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KMID : 0374019910140010061
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Ewha Medical Journal
1991 Volume.14 No. 1 p.61 ~ p.67
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A Clinical Study of Primary Dilated Cardiomyopathy
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Abstract
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In order to observe the clinical characteristics of the primary dilated cardiomyopathy.
I reviewed 39 patients examined in the Cardiology Department of the Ewha Womans University Hospital from January. 1986 to June. 1990. The findings were as follows :
1) Among whom 27 patients were male and 17 were female with a male to female ratio of 2.3 . 1.
2) An age distribution was diverse from 17 years to 79 years old with a mean age 58.2 15.6 year.The peak age incidence was the 6th decade.
3) The most frequent chief complaints were exertional dyspnea(82.1 %) and orthopnea(20. 5%)
4) The duration of symptoms was relatively short. mainly less than 1 month, suggesting an abrupt onset of symptoms.
5) Among various arrhythmias, atrial fibrillation was most common(30.8%) and prema-
ture ventricular contraction(23.1 %) and premature atrial contraction( 10.3 % ) were frequently found.
6) By M-Mode echocardiography. left ventricular enddiastolic dimension(LVEDD) was 65.7 9.3mm, left ventricular endsystolic dimension(LVEDS) was 57.8 8.1 mm and ejection fraction was 31.15.9%.
7) After treatment, most of the patients(82.0%) were improved to New York Heart Asso-
ciation Function Class II. Before treatment, 71.7% of the patients were belongs to New York Heart Association Functional Class III and IV.
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