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Risk factor of sudden death in dilated cardiomyopathy patients:A retrospective follow-up study

Risk factor of sudden death in dilated cardiomyopathy patients:A retrospective follow-up study
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摘要 Objective: To discuss the related risk factors of sudden death in dilated cardiomyopathy (DCM)patients. Methods: A retrospective survey of DCM patients was conducted, all patients were chosen at random from Xi’an city and 8 adjacent counties. One hundred and fifty patients were reinvestigated after 3.1±1.5 years. Binary multivariate logistic regression analyses and one way analysis of variance (ANOVA) were used to identify risk factors of the sudden death in DCM patients. Results: Risk factors of sudden death in 150 DCM patients were frequently ventricular premature beats (OR=11.617), paroxysmal ventricular tachycardia (OR=6.305), hypertension (OR=5.689), EF (OR=0.977). The serum sodium concentration (P=0.023) and left ventricular diastolic dimension (LVDD)(P=0.039) were significant difference between the sudden death group and the survival group in one way ANOVA, LVDD was not a risk factor in multivariate analysis controlling for possible confounding. Conclusion: The present study identified some risk factors of sudden death in DCM patients, including frequently ventricular premature beats, paroxysmal ventricular tachycardia, hypertension and low EF value. Objective: To discuss the related risk factors of sudden death in dilated cardiomyopathy (DCM)patients. Methods: A retrospective survey of DCM patients was conducted, all patients were chosen at random from Xi'an city and 8 adjacent counties. One hundred and fifty patients were reinvestigated after 3. 1±1. 5 years. Binary multivariate logistic regression analyses and one way analysis of variance (ANOVA) were used to identify risk factors of the sudden death in DCM patients. Results: Risk factors of sudden death in 150 DCM patients were frequently ventricular premature beats (OR=11. 617), paroxysmalventricular tachycardia (OR=6.305), hypertension (OR=5.689), EF (OR=0.977). The serum sodium concentration (P=0.023) and left ventricular diastolic dimension (LVDD)(P=0. 039) were significant difference between the sudden death group and the survival group in one way ANOVA, LVDD was not a risk factor in multivariate analysis controlling for possible confounding. Conclusion: The present study identified some risk factors of sudden death in DCM patients, including frequently ventricular premature beats, paroxysmal ventricular tachycardia, hypertension and low EF value.
出处 《Journal of Medical Colleges of PLA(China)》 CAS 2005年第6期364-368,共5页 中国人民解放军军医大学学报(英文版)
关键词 sudden death dilated cardiomyopathy risk factors 心肌病 猝死 病理机制 治疗
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