[Prognostic value of selected hemodynamic parameters featuring left ventricular systolic and diastolic function in patients with dilated cardiomyopathy]. 1992

J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
II Klinika Kardiologii Instytutu Kardiologii Akademii Medycznej, Krakowie.

The goal of the study was the choice of hemodynamic parameters most useful in prognosing the survival of the patients with dilated cardiomyopathy (DCM). The investigated group comprised 40 patients, who underwent left and right cardiac catheterization with left ventricular (LV) quantitative angiography. The day of catheterization was the starting point of the observation, which was performed by means of follow-up regular examinations and information from questionnaires sent to and returned by the patients or their families. The follow-up spanned from 1 to 120 months (means = 43). The hemodynamic parameters of LV systole, ejection, isovolumic relaxation and filling were assessed. The patients were divided into two subgroups featuring survival of less and more than 3 years, respectively. In these two subgroups the following parameters were compared: LVEADP, T constant of relaxation, LVEDP, LVEDVI,+dp/dt max, EF, LV mass/volume ratio, MCSD (midwall circumferential LV stress in early diastole), -dp/dt min. They were also correlated with survival and analyzed in Cutler-Ederer survival tables. CONCLUSIONS 1. 32% of patients survived more than 5 years. 2. The prognostically most valuable parameters seem to be: -dp/dt min, LVEADP, LVEDVI, EF, LVEDP, MCSD, +dp/dt max. 3. The prognosing of survival in patients with DCM should be based on a multifactorial analysis because of lack of domination of any single factor.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D002311 Cardiomyopathy, Dilated A form of CARDIAC MUSCLE disease that is characterized by ventricular dilation, VENTRICULAR DYSFUNCTION, and HEART FAILURE. Risk factors include SMOKING; ALCOHOL DRINKING; HYPERTENSION; INFECTION; PREGNANCY; and mutations in the LMNA gene encoding LAMIN TYPE A, a NUCLEAR LAMINA protein. Cardiomyopathy, Congestive,Congestive Cardiomyopathy,Dilated Cardiomyopathy,Cardiomyopathy, Dilated, 1a,Cardiomyopathy, Dilated, Autosomal Recessive,Cardiomyopathy, Dilated, CMD1A,Cardiomyopathy, Dilated, LMNA,Cardiomyopathy, Dilated, With Conduction Defect 1,Cardiomyopathy, Dilated, with Conduction Deffect1,Cardiomyopathy, Familial Idiopathic,Cardiomyopathy, Idiopathic Dilated,Cardiomyopathies, Congestive,Cardiomyopathies, Dilated,Cardiomyopathies, Familial Idiopathic,Cardiomyopathies, Idiopathic Dilated,Congestive Cardiomyopathies,Dilated Cardiomyopathies,Dilated Cardiomyopathies, Idiopathic,Dilated Cardiomyopathy, Idiopathic,Familial Idiopathic Cardiomyopathies,Familial Idiopathic Cardiomyopathy,Idiopathic Cardiomyopathies, Familial,Idiopathic Cardiomyopathy, Familial,Idiopathic Dilated Cardiomyopathies,Idiopathic Dilated Cardiomyopathy
D003971 Diastole Post-systolic relaxation of the HEART, especially the HEART VENTRICLES. Diastoles
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013599 Systole Period of contraction of the HEART, especially of the HEART VENTRICLES. Systolic Time Interval,Interval, Systolic Time,Intervals, Systolic Time,Systoles,Systolic Time Intervals,Time Interval, Systolic,Time Intervals, Systolic

Related Publications

J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
January 1997, Klinicheskaia meditsina,
J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
April 2001, Zeitschrift fur Kardiologie,
J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
October 2020, Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology,
J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
December 1987, Kardiologiia,
J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
July 2009, Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir,
J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
May 2009, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography,
J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
March 2012, Echocardiography (Mount Kisco, N.Y.),
J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
August 1995, Orvosi hetilap,
J S Dubiel, and P Petkow-Dimitrow, and G Kałuza, and T Horzela
January 2004, Przeglad lekarski,
Copied contents to your clipboard!