Dilated cardiomyopathy is a heart muscle disease in which one or both ventricles are dilated, resulting in decreasing left ventricular contractility and pump failure. Complex arrhythmias are frequent in this disorder and are often associated with
poor
prognosis. We analysis the clinical parameter, electrocardiographic and echocardiographic findings of the 15 patients who were diagnosed as dilated cardiomyopathy between aug. 1978 and Dec. 1992 in Kon-Kuk University Minjoog Hospital.
@ES The results were as follows:
@EN 1) 9 male and 6 female patients with mean age of 56.6 were included in this study.
2) In decreasing order of frequency, the clinical findings were dyspnea on exertion (93.3%); fatigue or weakness (46.7%); orthopnea (26.7%); edema (20.0%); chest pain (20.0%) and palpitation (13.3%).
3) In decreasing order of frequency, the findings of physical examination were apical systolic murmur (53.3%); hepatomegaly (33.3%); S3 gallop (26.7%); pretibial pitting edema 7%); rales or wheezing (20.0%)and peripheral cyanosis (20.0%).
4) The most common finding of electrocardiography was LVH(33.3%) and atrial fibrillation (33.3%). NSIVCD (26.7%), PVC (20.05), LBBB (6.7%), atrial flutter (6.7%) were also noted in this study
5) The echocardiographic study showed markedly increased LVEDD (65.3±11.1mm), LVESD(56.8±10.7mm), LAD (42.9±7.4mm), EPSS (23.3±6.1MM) and decreased EF (28.8±11.0%), IVST (7.6±1.1mm) and LVPWT(7.5±1.3mm) This data showed that congestive
heart
failure was the major clinical feature and the left ventricular performance was markedly decreased in the patients with dilated cardiomyopathy. electrocardiographic abnormalities were frequently associated with this disorder. Adequate therapeutic
modality and proper follow up were necessary to improve the prognosis of the patients with dilated cardiomyopathy.
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