Ge S J, Pu S Y
Zhongshan Hospital, Shanghai Medical University.
Zhonghua Nei Ke Za Zhi. 1992 Nov;31(11):698-700, 731.
A study of factors predicting mortality was performed in 69 patients with idiopathic dilated cardiomyopathy by analyzing 14 parameters according to clinical, electrocardiographic and echocardiographic findings. On admission 64% of the patients were in NYHA functional class 3 or 4. During a mean follow-up period of 18 months 43 patients died; 31 of refractory heart failure and 12 suddenly. 1 year survival was 58%. Multivariate analysis (Cox model) revealed that the independent predictors for mortality due to refractory heart failure were left ventricular enddiastolic diameter, NYHA functional class and systolic blood pressure; the presence of tricuspid regurgitation predicted mortality due to sudden death.
通过根据临床、心电图和超声心动图检查结果分析14项参数,对69例特发性扩张型心肌病患者进行了预测死亡率的因素研究。入院时,64%的患者处于纽约心脏协会(NYHA)心功能3级或4级。在平均18个月的随访期内,43例患者死亡;31例死于难治性心力衰竭,12例猝死。1年生存率为58%。多因素分析(Cox模型)显示,难治性心力衰竭导致死亡的独立预测因素为左心室舒张末期内径、NYHA心功能分级和收缩压;三尖瓣反流的存在可预测猝死导致的死亡。