Clinical meaning of ascites in patients with endomyocardial fibrosis
Arq. bras. cardiol
; 78(2): 196-199, Feb. 2002. tab, graf
Artigo
em Inglês
| LILACS
| ID: lil-303904
Biblioteca responsável:
BR1.1
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
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Ascite
/
Fibrose Endomiocárdica
Tipo de estudo:
Estudo prognóstico
Limite:
Adolescente
/
Adulto
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
2002
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade de Säo Paulo/BR