Abstract | BACKGROUND: METHODS: One hundred and forty-eight Chagas' patients with ICDs were included from the Medtronic ICD Registry Latin America. All patients were followed for 1 year. RESULTS: At implant, mean age was 60.1 ± 9.4 years and 72.9% were male. Mean left ventricular ejection fraction (LVEF) was 40.1 ± 11%. Mean follow-up was 12 ± 7 months. During the follow-up, 15 patients died (10.2%). Patients who died were older (64 ±10.8 years vs 59 ± 9.1; P = 0.04), had more atrial fibrillation (13.3% vs 3.8%; P = 0.02), had lower LVEF (33.4%± 9.8 vs 40.9%± 11.3; P = 0.01), and worse functional class (III/IV 40% vs 21.8%; P = 0.03). The multivariate analysis showed that two independent predictors of all-cause 1-year mortality remained statistically significant: age more than 65 (hazard ratio [HR] = 2.85, 95% confidence interval [CI] 1.77-3.92; P = 0.03) and LVEF less than 30% (HR = 2.68, 95% CI 1.57-3.79; P = 0.04). CONCLUSION: This analysis showed that patients older than 65 years of age and with LVEF less than 30% were independent predictors of all-cause 1-year mortality in patients with chronic Chagas' cardiomyopathy.
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Authors | Darío di Toro, Claudio Muratore, Luis Aguinaga, Luiz Batista, Antonio Malan, Oswaldo Greco, Chamia Benchetrit, Mauricio Duque, Adrian Baranchuk, Jennifer Maloney |
Journal | Pacing and clinical electrophysiology : PACE
(Pacing Clin Electrophysiol)
Vol. 34
Issue 9
Pg. 1063-9
(Sep 2011)
ISSN: 1540-8159 [Electronic] United States |
PMID | 21535031
(Publication Type: Journal Article)
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Copyright | ©2011, The Authors. Journal compilation ©2011 Wiley Periodicals, Inc. |
Topics |
- Aged
- Atrial Fibrillation
(mortality, physiopathology, therapy)
- Chagas Cardiomyopathy
(mortality, physiopathology, therapy)
- Chronic Disease
- Cohort Studies
- Death, Sudden, Cardiac
(epidemiology)
- Defibrillators, Implantable
(adverse effects)
- Female
- Follow-Up Studies
- Humans
- Latin America
(epidemiology)
- Male
- Middle Aged
- Prognosis
- Treatment Outcome
- Ventricular Dysfunction, Left
(mortality, physiopathology)
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