Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Journal of Cardiovascular Medicine and Surgery

Volume  5, Issue 4, Oct-Dec 2019, Pages 167-171
 

Original Article

Factors Affecting Outcome of Patients Diagnosed with Cardiomyopathy

Pankaj G Ganvir, Sangeeta Pednekar,

1 Senior Resident, Jaslok Hospital and Research Centre, Mumbai, Maharashtra 400026, India. 2 Professor, Department of Medicine, Lokmanya Tilak Municipal Medical College (LTMMC) and General Hospital, Sion West, Sion, Mumbai, Maharashtra 400022, India.

Choose an option to locate / access this Article:
60 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/jcms.2454.7123.5419.2

Abstract

Introduction: Cardiomyopathies are a heterogeneous group of heart diseases. The present study aimed to assess the clinical profile of patients diagnosed with cardiomyopathy and factors affecting their clinical outcomes. Methodology: Diagnosed patients of cardiomyopathyadmitted in general medical ward in our department were included. Diagnosis of cardiomyopathy was made based on the history, clinical examination and echocardiography findings and classified as dilated or hypertrophic cardiomyopathy. Results: Dilated cardiomyopathy was seen in 92.5% of the patients. Ischemic etiology was observed in approximately half of all patients (47%). Other less common etiology of cardiomyopathy was peripartum, thyroid abnormality, HIV infection, alcoholism, infectious disease, tachycardia and drug induced. Breathlessness and fatigue were the two most common presenting complaints. Discharge from the medical ward was ordered 66% of the patients, 17% had to be transferred to ICU and 17% expired during the follow up period. Serum creatinine higher than 1.3 mg/dl and total bilirubin more than 1.2 mg/ dl were found to be significantly associated with patient being either transferred to ICU or die during the follow up period. Conclusions: Non-ischemic etiology was more prevalent and higher serum creatinine and total bilirubin were associated with poor clinical outcomes. Future research is suggested from the clinical standpoint as well as those involving molecular techniques.

 


Keywords : cardiomyopathy; ischemia; mortality; Outcome.
Corresponding Author : Sangeeta Pednekar