Why the study?
Does the selection of operative procedures guided by intraoperative echocardiography improve survival in patients with dilated cardiomyopathy?
Population
56 patients with dilated cardiomyopathy (50 with idiopathic DCM, 6 with dilated hypertrophic cardiomyopathy)
Comparison
Selection of operative procedures guided by… vs Initial partial left ventriculectomy without…
Design
Cohort
Follow-up
14 months
Authors
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Echo-guided selection may improve survival in dilated cardiomyopathy surgery; hypothesis-generating and requires randomized confirmation before practice change.
Does the selection of operative procedures guided by intraoperative echocardiography improve survival in patients with dilated cardiomyopathy?
Using intraoperative echocardiography to guide the selection of surgical procedures in patients with dilated cardiomyopathy significantly improves 14-month survival compared to a uniform approach of partial left ventriculectomy.
Isomura et al. (2000) studied this question.