Variable Prognosis in Congestive Cardiomyopathy Role of Left Ventricular Function, Alcoholism, and Pulmonary Thrombosis

Tadashi KOIDE; Akihito KATO; Yutaka TAKABATAKE; Masahiko IIZUKA; Yasumi UCHIDA; Katsuhiko OZEKI; Shigenori MOROOKA; Masaaki KAKIHANA; Takashi SERIZAWA; Shugo TANAKA; Tetsuo OHYA; Shinichi MOMOMURA; Satoru MURAO

doi:10.1536/ihj.21.451

Variable Prognosis in Congestive Cardiomyopathy

Role of Left Ventricular Function, Alcoholism, and Pulmonary Thrombosis

Tadashi KOIDE, Akihito KATO, Yutaka TAKABATAKE, Masahiko IIZUKA, Yasumi UCHIDA, Katsuhiko OZEKI, Shigenori MOROOKA, Masaaki KAKIHANA, Takashi SERIZAWA, Shugo TANAKA, Tetsuo OHYA, Shinichi MOMOMURA, Satoru MURAO

Author information

Tadashi KOIDE
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Akihito KATO
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Yutaka TAKABATAKE
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Masahiko IIZUKA
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Yasumi UCHIDA
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Katsuhiko OZEKI
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Shigenori MOROOKA
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Masaaki KAKIHANA
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Takashi SERIZAWA
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Shugo TANAKA
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Tetsuo OHYA
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Shinichi MOMOMURA
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
Satoru MURAO
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo

Keywords: Peripartal cardiomyopathy, Alcoholic cardiomyopathy, Accordion heart sign, Mitral regurgitation

JOURNAL FREE ACCESS

1980 Volume 21 Issue 4 Pages 451-463

DOI https://doi.org/10.1536/ihj.21.451

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Abstract

Prognosis of 36 patients with congestive cardiomyopathy was studied in relation to various clinical factors. Half life of the survival curve after overt heart failure was about 7 years. Although left ventricular function was a major determinant of clinical course in congestive cardiomyopathy in general, its relation to prognosis was variable according to the type of cardiac involvement. In peripartal cardiomyopathy and in a type of cardiomyopathy named subacute cardiomyopathy with pulmonary thrombosis in this paper, factor(s) other than left ventricular function, possibly including pulmonary thrombosis, may be operative as more important determinant of extremely poor prognosis in these subtypes. Alcoholic cardiomyopathy was also unique in its favorable prognosis in association with reversible cardiomegaly following abstention from alcohol.

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