A pilot study of dilated cardiomyopathy (DCM) in western Uttar Pradesh, India: A four year review
Corresponding Address: Dr. Ajoy Deshmukh MD, DM, E-3, 16B- Shatabdi Vihar, Sector-52, NOIDA, U.P. India. Drdeshmukh_n17@yahoo.co.in
This study was conducted in the Department of Medicine, M.M.C. Muzaffarnagar, U.P, & SIMS, Hapur, UP. India. between April 2006 to June 2010. One hundred cases of dilated cardiomyopathy (DCM) diagnosed echocardiographically were studied. Male to female ratio was observed to be 1.5:1. 48% patients were above 60 yrs. DCM below 40 years was 09% and was found mainly in females in peripartum period.
Presenting feature were congestive heart failure (90%), acute pulmonary edema (42%), and thromboembolism (14%). More than half of the patients were smoker (65%) and one third (3o %) were alcoholic.
Echocardiographic findings were, low ejection fraction less than 50% in all the Patients and 45%patients have ejection fraction less than 20%.
Other associated echo findings were MR (30%), TR (26%), pericardial effusion (09%) and LV thrombus (8%).ECG changes observed were LVH (35%) ST-T changes (90%), LBBB (30%) PVC (50%), VT (10%), AF (5%). Overall mortality observed among D.C.M was 14% Betablockers were used both in asymptomatic and symptomatic D.C.M patients whenever there was no definite contraindications.
Cardiac resynchronization therapy (CRT) was not advised in our patients due to their poor socioeconomic status.
Dilated cardiomyopathy (DCM), Congestive heart failure (CHF), Arrhythmias, Echocardiography, Cardiac resynchronization therapy (CRT).