PMID- 3229865
OWN - NLM
STAT- MEDLINE
DCOM- 19890414
LR  - 20190816
IS  - 0167-5273 (Print)
IS  - 0167-5273 (Linking)
VI  - 21
IP  - 3
DP  - 1988 Dec
TI  - Dilated cardiomyopathy: long-term follow-up and predictors of survival.
PG  - 269-77
AB  - To determine long-term survival and the prognostic factors of dilated 
      cardiomyopathy, we retrospectively studied a consecutive series of 111 patients 
      (95 men, 16 women, mean age: 45.5 +/- 8.1 years) undergoing cardiac 
      catheterization and diagnostic coronary angiography from January 1970 to December 
      1979. The inclusion criteria were: normal coronary angiography, diffuse 
      hypokinesia of the left ventricle and left ventricular ejection fraction less 
      than 50%. Base-line clinical data were collected from the hospital records and 
      follow-up data were obtained from the general practitioners and cardiologists. A 
      questionnaire was sent to all living patients. The length of follow-up ranged 
      from 6 to 16 years. Six patients (5%) were lost to follow-up. At the time of 
      catheterization, a majority of the patients had dyspnea and were in New York 
      Heart Association (NYHA) classes II (41%) and III (31%). Clinical history 
      revealed an excessive alcohol consumption in 56% of the patients. During 
      follow-up, 66 patients (63%) died (heart failure: 37%; sudden death: 19%; 
      non-cardiac death: 15%; unknown cause: 27%). Actuarial survival was 90, 50, and 
      33% at 1, 5, and 10 years, respectively. Univariate analysis revealed that 
      10-year mortality was related to: left ventricular ejection fraction less than 
      30%; left ventricular end-diastolic pressure greater than 10 mm Hg; 
      cardiothoracic ratio greater than 54%; episodes of heart failure; left 
      ventricular end-diastolic volume greater than 200 ml/m2, dyspnea of NYHA class 
      III or IV; absence of smoking; absence of moderate systemic hypertension; 
      electrocardiographic evidence of left ventricular hypertrophy and mean systemic 
      arterial pressure greater than 95 mm Hg.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Juilliere, Y
AU  - Juilliere Y
AD  - Cardiologie B, CHU Nancy-Brabois, France.
FAU - Danchin, N
AU  - Danchin N
FAU - Briancon, S
AU  - Briancon S
FAU - Khalife, K
AU  - Khalife K
FAU - Ethevenot, G
AU  - Ethevenot G
FAU - Balaud, A
AU  - Balaud A
FAU - Gilgenkrantz, J M
AU  - Gilgenkrantz JM
FAU - Pernot, C
AU  - Pernot C
FAU - Cherrier, F
AU  - Cherrier F
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
SB  - IM
MH  - Adult
MH  - Blood Pressure
MH  - Cardiac Catheterization
MH  - Cardiomyopathy, Dilated/*diagnosis/mortality/physiopathology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Stroke Volume
EDAT- 1988/12/01 00:00
MHDA- 1988/12/01 00:01
CRDT- 1988/12/01 00:00
PHST- 1988/12/01 00:00 [pubmed]
PHST- 1988/12/01 00:01 [medline]
PHST- 1988/12/01 00:00 [entrez]
AID - 0167-5273(88)90104-0 [pii]
AID - 10.1016/0167-5273(88)90104-0 [doi]
PST - ppublish
SO  - Int J Cardiol. 1988 Dec;21(3):269-77. doi: 10.1016/0167-5273(88)90104-0.