Clinical meaning of ascites in patients with endomyocardial fibrosis
Arq. bras. cardiol
;
78(2): 196-199, Feb. 2002. tab, graf
Article
Dans Anglais
| LILACS
| ID: lil-303904
ABSTRACT
OBJECTIVE:
To evaluate the clinical meaning of ascites and the main features of patients with ascites and endomyocardial fibrosis.METHODS:
We studied 166 patients with endomyocardial fibrosis (mean age 37 years, 114 women) treated over the last 20 years. Ventriculography findings, surgery or necropsy confirmed the diagnosis in all patients. Most patients belonged to New York Heart Association Functional Class III/IV (134, 83.7 percent). Eighty-one (50.6 percent) had biventricular, 28 (17.5 percent) had right ventricular, and 51 (31.8 percent) had left ventricular involvement. During follow-up, 56 patients died.RESULTS:
Ascites was present in 67 (41.8 percent) patients, and right ventricular involvement was present in 59 (88 percent). In the comparison between patients with or without ascites, those with ascites had higher mortality (49.2 percent and 24.7 percent, respectively). Patients with ascites had a higher incidence of edema (95 percent vs. 43 percent), hepatomegaly (5.8cm vs. 4.1cm), mean right atrium pressure (19.3 vs. 12mmHg), and final right ventricle diastolic pressure (18.7 vs. 12.9mmHg). Also, patients with ascites had a longer history of illness (5.1 and 3.9 years, respectively) and had atrial fibrillation more frequently (44.7 percent vs. 30.1 percent).CONCLUSION:
Ascites was observed in less than 50 percent of cases of endomyocardial fibrosis and was associated with greater involvement of the right ventricle and with a longer duration of the disease, thus being a characteristic of a worse prognosis
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Ascites
/
Fibrose endomyocardique
Type d'étude:
Étude pronostique
Limites du sujet:
Adolescent
/
Adulte
/
Enfant
/
Enfant d'âge préscolaire
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Arq. bras. cardiol
Thème du journal:
Cardiologie
Année:
2002
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Universidade de Säo Paulo/BR
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