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Journal of Cardiovascular Disease Research

2021, Vol: 8, Issue: 8
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    CLINICO-ETIOLOGICAL STUDY OF DILATED CARDIOMYOPATHY PATIENTS ADMITTED TO THE DEPARTMENT OF INTERNAL MEDICINE VIMSAR, BURLA: A PROSPECTIVE OBSERVATIONAL STUDY


    Dr Bipin Kishore Kullu, Dr Prafulla Kumar Bariha, Dr Nayan Patel, Dr. Vaibhav Balakrishna Gowda
    JCDR. 2023: 1565-1570

    Abstract

    Dilated cardiomyopathy (DCM) affects heart muscles, specifically the myocardium. In DCM, the heart becomes enlarged (dilated) and weakened, leading to problems with its ability to effectively pump blood. This can result in various symptoms and complications including heart failure. Aim: The aim of the present study was to evaluate 100 cases of dilated cardiomyopathy and study their clinical profile (Symptomatology and Signs) and etiological profile when admitted to the medicine department of VIMSAR, Burla. Materials and methods: After obtaining permission from the Institutional Ethics Committee, the present study was initiated. Veer Surendra Sai Institute of Medical Sciences and Research (VIMSAR), Burla, Sambalpur, Odisha, India. This study was conducted from November 2020 to October 2022. This was a cross-sectional, observational study. This study included 100 patients who met the diagnostic criteria for DCM and were admitted to the male and female medicine wards of the Department of General Medicine at VIMSAR, Burla. Results: We found that females (52%) were more affected, with a higher prevalence in the middle-aged and elderly age groups. Idiopathic (33%) was shown to be the most common cause, followed by ischemia (30%). Exertional dyspnea (100%) was reported to be the most common symptom, followed by palpitation (63%). Most of them had signs of biventricular failure. Most patients exhibited sinus tachycardia, and 2D-Echo showed lower ejection fraction with global hypokinesia in all cases, with a high number of cases (60% having mitral regurgitation). All instances had cardiomegaly, with a considerable percentage having pulmonary plethora (45%). Conclusion: Dilated cardiomyopathy was more common in middle-aged and older women. Biventricular failure was the most common symptom. Idiopathic was shown to be the most common cause. Ultrasound showed a reduced ejection fraction with global hypokinesia in all patients, chest x-ray showed cardiomegaly, and sinus tachycardia was the most common ECG finding.

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    Volume 14 Issue 8

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