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Abstracts |

Primary Myocardial Disease: Clinical Features and Hemodynamic Alterations.

Cloyd L. Dye, M.D.; W. J. Daly, M.D.; J. C. Lowe, M.D.; Roy H. Behnke, M.D., F.A.C.P.; P. D. Genovese, M.D., F.A.C.P.; and D. Rosenbaum, M.D.
Ann Intern Med. 1964;60(2_Part_1):316. doi:10.7326/0003-4819-60-2-316_1
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Thirty-two males, average age 43 years, with idiopathic cardiomegaly and signs and symptoms of heart failure were studied. Fourteen were Negroes (hospital population, 18% Negro). Twenty-one drank ethanol in excess.

The electrocardiogram was invariably abnormal, showing left ventricular hypertrophy, intraventricular or bundle branch block, low voltage, or T wave changes. Atrial fibrillation and premature ventricular systoles were the commonest arrhythmias. The chest roentgenogram frequently suggested pericardial effusion.

Patients usually survived the first bout of heart failure, but often died during recurrent episodes as did 12 in this series. Sudden death was common. Peripheral embolization was recognized in 37%. Right and


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