Research Article

Radixin Relocalization and Nonmuscle α-Actinin Expression Are Features of Remodeling Cardiomyocytes in Adult Patients with Dilated Cardiomyopathy

Table 1

Clinical data of the analyzed patients. Six patients (3 females and 3 males) developed the phenotype of dilated cardiomyopathy (DCM) without signs of coronary heart disease (CHD) who had undergone heart transplantation (HTX). Left ventricular ejection fraction (LVEF) was lower than 20%. Four patients have aortic stenosis (AoSt) and preserved ejection fraction ( 2 males and 2 females). Three pediatric patients with tetralogy of Fallot (ToF) served for comparison. NYHA: New York Heart Association; PCI: percutaneous coronary intervention; CABG: coronary artery bypass grafting; AK-OP: aortic valve surgery; MK-OP: mitral valve surgery; bivICD: biventricular implantable cardioverter-defibrillator; ACE: angiotensin-converting enzyme; AT1: angiotensin II receptor; ASS: acetylsalicylic acid; CRP: C-reactive protein; LDH: lactate dehydrogenase; SGOT: serum oxaloacetic transaminase; SGPT: serum glutamic pyruvic transaminase; CK: creatine kinase; NT-pro-BNP: N-terminal probrain natriuretic peptide; PTT: activated and partial thromboplastin time; INR: international normalized ratio; HIV: human immunodeficiency virus; LVESD: left ventricular end-systolic diameter; LVEDD: left ventricular end-diastolic diameter; PVR: pulmonary vascular resistance; PCWP: pulmonary capillary wedge pressure.

Demographic and risk factorsDCM ()AoSt ()ToF ()

Number of patients643
DCM600
CHD000
Etiology of DCM3xi.p., 2xfam, 1xpp00
Age years years2, 3, and 6 months
Gender3 females, 3 males2 females, 2 males1 females, 2 males
NYHA class30
Body height (cm)
Weight (kg)
Prior myocardial infarction000
Prior PCI or CABG000
Prior smoking210
Prior hypertension130
Prior COPD100
Prior diabetes mellitus010
Thrombocytopenia000
Prior hypercholesterolemia110
Pre-CABG000
Pre-HTXLVAD000
Pre-HTXAK-OP100
Pre-HTXMK-OP100
Pre-HTXbivICD500
Cardiac arrhythmia310
Comedication
 Beta blocker (%)643
 ACE inhibitor and/or AT1 antagonist (%)440
 Diuretic (%)620
 Digitalis (%)010
 Aldosterone antagonist (%)410
 Sildenafil 20 mg (%)200
 ASS (%)020
 Amiodarone (%)200
 L-Thyroxin (%)110
 Statins (%)100
Laboratory parameters
 Sodium (mmol/l)
 Potassium (mmol/l)
 Creatinine (mg/dl)0.2
 Hemoglobin (g/dl)
 Hematocrit (%)0.37
 CRP (mg/l)<0.5
 Leukocytes (Ts/μl)
 Total cholesterol (mg/dl)n.d.
 LDHU (l)
 SGOT (IU/l)
 SGPT (IU/l)
 CKU (l)
 NT-pro-BNP (pg/ml)
 Quick (thromboplastin time) (%)
 PTT (s)
 INR1.3 ± 0.21 ± 0.1
 Hepatitis B & C, HIV000
Echo characteristics
 LVEF (%)n.d.
 LVESD (mm)n.d.
 LVEDD (mm)n.d.
Hemodynamic parameters
 Cardiac index (l/minm) ()n.d.n.d.
 PVR (dyness/cm5)n.d.n.d.
 PCWP (mmHg)n.d.n.d.
O2 saturation (%)n.d.n.d.