Heart failure & cardiomyopathies

Non-Dilated Left Ventricular Cardiomyopathy vs. Dilated Cardiomyopathy: Clinical Background and Outcomes

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

There was no significant difference in the incidence of cardiac events between NDLVC-REF and DCM. Among NDLVC-REF patients, 18% of patients who showed LV dilatation after diagnosis had poor outcomes.

Study context

Population
Patients with newly diagnosed non-ischaemic cardiomyopathy and reduced LVEF (<50%), December 2004–January 201844 with cardiac events
Participants
363 patients
Exposure
NDLVC-REF vs dilated cardiomyopathy (DCM)
  • NDLVC-REFn = 80
Outcome
Cardiac events:
  • SCD
  • Rehospitalization for HF
Follow-up
Median 68.8 months (IQR 33.0-93.7)

Main finding

As reported in the abstract

Cardiac events (Kaplan-Meier) · median 68.8 months
  • NDLVC-REF vs DCM: P = 0.349

Observational data: associations, not effects.

Further findings

OutcomeP value
Cardiac events, NDLVC-REF with vs without LV dilatation after diagnosis (subgroup)Higher risk with LV dilatation (14% of NDLVC-REF)P = 0.049

Baseline characteristics

Higher prevalence of AF and higher LVEF in NDLVC-REF than DCM

LVEF and LV end-diastolic diameter · all time points after diagnosis

Higher LVEF and smaller LV end-diastolic diameter in NDLVC-REF than DCM

Original publication

Non-Dilated Left Ventricular Cardiomyopathy vs. Dilated Cardiomyopathy: Clinical Background and Outcomes. ESC Heart Fail. Published 6 February 2024. doi:10.1002/ehf2.14711

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