Remote Prognosis of Primary Congestive Cardiomyopathy ——An Analysis of 91 Follow-up Cases
- VernacularTitle:扩张型原发性心肌病的远期预后——附91例随访分析
- Author:
Lihua LI
- Publication Type:Journal Article
- Keywords:
Cardiomyopathy;
Heart failure
- From:Journal of Third Military Medical University
1983;0(04):-
- CountryChina
- Language:Chinese
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Abstract:
In the past 10 years, 118 cases with primary congestive cardiomyopathy of first admittance to this institution were treated.12 cases died in the course of hospitalization. Out of the 106 cases discharged after clinical recovery, 91 cases were followed up. In the follow-up period, 1 year survival rate was 85.25%, 2 year survival rate 67%, 5 year survival rate 43.7%, and 10 yaar survival rate 25.5%, as calculated with the life-span table method. The results suggest that the remote prognosis of this disease is poor. The factors influencing the prognosis of this disease were the age of the patient, the heart size, and the status of heart functions. Severe and complicated cardiac arrhythmias could worssen the outlook of the patient even though no heart failure occurred. Early and long term administration of vessel-dilatating agent such isoscorbide dinitrate can improve the prognosis but steroid therapy has no effect.
