A Study of Clinical Profile of Patients with Dilated Cardiomyopathy in Correlation with ECG and Echocardiography In Age Less Than 40 Years.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
There has been increasing incidence of Dilated Cardiomyopathy in India and especially in age less than 40 years and have been associated with serious complications and mortality. Because most of the cause under 40 years of age are reversible, thus arises the need for proper diagnosis and management. This study was taken to find out the most important etiology of Dilated cardiomyopathy in younger age group, using clinical symptoms, signs, ECG, echocardiography and blood investigations. This was a cross sectional study of 1 year, comprising of 60 patients of age group less than 40 years. The inclusion criteria was LVEF< 45%, LVED<3cm/body surface area, global hypokinesia and dilatation of all the chambers of the heart. The most important etiology was peripartum which included 33.3% of population followed by alcoholic myopathy. Rare causes included SLE and cardiomyopathy due to iron overload and compromised of 2 patients out of 60. 100% of the patients had dyspnea and 60 %had paroxysmal nocturnal dysnea. Basal crepitation was seen in 93.33%, followed by raised JVP in 73.3%. Ectopic beats were seen in 53.3 % and tachycardia in 46.6%. Chest radiography revealed 53.3% of patients with pulmonary plethora and pleural effusion in 20%. Echocardiography revealed valvular abnormalities with Mitral regurgitation in 73.3% of the patients. Most of the patients were in clinical failure with mainly in NYHA class IV. This study was compared with Rana et al and it was found that alcohol was the most common cause in 23.3% of patients followed by peripartum in 15% of the patients.
Authors and Affiliations
Dr. Siddharth Kapoor, Dr. Bushra Amin, Dr. R. K. Jha
Keywords
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- EP ID EP369610
- DOI 10.9790/0853-1703094247.
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