PMID- 8187110
OWN - NLM
STAT- MEDLINE
DCOM- 19940621
LR  - 20180215
IS  - 0008-6312 (Print)
IS  - 0008-6312 (Linking)
VI  - 84
IP  - 4-5
DP  - 1994
TI  - Noninvasive predictors of mortality for patients with Chagas' heart disease: a 
      multivariate stepwise logistic regression study.
PG  - 261-7
AB  - This prospective investigation was conducted in an attempt to identify 
      noninvasive predictors of mortality for patients with Chagas' heart disease 
      through a multivariate stepwise logistic regression study. Fifty-six patients 
      with a positive complement fixation test for Chagas' disease were followed up at 
      the Cardiomyopathy Clinic of our institution from April 1990 to April 1992. 
      Patient age was 59 +/- 17 years; 28 (50%) were male. Upon admission, 19 patients 
      (33%) were in the New York Heart Association (NYHA) class III and 8 (14%) in the 
      NYHA class IV. Systolic blood pressure was 125 +/- 23 mm Hg, diastolic blood 
      pressure 76 +/- 11 mm Hg and resting heart rate 77 +/- 11 beats/min. Forty 
      patients (71%) were given digitalis and 39 (69%) angiotensin-converting enzyme 
      inhibitors. Plasma Na+ was 140 +/- 4 mEq/l, K+ was 4.34 +/- 0.73 mEq/l and 
      creatinine level 1.34 +/- 0.31 mg/100 ml. Cardiomegaly was observed in the chest 
      X-ray of 41 of 51 (79%) available patients. Atrial fibrillation was observed in 
      the resting ECG of 24 of 54 (44%) available patients, premature ventricular 
      contractions in 23 (41%), right bundle branch block in 26 (46%) and left anterior 
      hemiblock in 26 (46%) patients. Echocardiography revealed a left ventricular 
      ejection fraction of 0.45 +/- 0.16, left ventricular systolic dimension of 51.23 
      +/- 13.53 mm and left ventricular diastolic dimension of 62.94 +/- 19 mm. Sixteen 
      (28%) patients died during the 2-year study, 11 of them suddenly.(ABSTRACT 
      TRUNCATED AT 250 WORDS)
FAU - Bestetti, R B
AU  - Bestetti RB
AD  - Heart Institute, Santa Casa Hospital, Ribeirao Preto, Brazil.
FAU - Dalbo, C M
AU  - Dalbo CM
FAU - Freitas, O C
AU  - Freitas OC
FAU - Teno, L A
AU  - Teno LA
FAU - Castilho, O T
AU  - Castilho OT
FAU - Oliveira, J S
AU  - Oliveira JS
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Switzerland
TA  - Cardiology
JT  - Cardiology
JID - 1266406
SB  - IM
MH  - Actuarial Analysis
MH  - Chagas Cardiomyopathy/drug therapy/*mortality/physiopathology
MH  - Female
MH  - Hemodynamics
MH  - Humans
MH  - *Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Prognosis
MH  - Prospective Studies
MH  - Stroke Volume
MH  - Survival Analysis
MH  - Survivors
EDAT- 1994/01/01 00:00
MHDA- 1994/01/01 00:01
CRDT- 1994/01/01 00:00
PHST- 1994/01/01 00:00 [pubmed]
PHST- 1994/01/01 00:01 [medline]
PHST- 1994/01/01 00:00 [entrez]
AID - 10.1159/000176409 [doi]
PST - ppublish
SO  - Cardiology. 1994;84(4-5):261-7. doi: 10.1159/000176409.