E-ISSN 0976-2833 | ISSN 0975-3583
 

Original Article 


Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre

Virendra C. Patil, Neeraj Desai,Chetan Galande.

Abstract
Background: Cardiomyopathies represent a heterogeneous group of diseases that often lead to progressive heart failure
with significant morbidity and mortality. The improved recognition or of other factor, the incidence and prevalence of
heart failure due to cardiomyopathy appears to be increasing. Aims & Objectives: To study the prevalence, clinical profile
and outcome of patients with cardiomyopathies and to study the echocardiographic profile. Material & methods: It is
retrospective observational study of 65 patients, with age >15 years and admitted in medical ICU and ward of KIMSU,
karad. This study was conducted over period of one year. All eligible subjects underwent relevant investigations including
echocardiogram, Doppler study, electrocardiogram, chest radiogram and coronary angiogram. Proforma included age
gender presenting complaints, past history, history of medications, clinical examination and laboratory investigations.
Trans-thoracic 2-dimensional echocardiogram and Doppler study was done according to the standard protocol. Statistical
analysis: Results were given as mean SD. Means are compared by unpaired Students t-test. Chi-square was used as
appropriate. The observations and data were analyzed in the statistical package social sciences (SPSS) trial version 11.
The level of significance was set at P<0.05. Results: A total of 65 patients were admitted from Jan 2010 to Dec 2012
who were diagnosed with cardiomyopathy with mean age of 58.76 years (SD15.98). Out of the total 65 cardiomyopathy
patients admitted 27 (41.53%) had Dilated cardiomyopathy (idiopathic), 15 (23.07%) patients were diagnosed with
Ischemic cardiomyopathy. Total 42 (64.61%) patients had Dilated cardiomyopathy (i.e. idiopathic and ischemic dilated
cardiomyopathy). A total 11 (16.92%) had Hypertrophic cardiomyopathy (HCM), 2 (3.07%) patients had Hypertrophic
obstructive cardiomyopathy (HOCM) with LVOT significant gradient, 5 (7.69%) patients had Restrictive cardiomyopathy
(RCMP), 4 (6.15%) had Peripartum cardiomyopathy (PPCM) and 1 (1.53%) patient had miscellaneous (alcohol induced)
Cardiomyopathy. Out of 27 patients diagnosed with Dilated Cardiomyopathy (DCM), 15 (55.55%) were male patients
and 12 (44.45%) were females. Out of 15 patients diagnosed with Ischemic cardiomyopathy, 7(46.66%) were males and
8(53.33%) were females. Out of 11 patients diagnosed with HCM, 9(81.81%) were males and 2(18.18%) were females.
Out of 2 patients diagnosed with HOCM 1(50%) was a male patient and 1(50%) was a female patient. There were 4
female patients who were diagnosed with PPCM. A total of 5 patients were diagnosed with RCMP, out of which 1(20%)
was a male patient 4(80%) patients were females. There was 1 male patient diagnosed with cardiomyopathy secondary
to chronic alcohol consumption. In present study breathlessness 89.23% was most common presenting symptom and
palpitations (81.53%) and cough (58.46%) were next to it with p <0.001. Overall VPCs (36%) were the most common
ECG abnormality in patients with cardiomyopathy in present study with p value <0.01. The LBBB (35.71%) was
more frequently seen in patients with dilated cardiomyopathy with p <0.02. The atrial flutter/ fibrillation found more
commonly in patients with restrictive cardiomyopathy (80%) with p value < 0.02. Total 74.07% of DCM, 86.67% of
ischemic cardiomyopathy, 50% of PPCM, 81.82% of HCM, 100% of HOCM, RCMP and alcoholic cardiomyopathy
patients had diastolic dysfunction. Idiopathic Dilated cardiomyopathy had 22% (7.7) of lowest left ventricular ejection
fraction (LVEF). Out of total 65 patients two patients with dilated cardiomyopathy succumbed with overall mortality
3.08% and case fatality rate for DCM was 4.76%. Total 96.92% patient were discharged after treatment from the hospital.
Conclusion: Present study highlights significant burden of Idiopathic dilated cardiomyopathy and next to it was ischemic
cardiomyopathy. A total 6 (9.23%) patient

Key words: Echocardiogram, Dilated cardiomyopathy, Hypertrophic obstructive cardiomyopathy, Peripartum cardiomyopathy, Restrictive cardiomypathy


 
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Pubmed Style

Virendra C. Patil, Neeraj Desai,Chetan Galande. Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre. J Cardiovasc. Dis. Res.. 2014; 5(1): 34-43. doi:10.5530/jcdr.2014.1.6


Web Style

Virendra C. Patil, Neeraj Desai,Chetan Galande. Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre. http://www.jcdronline.org/?mno=93438 [Access: July 06, 2021]. doi:10.5530/jcdr.2014.1.6


AMA (American Medical Association) Style

Virendra C. Patil, Neeraj Desai,Chetan Galande. Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre. J Cardiovasc. Dis. Res.. 2014; 5(1): 34-43. doi:10.5530/jcdr.2014.1.6



Vancouver/ICMJE Style

Virendra C. Patil, Neeraj Desai,Chetan Galande. Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre. J Cardiovasc. Dis. Res.. (2014), [cited July 06, 2021]; 5(1): 34-43. doi:10.5530/jcdr.2014.1.6



Harvard Style

Virendra C. Patil, Neeraj Desai,Chetan Galande (2014) Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre. J Cardiovasc. Dis. Res., 5 (1), 34-43. doi:10.5530/jcdr.2014.1.6



Turabian Style

Virendra C. Patil, Neeraj Desai,Chetan Galande. 2014. Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre. Journal of Cardiovascular Disease Research, 5 (1), 34-43. doi:10.5530/jcdr.2014.1.6



Chicago Style

Virendra C. Patil, Neeraj Desai,Chetan Galande. "Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre." Journal of Cardiovascular Disease Research 5 (2014), 34-43. doi:10.5530/jcdr.2014.1.6



MLA (The Modern Language Association) Style

Virendra C. Patil, Neeraj Desai,Chetan Galande. "Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre." Journal of Cardiovascular Disease Research 5.1 (2014), 34-43. Print. doi:10.5530/jcdr.2014.1.6



APA (American Psychological Association) Style

Virendra C. Patil, Neeraj Desai,Chetan Galande (2014) Clinical and echocardiogram profile of Cardiomyopathy at tertiary care centre. Journal of Cardiovascular Disease Research, 5 (1), 34-43. doi:10.5530/jcdr.2014.1.6





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