Prognosis of dilated cardiomyopathy. From a retrospective to a prospective study employing multivariate analysis.

作者: SADAMASA OGASAWARA , MORIE SEKIGUCHI , MICHIAKI HIROE , TSUTOMU KOMAZAWA , YUKO KAWAI

DOI: 10.1253/JCJ.51.699

关键词:

摘要: To determine the prognostic factors of dilated cardiomyopathy (DCM), a retrospective long-term investigation 111 patients seen between 1967 and 1983 was carried out. Fifty-four deaths were divided into 3 subgroups: (1): sudden death (n=6); (2): on basis heart failure (n=17); (3): refractory (n=31). Multivariate analysis employed to ascertain score, which constructed from grading New York Heart Association functional classification, cardiothoracic ratio, electrocardiographic findings cardiac function. Individual variables indicated first (I)0 second (II) principal component axes. The mean center points for modes as follows: I=-0.4, II=+0.8, I=+0.7, II=+1.1 I=+1.4, II=-0.8. Surviving cases (n-57) showed I=-0.6, II=+0.1. Forty-one examined during 1984-1985 analyzed evaluate efficacy this score. Fourteen 17 (82%) located in group died within one year ater determination prognosis, showing thereby that prognositc by multivariate is effective.

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