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How is dilated cardiomyopathy investigated in Scotland? A contemporary survey

Robin A P Weir1, Joanne Simpson, Colin J Petrie

  • 1Consultant Cardiologist, Cardiology Department, Hairmyres Hospital, Lanarkshire, Scotland, UK.

Scottish Medical Journal
|April 11, 2014
PubMed

Insights

Dilated cardiomyopathy (DCM) investigations in Scotland fall short of European Society of Cardiology (ESC) guidelines. Many Scottish hospitals do not routinely perform recommended diagnostic tests for DCM aetiology.

Area of Science:

  • Cardiology
  • Heart Failure Research
  • Diagnostic Imaging

Background:

  • Dilated cardiomyopathy (DCM) is a frequent cause of heart failure.
  • Approximately 50% of DCM cases are classified as idiopathic due to poorly characterized aetiology.
  • Current diagnostic practices for DCM in Scotland are compared against European Society of Cardiology (ESC) recommendations.

Purpose of the Study:

  • To assess the extent of DCM aetiology investigation in Scotland.
  • To compare current practices with ESC guidelines for DCM diagnosis.

Main Methods:

  • Surveys were distributed to cardiology departments in 23 Scottish hospitals.
  • Investigated were the use and availability of coronary angiography, cardiac magnetic resonance imaging (CMR), and blood/urine panels.
  • Response rate was 91.3% (21/23 hospitals).

Main Results:

  • Only 38.1% of responding hospitals adopted ESC guidelines for coronary angiography.
  • Easy access to CMR was available in only 33.3% of centers.
  • Routine use of the ESC-recommended blood profile for DCM was reported by 33.3% of hospitals.

Conclusions:

  • DCM patients in Scotland generally do not undergo the full spectrum of ESC-recommended etiological investigations.
  • Further prospective studies are needed to evaluate the efficacy and impact of comprehensive DCM diagnostic approaches on patient management and outcomes.
Abstract

Keywords:
Dilated cardiomyopathycardiac magnetic resonancecoronary angiography

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