Epidemiology and natural history of recovery of left ventricular function in recent onset dilated cardiomyopathies.
Epidemiology and natural history of recovery of left ventricular function in recent onset dilated cardiomyopathies.
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DOI：
10.1007/s11897-013-0157-5
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发表时间：
2013-12
影响因子：
--
通讯作者：
Mann, Douglas L
中科院分区：
文献类型：
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作者：
Givertz, Michael M;Mann, Douglas L
虽然扩张型心肌病(DCM)患者的长期预后仍然很差，但在最近发生心力衰竭(6个月)的DCM患者中，约有25%的患者具有相对良性的临床病程，症状自发改善，左心功能部分或完全恢复。尽管长期以来人们对LV恢复的临床现象有了认识，但对这一重要的扩张型心肌病患者的病因和自然病史的关注相对较少。因此，在这篇综述中，我们将集中于新近发病的扩张型心肌病患者的流行病学和自然病史，这些患者在症状自然缓解的同时伴随着左心功能的恢复。
Although the long term prognosis of patients with dilated cardiomyopathy (DCM) remains poor, approximately 25% of DCM patients with recent onset of heart failure (< 6 months) have a relatively benign clinical course with a spontaneously improvement in symptoms and partial, or in some cases complete, recovery of left ventricular (LV) function. Despite the longstanding recognition of the clinical phenomenon of LV recovery, relatively little attention has been paid to the etiology and natural history of this important group of DCM patients. Accordingly, in the present review we will focus on the epidemiology and natural history of recent onset DCM in patients who undergo spontaneous resolution of symptoms that is accompanied by recovery of LV function.