Progression of coronary artery disease in non-ischemic dilated cardiomyopathy.
Dilated cardiomyopathy (DCM) is traditionally divided into ischemic and non-ischemic etiologies. We review data from clinical trials that suggest some patients in the latter subgroup develop ischemic complications including fatal myocardial infarction. However, the reasons for and magnitude of the effect are not known. Prospective screening studies and improved endpoint adjudication in clinical trials may be required to better delineate the degree to which the phenomenon occurs. Risk factor modification strategies should be applied to the non-ischemic DCM cohort, especially with continued improvements in survival rates in patients with heart failure.
Hedrich
Olaf
O
Department of Medicine, School of Medicine, Saint Louis University, Missouri, USA.
Jacob
Mark
M
Hauptman
Paul J
PJ
D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000401:mortality / Q000628:therapy; D002423:Cause of Death; D002986:Clinical Trials as Topic; D003324:Coronary Artery Disease / Q000209:etiology* / Q000401:mortality / Q000628:therapy; D018450:Disease Progression; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology; D017202:Myocardial Ischemia / Q000209:etiology* / Q000401:mortality / Q000628:therapy