Table 3.
Studies investigating the impact of mid-wall fibrosis on major arrhythmic outcomes in DCM.
Authors | N (MWF) | Inclusion criteria | Arrhythmic end-point | Follow-up (median) | Occurrence of end-point as per presence of MWF |
---|---|---|---|---|---|
Gulati et al (2013)44 | 472 (142) | Consecutive patients referred for CMR | SCD* and aborted SCD† (excluding ATP) | 64 | Total events 65 Event rate: MWF: 29.6%; no MWF 7.0% HR 5.24 (95% CI 3.15–8.72; p<0.001) |
Assomull et al (2006)45 | 101 (35) | Consecutive patients referred for CMR | SCD* and sustained VT | 22 | Total events: 7 Event rate: MWF: 14.3%; no MWF 3.3% HR 5.2 (95% CI 1.0–26.9; p=0.03) |
Neilan et al (2013)46 | 162 (81) | Consecutive patients referred for CMR | SCD* and aborted SCD† (including ATP) | 29 | Total events: 37 Event rate: MWF: 41.9%; no MWF 3.7% HR 14.0 (95%CI 4.39:45.65; p<0.0001) |
Masci et al (2014)49 | 228 (61) | Patients with DCM without a history of HF | Aborted SCD† (including ATP) | 23 | Total events: 8 Event rate: MWF: 9.8%; no MWF 1.2% HR 8.31 (95%CI 1.66:41.55; p=0.01) |
Perazzolo-Marra et al (2014)50 | 137 (76) | Consecutive patients | SCD* and aborted SCD† (including ATP) | 36 | Total events: 22 Event rate: MWF: 22.3%; no MWF 8.2% HR 4.17 (95% CI 1.56–11.2; p=0.005) |
Leyva et al (2012)51 | 97 (25) | Patients referred for CRT | SCD* | 35 | Total events: 3 Event rate: MWF: 15.0%; no MWF 0% HR 31.0 (95% CI 1.5–627.8; p=0.013) |
witnessed cardiac arrest, death within 1 hour after onset of symptoms or unexpected, unwitnessed death in a patient known to have been well 24 hours previously;
sustained VT, resuscitated cardiac arrest, appropriate ICD intervention; ATP – antitachycardia pacing, CI - confidence interval, DCM – dilated cardiomyopathy, HF- heart failure, HR – hazard ratio, PVCs – premature ventricular complexes, OMT – optimal medical therapy; SCD – sudden cardiac death, VT –ventricular tachycardia