Value of vectorcardiography in predicting progress in dilated cardiomyopathy.
Sixteen of 75 patients with dilated cardiomyopathy (DCM) died during a mean follow-up period of 39.7 months. In non-survivors, the cardiothoracic ratio and the left ventricular end-diastolic dimensions were greater, the left ventricular end-diastolic pressures were more elevated, and the cardiac index was lower than in the survivors at the time of initial diagnosis. There were no significant differences between survivors and non-survivors in the magnitude of the maximum QRS and T vectors or in the maximum T angle. In the non-survivors, the maximum QRS vector was directed more posteriorly and the width/length ratio of the loop in the horizontal plane was smaller than in survivors. The QRS loop in the horizontal plane was often distorted in non-survivors or showed a bizarre figure-of-eight configuration. It appears that in DCM a marked posterior displacement of a QRS loop that is narrow and distorted or is in a bizarre figure-of-eight configuration in the horizontal plane indicates an unfavorable prognosis.[1]References
- Value of vectorcardiography in predicting progress in dilated cardiomyopathy. Tomono, S., Ohno, T., Utsugi, T., Katoh, N., Ohshima, N., Kurihara, S., Suzuki, T., Murata, K. Jpn. Circ. J. (1989) [Pubmed]
Annotations and hyperlinks in this abstract are from individual authors of WikiGenes or automatically generated by the WikiGenes Data Mining Engine. The abstract is from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.About WikiGenesOpen Access LicencePrivacy PolicyTerms of Useapsburg
