Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated Cardiomyopathy
Background: Dilated cardiomyopathy (DCM) is a well-recognized cause of cardiovascular morbidity and mortality.Objectives: To evaluate the prognostic implications of the restrictive left ventricular filling pattern (RFP) in dilated cardiomyopathy.Methods: Patients with DCM admitted to Ibn AL-Bitar H...
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| Format: | Article |
| Language: | English |
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University of Baghdad/ Al-Kindy College of Medicine
2013-06-01
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| Series: | مجله كليه طب الكندي |
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| Online Access: | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/542 |
| _version_ | 1798002129494867968 |
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| author | Ali A Mohammed Al Mousawi Nezar Naser Al Attabi Hassan Ali Farhan |
| author_facet | Ali A Mohammed Al Mousawi Nezar Naser Al Attabi Hassan Ali Farhan |
| author_sort | Ali A Mohammed Al Mousawi |
| collection | DOAJ |
| description |
Background: Dilated cardiomyopathy (DCM) is a well-recognized cause of cardiovascular morbidity and mortality.Objectives: To evaluate the prognostic implications of the restrictive left ventricular filling pattern (RFP) in dilated cardiomyopathy.Methods: Patients with DCM admitted to Ibn AL-Bitar Hospital for Cardiac Surgery, Baghdad-Iraq, from May 2006 to August 2008, underwent a full clinical evaluation and Doppler echocardiography study. Patients were classified into three groups: Group I had persistent restrictive filling pattern; Group II had reversible restrictive filling pattern; and Group III had nonrestrictive filling pattern. Results: The current study was conducted on a total number of 80 patients with DCM, fifty (62.5 %) were males and 30(37.5%) were females with a male to female ratio 1.6:1. Patients with restrictive filling pattern (Group I&II) were 51 (63.8%), while patients with nonrestrictive filling pattern (Group III) were 29 (36.2%). During follow up, patients with persistent restrictive filling pattern (30; 37.5%) had higher New York Heart Association (NYHA) class symptoms, low ejection fraction (EF) and higher mortality; 6 (20%) died within the first year, 6 (20%) died in the second year. Clinical improvement was significantly frequent in Group II and III than Group I.Conclusions: In patients with DCM, the persistence of restrictive filling at 3 months is associated with a high mortality the patients with reversible restrictive filling have a high probability of improvement and excellent survival.
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| first_indexed | 2024-04-11T11:47:14Z |
| format | Article |
| id | doaj.art-0cc7dd06d68e4c50968a37d08bafa9e5 |
| institution | Directory Open Access Journal |
| issn | 1810-9543 2521-4365 |
| language | English |
| last_indexed | 2024-04-11T11:47:14Z |
| publishDate | 2013-06-01 |
| publisher | University of Baghdad/ Al-Kindy College of Medicine |
| record_format | Article |
| series | مجله كليه طب الكندي |
| spelling | doaj.art-0cc7dd06d68e4c50968a37d08bafa9e52022-12-22T04:25:30ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652013-06-0192Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated CardiomyopathyAli A Mohammed Al Mousawi0Nezar Naser Al Attabi1Hassan Ali Farhan2Ibn AL Bitar Hospital for Cardiac Surgery, Baghdad-Iraq.Ibn AL Bitar Hospital for Cardiac Surgery, Baghdad-Iraq..Scientific Council of Cardiology Iraqi Board for Medical Specialization Background: Dilated cardiomyopathy (DCM) is a well-recognized cause of cardiovascular morbidity and mortality.Objectives: To evaluate the prognostic implications of the restrictive left ventricular filling pattern (RFP) in dilated cardiomyopathy.Methods: Patients with DCM admitted to Ibn AL-Bitar Hospital for Cardiac Surgery, Baghdad-Iraq, from May 2006 to August 2008, underwent a full clinical evaluation and Doppler echocardiography study. Patients were classified into three groups: Group I had persistent restrictive filling pattern; Group II had reversible restrictive filling pattern; and Group III had nonrestrictive filling pattern. Results: The current study was conducted on a total number of 80 patients with DCM, fifty (62.5 %) were males and 30(37.5%) were females with a male to female ratio 1.6:1. Patients with restrictive filling pattern (Group I&II) were 51 (63.8%), while patients with nonrestrictive filling pattern (Group III) were 29 (36.2%). During follow up, patients with persistent restrictive filling pattern (30; 37.5%) had higher New York Heart Association (NYHA) class symptoms, low ejection fraction (EF) and higher mortality; 6 (20%) died within the first year, 6 (20%) died in the second year. Clinical improvement was significantly frequent in Group II and III than Group I.Conclusions: In patients with DCM, the persistence of restrictive filling at 3 months is associated with a high mortality the patients with reversible restrictive filling have a high probability of improvement and excellent survival. https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/542Doppler echocardiographyRestrictive Filling PatternDilated cardiomyopathy |
| spellingShingle | Ali A Mohammed Al Mousawi Nezar Naser Al Attabi Hassan Ali Farhan Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated Cardiomyopathy مجله كليه طب الكندي Doppler echocardiography Restrictive Filling Pattern Dilated cardiomyopathy |
| title | Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated Cardiomyopathy |
| title_full | Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated Cardiomyopathy |
| title_fullStr | Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated Cardiomyopathy |
| title_full_unstemmed | Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated Cardiomyopathy |
| title_short | Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated Cardiomyopathy |
| title_sort | clinical and doppler study of restrictive filling pattern in patients with dilated cardiomyopathy |
| topic | Doppler echocardiography Restrictive Filling Pattern Dilated cardiomyopathy |
| url | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/542 |
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