POLOCZKOVÁ, Hana, Jan KREJČÍ, Petr HUDE, Eva OZÁBALOVÁ, Július GODAVA, Tomáš HONEK, Víta ŽAMPACHOVÁ, Iva SVOBODOVÁ, Tomáš FREIBERGER and Lenka ŠPINAROVÁ. Effect of immunosuppressive therapy in inflammatory cardiomyopathy: data from The Czech Inflammatory Cardiomyopathy Immunosuppressive Trial. Bratislava Medical Journal - Bratislavské lekárske listy. BRATISLAVA: Univerzita Komenského, 2022, vol. 123, No 1, p. 37-43. ISSN 0006-9248. Available from: https://dx.doi.org/10.4149/BLL_2022_006.
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Basic information
Original name Effect of immunosuppressive therapy in inflammatory cardiomyopathy: data from The Czech Inflammatory Cardiomyopathy Immunosuppressive Trial
Authors POLOCZKOVÁ, Hana (203 Czech Republic, belonging to the institution), Jan KREJČÍ (203 Czech Republic, guarantor, belonging to the institution), Petr HUDE (203 Czech Republic, belonging to the institution), Eva OZÁBALOVÁ (203 Czech Republic, belonging to the institution), Július GODAVA (703 Slovakia, belonging to the institution), Tomáš HONEK (203 Czech Republic, belonging to the institution), Víta ŽAMPACHOVÁ (203 Czech Republic, belonging to the institution), Iva SVOBODOVÁ (203 Czech Republic, belonging to the institution), Tomáš FREIBERGER (203 Czech Republic, belonging to the institution) and Lenka ŠPINAROVÁ (203 Czech Republic, belonging to the institution).
Edition Bratislava Medical Journal - Bratislavské lekárske listy, BRATISLAVA, Univerzita Komenského, 2022, 0006-9248.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.500
RIV identification code RIV/00216224:14110/22:00128010
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.4149/BLL_2022_006
UT WoS 000748938700006
Keywords in English myocarditis; inflammatory cardiomyopathy; endomyocardial biopsy; immunosuppressive therapy
Tags 14110112, 14110114, 14110115
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 16/1/2023 10:55.
Abstract
INTRODUCTION: The indications for specific treatment in the cases of inflammatory cardiomyopathy are based on limited data from several small clinical trials. AIM: A comparison of the effect of two dose regimens of combined immunosuppressive therapy by adding them to conventional heart failure therapy and comparing them with conventional heart failure therapy alone in patients with inflammatory cardiomyopathy. METHODS AND STUDY POPULATION: We enrolled 20 patients; mean age 46.10 +/- 7.33 years, duration of symptoms <6 months, LVEF <= 40 %, NYHA class II-IV, with biopsy-proven myocarditis. Patients were randomly separated into groups treated with immunosuppressive therapy in addition to conventional heart failure therapy or to a group treated with conventional heart failure therapy alone. Clinical and echocardiographic parameters were evaluated. RESULTS: The baseline values of LVEF in the group of immunosuppressive therapy (LVEF 22.3 +/- 4.7 %) were similar to those in the group treated with conventional heart failure therapy (LVEF 21.7 +/- 4.7 %; p=0.757). After twelve months there was no statistically significant difference in LVEF between the two studied groups (LVEF 33.7 +/- 9.5 % for the immunosuppressive therapy group and 41.3 +/- 13.0 % for the conventional therapy group; p=0.175). CONCLUSION: In our study population, we proved no positive effect of combined immunosuppressive therapy on the left ventricular function over 12 months. The main limitation of the study is the small number of enrolled patients.
Links
MUNI/A/1685/2020, interní kód MUName: Nové trendy v diagnostice a terapii kardiomyopatií
Investor: Masaryk University
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