Heart Failure (HF)
Patient Condition
Idiopathic dilated cardiomyopathy HFrEF, LVEF 22%, NYHA class III, NT-proBNP 6500 pg/mL. Cardiac magnetic resonance imaging showed extensive midwall fibrosis and left ventricular end-diastolic inner diameter of 68 mm.
Treatment Timeline
| Phase | Details | Date |
|---|---|---|
| accurate assessment | ||
| Intensive medication | ||
| Heart failure management program | ||
| maintenance treatment |
Treatment Outcome
| before | LVEF 22%, NYHA class III, NT-proBNP 6500 pg/mL, LVEDD 68mm |
|---|---|
| after | LVEF 40%, NYHA class II, NT-proBNP 2100 pg/mL, LVEDD 60mm |
| highlight | In patients with extensive fibrotic DCM, LVEF increased by 18% after enhanced GDMT, and left ventricular remodeling was partially reversed |