Although cardiac transplantation offers prolonged survival and improved quality of life to patients with end-stage heart failure, many patients with idiopathic dilated cardiomyopathy do not undergo this procedure.
Possible barriers to cardiac transplantation were examined among 138 patients with idiopathic dilated cardiomyopathy from five hospitals in Washington, DC.
Patients underwent follow-up for approximately 5 years.
The patients or a close family member were interviewed at baseline about socioeconomic factors and medical history.
The patients or their next-of-kin were recontacted at 1-year intervals to determine patients'vital status and to obtain information about cardiac transplantation.
Overall, the cumulative survival at 12 and 60 months was 75.8% and 37.3%, respectively.
Only 3.6% (5 of 138) of the patients underwent cardiac transplantation, and 19 (13.8%) patients had been placed on a waiting list for a heart transplant.
Black race and nonmarried status were inversely associated with cardiac transplantation.
Factors associated with not having been placed on a waiting list included older age, lower income, and lack of private health insurance.
Black race was found to be significantly, but inversely associated with cardiac transplantation while older age was inversely associated with having been placed on a waiting list after adjusting for sex, race, education, and private insurance. (...)
Mots-clés Pascal : Cardiomyopathie hypertrophique, Idiopathique, Facteur risque, Epidémiologie, Traitement, Transplantation, Indication, Résultat, Etude statistique, Homme, Appareil circulatoire pathologie, Cardiopathie, Myocarde pathologie, Chirurgie
Mots-clés Pascal anglais : Hypertrophic cardiomyopathy, Idiopathic, Risk factor, Epidemiology, Treatment, Transplantation, Indication, Result, Statistical study, Human, Cardiovascular disease, Heart disease, Myocardial disease, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0302672
Code Inist : 002B12A05. Création : 27/11/1998.