Frequency and predictors of recovery of normal left ventricular ejection fraction and end-diastolic diameter in patients with dilated cardiomyopathy
10.3760/cma.j.issn.0253-3758.2014.10.012
- VernacularTitle:扩张型心肌病患者左心室射血分数及舒张末期内径恢复正常的相关因素分析
- Author:
Changhong ZOU
1
;
Xuefei WU
;
Qiong ZHOU
;
Yuhui ZHANG
;
Rong LYU
;
Jian ZHANG
Author Information
1. 100037,中国医学科学院北京协和医学院国家心血管病中心阜外心血管病医院心力衰竭中心心力衰竭监护病房
- Keywords:
Cardiomyopathy,dilated;
Ventricular function,left
- From:
Chinese Journal of Cardiology
2014;42(10):851-855
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the frequency and predictors of recovery of normal left ventricular ejection fraction (LVEF) and end-diastolic diameter (LVEDD) in patients with dilated cardiomyopathy (DCM).Methods A consecutive cohort of 296 patients with DCM were reviewed and followed up for at least 12 months or to death or cardiac transplantation,to identify those with recovery of normal LVEF,defined as LVEF ≥ 50％,or recovery of normal LVEDD,defined as LVEDD ≤ 55/50 mm for male/female,or both by follow up echocardiography.Variables regarded as potentially relevant to left ventricular function and dimension recovery were evaluated to identify predictors using multivariable logistic regression analysis.Results After a median follow-up of 28 months,normal LVEF was evidenced in 81 patients (27.4％),normal LVEDD was found in 63 patients (21.3％) and both parameters were recovered in 52 patients (17.6％),LVEF was increased from (31.7 ±6.3)％ to (57.5 ±5.2)％ (P ＜0.01) and LVEDD decreased from (62.7 ± 4.3) mm to (50.2 ± 3.7) mm (P ＜ 0.01) in these 52 patients.Multivariable logistic regression analysis showed that shorter symptom duration,higher systolic blood pressure at admission,smaller LVEDD and lower LVEF by echocardiography at baseline were independent predictors of subsequent recovery of normal LVEF and LVEDD.Conclusion Current therapy for heart failure could lead to recovery of normal LVEF and LVEDD in part of DCM patients,especially for DCM patients with short symptom duration,higher systolic blood pressure at admission,less enlarged LVEDD and less reduced LVEF at baseline echocardiography.
