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Prognostic Factors of Costa et al for Severe Chagasic Heart Failure

Description

Costa et al reported prognostic factors for a patient with severe Chagasic heart failure. These can help to identify a patient who may benefit from more aggressive management. The authors are from Universidade Federal de Goias (UFG) in Brazil.


Patient selection: Chaga's disease with cardiomyopathy

 

Factors associated with increased mortality:

(1) non-sustained ventricular tachycardia (HR 2.1)

(2) indexed left atrial volume >= 72 mL per square meter (indexed to body surface area, HR 3.5)

 

Other factors:

(1) NYHA functional class III or IV

 

The overall survival was 11% at 7.5 years.


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