Mildly dilated congestive cardiomyopathy.
Why the study?
What are the clinical, hemodynamic, and pathologic differences between mildly dilated congestive cardiomyopathy, idiopathic restrictive cardiomyopathy, and typical dilated congestive cardiomyopathy?
Population
19 patients who underwent cardiac transplantation for class IV NYHA heart failure, including 5 with mildly…
Design
Cohort
Authors
Discussion
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Member takes
Implication
MDCM warrants familial screening despite minimal dilatation; extends DCM spectrum but remains hypothesis-generating in observational data.
Structured PICO
What are the clinical, hemodynamic, and pathologic differences between mildly dilated congestive cardiomyopathy, idiopathic restrictive cardiomyopathy, and typical dilated congestive cardiomyopathy?
P
Population
19 patients who underwent cardiac transplantation for class IV NYHA heart failure, including 5 with mildly dilated congestive cardiomyopathy (MDCM), 4 with idiopathic restrictive cardiomyopathy (IRCM), and 10 with typical dilated congestive cardiomyopathy (DCM).
C
Comparator
Comparison between MDCM, IRCM, and DCM groups.
O
Outcome
Clinical, hemodynamic, and pathologic findings (including cardiac catheterization, endomyocardial biopsy, and pathologic examination of removed hearts).surrogate
End-stage congestive cardiomyopathy can occur without significant ventricular dilatation, presenting with clinical, hemodynamic, and pathologic features virtually identical to typical dilated cardiomyopathy.
Cite This Study
Keren et al. (1985) studied this question.