syndrome were followed for periods of 11 to 25 years. One patient died of complicating severe mitral stenosis. Of the remaining 18 patients, nine had complete physical examinations and ECG records. Only one of these patients was symptomatic at the time of reexamination. Murmurs originally present in eight of nine patients were present in only five of nine at reexamination; hyperkinetic circulation and heart, originally present in eight, were found in only two at follow-up; and systolic hypertension, present in seven at beginning of the study, was only present in four at follow-up. ECG abnormalities (usually left ventricular hypertrophy) regressed in the majority. Persistent elevation of cardial index and systolic ejection rate were found at repeat catheterization in the single symptomatic patient who had congestive cardiomyopathy. Uncomplicated idiopathic hyperkinetic heart syndrome appears to have an excellent long-term prognosis.
R F Gillum; L E Teichholz; M V Herman; R Gorlin
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American heart journal     Volume:  102     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1981 Oct 
Date Detail:
Created Date:  1981-11-18     Completed Date:  1981-11-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  728-34     Citation Subset:  AIM; IM    
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MeSH Terms
Cardiac Output
Heart Murmurs
Hypertension / complications
Neurocirculatory Asthenia / complications,  etiology,  physiopathology*
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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