DOI: 10.36347/sjams.2019.v07i07.049

Pages: 2521-2524

Dilated cardiomyopathy is a heterogeneous group of disorders mainly affect young adult populations. Identifying the cause and ensuing treatment are still important challenges in these cases. Methods: This prospective cross-sectional study was conducted in the department of General Medicine in Govt Medical College and Hospital Mahaboobnagar, Telangana. Out of the 40 patients, two patients were lost during the study and total of n=38 patients were included. Dilated cardiomyopathy was diagnosed if enlarged left ventricle with decreased systolic function as measured by left ventricular ejection fraction. The Echocardiographic criteria for decreased systolic function with reduced ejection fraction <45% left ventricular end diastolic dimension > 3cm body surface area with global hypokinesia dilatation of all the chambers of the heart in absence of valvular disease. Results: The most common presenting symptom was Dyspnoea found in n=23 (60.53%) of the patients followed by palpitations n=19 (50%). most of the patients n=16(55.26%) in NYHA class III group n=10(26.32%) in class II and n=7 (18.42%). The mean values of LV ejection fraction were 31.2%. The left ventricular ejection fraction was > 40% in 10 patients and in between 30-39% in 20 patients in 8 patients the EF was < 20%. Conclusion: Dilated cardiomyopathy is one of the important causes of heart failure in this study it was commonly found in the male in the middle age group. The most common etiology was idiopathic the secondary cause includes alcoholism followed by diabetes and peripartum. Early recognition and treatment ensures better prognosis and prevents mortality.