╨╧рб▒с>■  +-■   ,                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴` Ё┐0Ъbjbj╦s╦s 1йй      д$hhh8а м $_ ╢─────°°°║ ╝ ╝ ╝ ╝ ╝ ╝ $ h}мр 9°°°°°р ──4 К К К °`──║ К °║ К К К ─╕ (┴╤}╚hX XК ║ / 0_ К )░ ^)К )К 0К °°°р р  |°°°_ °°°°$$$Dh$$$h$$$     DILATED CARDIOMYOPATHY: VARIOUS ETIOLOGIES AND OUTCOME N.N. Kipshidze Academician N. Kipshidze National Center of Therapy, Tbilisi, Georgia Objectives/Background: The aim of the present study was to evaluate and compare a long-term prognosis and clinical courses of viral and idiopathic (two of the most widespread and heave forms) forms of dilated cardiomyopathy (DCM). Methods: In total 144 patients (mean age 43.8┬▒12 years, range 15-68 years, m122/f22) with DCM were enrolled in the Study since 1991 in our hospital. Beside standard examinations, serologic tests for antibodies to cardiotropic viruses (ELISA method) were performed. The patients were divided into 2 groups (Gr.) according to the results of serologic tests and patientтм "!s clinical and history data. The Odds and Hazard Ratio, Kaplan-Meyer methods were used for statistical analyses of the data achieved. Results: In 77 (53.5%) out of 144 patients with DCM, together with acute respiratory infections in anamnesis we observed positive serologic reaction to cardiotropic viruses (Gr.1). 67(46.5%) patients with idiopathic DCM entered Gr.2. During the 5-year observation period 69 (47.9%) patients died while 75 (52.1%) patients survived. Life-expectancy was 4.1┬▒2.0 and 4.7┬▒2.6 years for Gr.1 and Gr.2, respectively. 3-year mortality rate was 33.8% and 27.2%, 5-year mortality r78FGМНU u Ъ ┌ Grtxz~АДЖКФШЪ∙їъ▀╫╧ї╦ї╦ї╔ї┴╜┴╜┴╜┴╜╣╜їh_/Vh№mjh№mUUh-!hэ!╣B*phP8 hэ!╣B*phh-!hэ!╣5Б>*\Бh-!h-!5Б>*\Бhэ!╣ hэ!╣5Б\Б8GНОu ┌ rvx|~ВДИКФЦШЪўўўўщщщччччччччхччщ $1$7$8$H$a$gd-!1$7$8$H$rШ¤¤ate - 53.4% and 42.2%, respectively. The most common causes of DCM mortality were progressive heart failure and sudden death (in gr.1 - 42.3% vs 30.8% and in gr.2 - 35% vs 45%, respectively.) Conclusions: More than half of DCM cases are of viral aetiology. Viral DCM is characterized by the higher severity of clinical manifestation, more rapid development of progressive heart failure and by the higher mortality rates than idiopathic DCM.     3028 /0P░╨/ ░р=!░"░#Ра$Ра%░░╨░╨ Р╨ЖЬ@@ё @ NormalCJ_H aJmH sH tH DA@Є бD Default Paragraph FontRi@є │R  Table NormalЎ4╓ l4╓aЎ (k@Ї ┴(No List 4@Є4 _/VHeader  ╞р└!4 @4 _/VFooter  ╞р└!    8GНОum   Ш0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ@0ААhЛ0░Ш@0ААhЛ0░Ш@0ААhЛ0░Ш@0ААhЛ0░Ш@0АААШ@0АААhЛ0T ░ ЪЪ Ш Ё@Ё  @ё   АААўЁТ ЁЁ0Ё( Ё ЁЁB ЁS Ё┐╦  ?ЁЁHЁЁ0Ё( Ё Ё8;_mor╨╙KW▌шЭаEHQUэёЎ·ЖЙ╚╠╒╫хщЁЄ&)=FNQ√■         8GОtulm  х№m-!/{D_/Vэ!╣%b╥ @АFFра FF4GP@P P@P  Unknown            GРЗz А Times New Roman5РАSymbol3&Р Зz А Arial"МЁ╨hЬ"├FЬ"├F ї ї !Ёе└xxГ¤¤2ГЁ▀▀Ё ?                     э!╣2  7DILATED CARDIOMYOPATHY: VARIOUS ETIOLOGIES AND OUTCOME Ramitarget■ рЕЯЄ∙OhлС+'│┘0ЬРШ╪фЇ  ,8 X d p|ДМФч8DILATED CARDIOMYOPATHY: VARIOUS ETIOLOGIES AND OUTCOME RamiNormaltarget2Microsoft Office Word@@ш√з╤}╚@ш√з╤}╚ ї■ ╒═╒Ь.УЧ+,∙о0( hpДМФЬ дм┤╝ ─ ч Atartica ¤и 8DILATED CARDIOMYOPATHY: VARIOUS ETIOLOGIES AND OUTCOME Title ■   ■   ■    !"#$%■   ¤   (■   ■   ■                                                                                                                                                                                                                                                                                                                                                       Root Entry         └F╨:┴╤}╚*А1Table        WordDocument        1SummaryInformation(    DocumentSummaryInformation8            CompObj            q                        ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■       └FMicrosoft Office Word Document MSWordDocWord.Document.8Ї9▓qRoot Entry         └FАcТМ╫╚0@1Table        WordDocument        1SummaryInformation(     ■   ■   ■                                                       /¤   ■   ■   ■   .                                                                                                                                                                                                                                                                                                                            ■   ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $А,░ DocumentSummaryInformation8            аCompObj            q                        ■       └FMicrosoft Office Word Document MSWordDocWord.Document.8Ї9▓q■ ╒═╒Ь.УЧ+,∙оD╒═╒Ь.УЧ+,∙оl( hpДМФЬ дм┤╝ ─ ч Atartica ¤и 8DILATED CARDIOMYOPATHY: VARIOUS ETIOLOGIES AND OUTCOME Title4