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. Author manuscript; available in PMC: 2018 Jul 11.
Published in final edited form as: Circulation. 2017 Jul 11;136(2):215–231. doi: 10.1161/CIRCULATIONAHA.116.027134

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