Myocardial T-Lymphocytes as a Prognostic Risk-Stratifying Marker of Dilated Cardiomyopathy - Results of the Multicenter Registry to Investigate Inflammatory Cell Infiltration in Dilated Cardiomyopathy in Tissues of Endomyocardial Biopsy (INDICATE Study).


Journal

Circulation journal : official journal of the Japanese Circulation Society
ISSN: 1347-4820
Titre abrégé: Circ J
Pays: Japan
ID NLM: 101137683

Informations de publication

Date de publication:
24 06 2022
Historique:
pubmed: 11 3 2022
medline: 29 6 2022
entrez: 10 3 2022
Statut: ppublish

Résumé

Dilated cardiomyopathy (DCM) associated with inflammation is diagnosed by endomyocardial biopsy; patients with this have a poorer prognosis than patients without inflammation. To date, standard diagnostic criteria have not been established.Methods and Results: This study analyzed clinical records and endomyocardial biopsy samples of 261 patients with DCM (201 males, median left ventricular ejection fraction; 28%) from 8 institutions in a multicenter retrospective study. Based on the European Society of Cardiology criteria and CD3 (T-lymphocytes) and CD68 (macrophages) immunohistochemistry, 48% of patients were categorized as having inflammatory DCM. For risk-stratification, we divided patients into 3 groups using Akaike Information Criterion/log-rank tests, which can determine multiple cut-off points: CD3 Myocardial CD3

Sections du résumé

BACKGROUND
Dilated cardiomyopathy (DCM) associated with inflammation is diagnosed by endomyocardial biopsy; patients with this have a poorer prognosis than patients without inflammation. To date, standard diagnostic criteria have not been established.Methods and Results: This study analyzed clinical records and endomyocardial biopsy samples of 261 patients with DCM (201 males, median left ventricular ejection fraction; 28%) from 8 institutions in a multicenter retrospective study. Based on the European Society of Cardiology criteria and CD3 (T-lymphocytes) and CD68 (macrophages) immunohistochemistry, 48% of patients were categorized as having inflammatory DCM. For risk-stratification, we divided patients into 3 groups using Akaike Information Criterion/log-rank tests, which can determine multiple cut-off points: CD3
CONCLUSIONS
Myocardial CD3

Identifiants

pubmed: 35264513
doi: 10.1253/circj.CJ-21-0529
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1092-1101

Auteurs

Keiko Ohta-Ogo (K)

Department of Pathology, National Cerebral and Cardiovascular Center.

Yasuo Sugano (Y)

Department of Cardiology, Keiyu Hospital.

Soshiro Ogata (S)

Department of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center.

Takafumi Nakayama (T)

Department of Cardiology, Nagoya City University Graduate School of Medical Sciences.

Takahiro Komori (T)

Department of Cardiovascular Medicine, Jichi Medical University School of Medicine.

Kazuo Eguchi (K)

Department of General Internal Medicine, Saitama Red Cross Hospital.

Kaoru Dohi (K)

Department of Cardiology and Nephrology, Mie University Graduate School of Medicine.

Tetsuro Yokokawa (T)

Department of Cardiovascular Medicine, Fukushima Medical University.

Hiromitsu Kanamori (H)

Department of Cardiology, Gifu University Graduate School of Medicine.

Shigeyuki Nishimura (S)

Department of Cardiology, Saitama Medical University International Medical Center.

Kazufumi Nakamura (K)

Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceuticals.

Yoshihiko Ikeda (Y)

Department of Pathology, National Cerebral and Cardiovascular Center.

Kunihiro Nishimura (K)

Department of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center.

Genzou Takemura (G)

Department of Internal Medicine, Asahi University School of Dentistry.

Toshihisa Anzai (T)

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine.

Michiaki Hiroe (M)

Department of Cardiology, National Center for Global Health and Medicine.

Kinta Hatakeyama (K)

Department of Pathology, National Cerebral and Cardiovascular Center.

Hatsue Ishibashi-Ueda (H)

Department of Pathology, National Cerebral and Cardiovascular Center.

Kyoko Imanaka-Yoshida (K)

Department of Pathology and Matrix Biology, Mie University Graduate School of Medicine.

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