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Prognestic determinants of dilated cardiomyopathy

山口医学 Volume 38 Issue 6 Page 489-496
published_at 1989-12
Title
拡張型心筋症の予後規定因子の検討
Prognestic determinants of dilated cardiomyopathy
Creators Wakeyama Takatoshi
Source Identifiers
A total of 97 patients with dilated cardiomyopathy (DCM) were followed for 36±30 months to determine the prognostic determinants. 19 patients (20%) died, 11 patients due to heart filure, 7 patients due to sudden death, and 1 patent due to malignancy. The everall cumulative sruvival rate of 5 year was 75%. To ecaluated the prognosis of DCM, hemodynamics, wall motion abnormalitied, and shape of left ventricule were compared. 47 patients had diffeuse wall motion abnormailties (DWMA), 42 patients had segmental wall motion abnormalities (SWMA). Univerriate analysis revealed that Long-term survivous had SWMA, and lower filing pressure, ESVI, Time constant, and had higher MeanVcf, Peak Negative dP/dt, ΔSI, ESP/ESVI than Short-term survious. Multivariate linear regression analysis was used to determine which factors could predict the prognosis. The powerful predictors were (1) wall motion adnormalities (2) PCW (3) ESP/ESVI in its prder. It is concluded that DWMA was the most powerful prognostic determinant.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1989-12
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部