Document Detail


The natural history of idiopathic dilated cardiomyopathy.
MedLine Citation:
PMID:  7468489     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1960 and 1973, a total of 104 patients at the Mayo Clinic had a diagnosis of idiopathic dilated cardiomyopathy on the basis of clinical and angiographic criteria; these patients were followed up for 6 to 20 years. Twenty-one percent of the patients had a history of excessive consumption of alcohol, 20 percent had had a severe influenza-like syndrome within 60 days before the appearance of cardiac manifestations and 8 percent had had rheumatic fever without involvement of cardiac valves several years before; thus, possible etiologic risk factors of infectious-immunologic type may be important. Eighty patients (77 percent) had an accelerated course to death, with two thirds of the deaths occurring within the first 2 years. Twenty-four patients (23 percent) survived, and 18 of them had clinical improvement and a normal or reduced heart size. Univariate analysis at the time of diagnosis revealed three factors that were highly predictive (p less than 0.01) of the clinical course: age, cardiothoracic ratio on chest roentgenography and cardiac index. Systemic emboli occurred in 18 percent of the patients who did not receive anticoagulant therapy and in none of those who did; thus, anticoagulant agents should probably be prescribed unless their use is contraindicated.
Authors:
V Fuster; B J Gersh; E R Giuliani; A J Tajik; R O Brandenburg; R L Frye
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  47     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1981 Mar 
Date Detail:
Created Date:  1981-04-24     Completed Date:  1981-04-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  525-31     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Alcohol Drinking
Cardiomyopathies / complications,  diagnosis*,  etiology
Embolism / complications
Female
Hemodynamics
Humans
Male
Middle Aged
Postpartum Period
Pregnancy
Prognosis
Risk
Virus Diseases / complications

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


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