The prognosis in patients with DCM is poor. Our findings indicate that RBBB and IVCD at admission,but not LBBB, were independent predictors of all-cause mortality in patients with DCM.ĭilated cardiomyopathy (DCM), a leading cause of heart failure and arrhythmia, is a disease of the heart muscle characterized by ventricular dilation and impaired systolic function.
The presence of RBBB, IVCD, PASP ≥ 40 mmHg, left atrium diameter and NYHA functional class were independent predictors of all-cause mortality in DCM patients. The all-cause mortality risk was significantly different between the VCB and narrow QRS group (log-rank χ2 = 51.564, P < 0.001). Of those 1119 patients, the all-cause mortality rates were highest in patients with IVCD (47.8, n = 32), intermediate in those with RBBB (32.9, n = 27) and LBBB (27.1 %, n = 60), and lowest in those with narrow QRS (19.9 %, n = 149). The all-cause mortality was assessed using Kaplan-Meier survival curves and Cox regression.
This cohort study included 1119 DCM patients with a median follow-up of 34.3 (19.5–60.8) months, patients were then divided into left bundle branch block (LBBB), right bundle branch block (RBBB), intraventricular conduction delays (IVCD) and narrow QRS groups.
The purpose of this study was to determine all-cause mortality in patients with DCM and VCB. However, the prognostic implications of VCB patterns in dilated cardiomyopathy (DCM) patients need to be evaluated. Ventricular conduction blocks (VCBs) are associated with poor outcomes in patients with known cardiac diseases.
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