Table 1.
Paper details | Imaging and stress modality | Patient cohort | Cohort size | Contractile reserve criteria | DCM criteria used | Outcomes/endpoints assessed | Follow-up period |
---|---|---|---|---|---|---|---|
Stipac et al. (20) | High-dose dobutamine stress echocardiography – 5–40 µg/kg/min | 38 consecutive patients with DCM (31 men, mean age 50 +/− 10, LV EF 18.1% +/− 7, NYHA I–III) | 38 | Change in WMSI >0.19, EF increase of >2% | LVEDV >60 mm, LV EF <35%, (ETOH, IHD, arrhythmia, toxins, myocarditis, valvular heart disease, AF excluded) | Cardiac mortality | 60 months |
Pratali et al. (10) | High-dose dobutamine stress echo (up to 40 µg/kg/min) | 186 patients with DCM (131 men, mean age 56 +/− 12 years, LV EF 25% +/− 7, NYHA I–IV) | 186 | Change in WMSI >0.44 | LV EF <35%, no coronary disease at angiogram | Cardiac mortality | 15 +/− 3 months |
Pratali et al. (21) | Dipyridamole and dobutamine stress echocardiography. High-dose DSE 5-40 µg/kg/min | 87 patients with DCM (63 males, mean age 54 +/− 12, LV EF 23.7% +/− 8.2, NYHA 2.34 +/− 0.6) | 87 | Change in WMSI ≥ 0.25 | LV EF <35%, no coronary disease at angio within 5 years | All-cause mortality | 52 months (range 6–72) |
Pinamonti et al. (22) | Dobutamine stress echo, 5–30 µg/kg/min | 51 patients with DCM, (33 males, 67%; mean age 45 +/−13, LV EF 24% +/− 6, NYHA 2.06 +/− 0.81) | 51 | Change in LV EF >10% and peak LVEF 40% | LV EF <40%, coronary angiogram and biopsy to exclude IHD/myocarditis | Transplant-free survival. Cardiac mortality or transplantation primary endpoints. Secondary endpoints include NYHA class and LVEF | 34 +/− 16 months |
Pratali et al. (23) | Dipyridamole stress echo | 116 patients with DCM, (99 males, mean age 58 +/−12, LV EF 27.4% +/− 6.8, NYHA 2.5 +/− 0.6) | 116 | Change in WMSI ≥ 0.15 | Global LVSD, EF <35%, no IHD at angio within 5 years | Cardiac death free survival | 60 months |
Parthenakis et al. (24) | Low dose dobutamine stress echo (5, 10, 15 µg/kg/min) | 43 consecutive patients with DCM (33 males, mean age 60.8 +/− 9.6, LV EF 31.9% +/− 7.2, NYHA II–III) | 43 | Change in WMSI >25% | Non-ischaemic DCM, not clearly defined | Cardiac mortality and re-hospitalisation for HF decompensation | 45 +/− 22 months |
Ramahi et al. (25) | Low dose dobutamine equilibrium radionuclide ventriculography at 10 µg/kg/min | 62 patients with HFREF, non-ischaemic, (42 males, mean age 48 +/− 11, LV EF 20% +/− 6, NYHA 2.6 +/− 0.6) | 62 | Change in LVEF ≥ 8% | Severe LVSD, EF <30%, coronary disease excluded by angiography | All-cause mortality before cardiac transplantation | 25 +/− 15 months |
Nagaoka et al. (26) | Exercise stress radionuclide angiography | 71 patients (52 men, 19 women) mean age 54. NYHA 1–II, LV EF 20– 50% | 71 | Change in LVEF ≥5% | Ischaemic CM excluded at angiography, AF, specific heart muscle disease, toxins and inherited conditions excluded | Cardiac mortality | 60 months |
Rigo et al. (27) | Dipyridamole stress echo (0.84 mg/kg in 10 mins) | 132 patients with DCM, 90 males, age 62+/− 11. LVEF <40% (mean 32% +/− 7), angiographically normal coronaries & NYHA <or = III | 132 | Change in WMSI >0.25 | LV EF <40%, no history of coronary heart disease and angiographically normal coronary arteries at angiography before enrolment | All-cause mortality, cardiac mortality & development or progression of HF | 40 months |
DCM, dilated cardiomyopathy; LV EF, left ventricular ejection fraction; LVSD, LV systolic dysfunction; NYHA, New York Heart Association; WMSI, wall motion score index.