A Clinical Study of Dilated Cardiomyopathy With Correlation to Electrocardiography and Echocardiography: A Cross Sectional Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 11
Abstract
Introduction: Cardiomyopathy is a primary disorder of the heart muscle with abnormal myocardial performance. It is an important cause of heart failure and accounts for up to 25% of all cases of heart failure. In view of the high prevalence of chronic heart failure due to underlying dilated cardiomyopathy (DCM) and the lack of data on DCM, this study was undertaken. Materials and Methods: 1-year cross-sectional study was conducted on 30 cases of DCM from medical ward of Rajendra Institute of Medical Sciences, Ranchi. Cases were selected as per laid down inclusion and exclusion criteria and were evaluated clinically, hematologically, biochemically and by chest X-ray, electrocardiograph, and echocardiography. Result: Majority of the patients was above the age of 60 years of with male to female ratio 1.3:1. Most common presentations were dyspnea, easy fatigability, and pedal edema. Other common presentations were a history of paroxysmal nocturnal dyspnea, cough, palpitation (56.6%) orthopnea (53.3%), chest pain (40%), abdominal pain (33.3%), and syncope (16.6%). Ectopic beats were seen in 53.3%, tachycardia in 46.6%, and atrial fibrillation in 13.3% of patients. Left bundle branch block was seen in 40% of subjects. Cardiomegaly was seen in all the patients on chest radiograph. The most common type of DCM was ischemic DCM comprising 33.3% of all cardiomyopathies followed by diabetic cardiomyopathy (23.3%) and peripartum cardiomyopathy (16.6%). Conclusion: DCM is an important cause of heart failure affecting all age group and both sexes. It is commonly associated with ischemia DCM and commonly present as a biventricular failure.
Authors and Affiliations
Kalyan Kumar Saha, Amarendu Kumar, Sneha Kumari, Praveen Kumar, Amit Kumar Mishra, Mukesh Kumar Tiwari, Rakesh Roshan
Keywords
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