Indian Journal of Public Health Research & Development
  • Year: 2018
  • Volume: 9
  • Issue: 11

Clinical, echocardiographic and risk profile of five hundred cases of dilated cardiomyopathy in a tertiary care centre: Our experience

  • Author:
  • Srikant Kumar Dhar1, Akshaya Kumar Samal2, Chandan Das1,, Sobhitendu Kabi1, Swati Samant3, Kamalkant Jena4, Mahesh Chandra Sahu5
  • Total Page Count: 5
  • Page Number: 57 to 61

1Associte Professor, Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, Kalinganagar, Bhubaneswar, Odisha, India

2Professor, Department of Cardiology, IMS and SUM Hospital, Siksha “O” Anusandhan University, Kalinganagar, Bhubaneswar, Odisha, India

3Assistant Professor, Department of Ophthalmology, IMS and SUM Hospital, Siksha “O” Anusandhan University, Kalinganagar, Bhubaneswar, Odisha, India

4Junior Resident, Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, Kalinganagar, Bhubaneswar, Odisha, India

5Assistant Professor, Directorate of Medical Research, IMS and SUM Hospital, Siksha “O” Anusandhan University, Kalinganagar, Bhubaneswar, Odisha, India

*Corresponding author: Dr. Chandan Das, Associate Professor, Department of Medicine, IMS and SUM Hospital, Bhubaneswar. Email: drchandan1204@gmail.com

Online published on 7 December, 2018.

Abstract

Cardiovascular ailment is a common manifestation in patients with co-morbidity like diabetes mellitus, hypertension, COPD, etc. and the incidence is gradually increasing. In this study we have evaluated the Echocardiography reports of the patients attending department of medicine and cardiology and documented the demographic data of the patients.

In this retrospective observational study, 500 Echocardiography reports were collected from the department of cardiology and the previous clinical history and demographic data were collected from the register. All the collected data were analyzed with Excel MS office, window 7 version.

Out of 500 cases 293 cases were male and 207 cases were female. The youngest cases encountered were 3 years of age and the oldest was 87 years of age. ECG was within normal limit with sinus Tachycardia seen in 80 cases. LVH with strain in 206 cases mostly in Hypertensive LBBB/LAHB was seen in 106 cases, Nonspecific ST/T changes in 108 cases. 2D-echocardiography revealed mild LV systolic dysfunction, moderate LVsystolic dysfunction, severe systolic dysfuction and Mitral valve regurgitation was found 52, 145, 303 and 415 patients respectively.

Present study highlights significant burden of DCM in elderly population, especially males. These patients are more likely to have arrhythmia and embolic episodes. Certain echocardiographic parameters like Ejection Fraction and Left Atrial size were found to correlate with left ventricular parameters and thus may be useful in predicting prognosis in DCM. However, further multicentric studies are needed in order to find the associated features in DCM patients in India and to better elucidate the significance of different chamber dimensions.

Keywords

Echocardiogram, Dilated cardiomyopathy, Hypertrophic obstructive cardiomyopathy, Peripartum cardiomyopathy, Restrictive cardiomypathy