Clinical features of idiopathic restrictive cardiomyopathy

Jung Ae Hong, Min Seok Kim, Min Su Cho, Hyo In Choi, Duk Hyun Kang, Sang Eun Lee, Ga Yeon Lee, Eun Seok Jeon, Jae Yeong Cho, Kye Hun Kim, Byung Su Yoo, Jong Young Lee, Won Jang Kim, Kyung Hee Kim, Wook Jin Chung, Ju Hee Lee, Myeong Chan Cho, Jae Joong Kim

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Idiopathic restrictive cardiomyopathy (RCMP) has not been fully understood because this disease is difficult to diagnose. The present study aimed to assess the clinical profile and outcome of idiopathic RCMP from a multicenter cohort. This investigation is a retrospective study of consecutive patients with idiopathic RCMP at 10 centers in Korea between 1990 and 2010. We evaluated the clinical characteristics of the patients and prognostic factors associated with mortality using multivariate Cox proportional hazards regression analyses. The study included 53 patients (26 men, 49.1%). During a median follow-up of 1.7 years, 17 patients (32.1%) died and 5 patients (9.4%) received a heart transplant. The 5-year survival rate of the overall patients was 64.4%}7.8%. In multivariable analyses, the predictors of mortality were tricuspid regurgitation (TR).moderate (hazard ratio [HR] 32.55, P<001) and left ventricular enddiastolic diameter (LVEDD) (HR 0.85, P<001). Idiopathic RCMP showed unfavorable prognosis. Advanced TR and lower LVEDD are independent adverse predictors of mortality in patients with idiopathic RCMP. Abbreviations: EDP = end-diastolic pressure, EF = ejection fraction, HR = hazard ratio, LA = left atrium, LV = left ventricle, LVEDD = left ventricular end-diastolic diameter, NYHA Fc = New York Heart Association functional class, RCMP = restrictive cardiomyopathy, RV = right ventricle, RVEDP = right ventricle end-diastolic pressure, TR = tricuspid regurgitation.

Original languageEnglish
Article numbere7886
JournalMedicine (United States)
Volume96
Issue number36
DOIs
Publication statusPublished - 2017 Sep 1

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Fingerprint Dive into the research topics of 'Clinical features of idiopathic restrictive cardiomyopathy'. Together they form a unique fingerprint.

  • Cite this

    Hong, J. A., Kim, M. S., Cho, M. S., Choi, H. I., Kang, D. H., Lee, S. E., Lee, G. Y., Jeon, E. S., Cho, J. Y., Kim, K. H., Yoo, B. S., Lee, J. Y., Kim, W. J., Kim, K. H., Chung, W. J., Lee, J. H., Cho, M. C., & Kim, J. J. (2017). Clinical features of idiopathic restrictive cardiomyopathy. Medicine (United States), 96(36), [e7886]. https://doi.org/10.1097/MD.0000000000007886