TY - JOUR
T1 - Idiopathic dilated cardiomyopathy and atopic disease
T2 - Epidemiologic evidence for an association with asthma
AU - Coughlin, Steven S.
AU - Szklo, Moyses
AU - Baughman, Kenneth
AU - Pearson, Thomas A.
PY - 1989/10
Y1 - 1989/10
N2 - Because of recent evidence from in vitro studies suggesting that immediate hypersensitivity or other autoimmune mechanisms may play a role in the initiation or progression of idiopathic dilated cardiomyopathy (DCM), an epidemiologic study was carried out to examine possible associations with atopic diseases and other immunologic disorders. Newly diagnosed cases were ascertained from four Baltimore hospitals and were interviewed along with neighborhood controls identified using a random digit dialing technique. The cases and controls (N = 190) were matched on sex and 5-year age intervals and were compared in the analysis using matched and unmatched estimates of the relative odds and conditional logistic regression methods. A statistically significant, independent association was observed between idiopathic DCM and a history of asthma (p < 0.05). The association was most pronounced among individuals who were less than 55 years of age (relative odds = 20.3, p < 0.05), with 31.1% (14 of 45) of the patients who were under the age of 55 having a reported history of asthma. These findings support the theory that hypersensitivity mechanisms may be important in the development of idiopathic DCM. A treatment effect associated with asthma is an alternative possibility.
AB - Because of recent evidence from in vitro studies suggesting that immediate hypersensitivity or other autoimmune mechanisms may play a role in the initiation or progression of idiopathic dilated cardiomyopathy (DCM), an epidemiologic study was carried out to examine possible associations with atopic diseases and other immunologic disorders. Newly diagnosed cases were ascertained from four Baltimore hospitals and were interviewed along with neighborhood controls identified using a random digit dialing technique. The cases and controls (N = 190) were matched on sex and 5-year age intervals and were compared in the analysis using matched and unmatched estimates of the relative odds and conditional logistic regression methods. A statistically significant, independent association was observed between idiopathic DCM and a history of asthma (p < 0.05). The association was most pronounced among individuals who were less than 55 years of age (relative odds = 20.3, p < 0.05), with 31.1% (14 of 45) of the patients who were under the age of 55 having a reported history of asthma. These findings support the theory that hypersensitivity mechanisms may be important in the development of idiopathic DCM. A treatment effect associated with asthma is an alternative possibility.
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U2 - 10.1016/0002-8703(89)90591-7
DO - 10.1016/0002-8703(89)90591-7
M3 - Article
C2 - 2801484
AN - SCOPUS:0024466925
SN - 0002-8703
VL - 118
SP - 768
EP - 774
JO - American Heart Journal
JF - American Heart Journal
IS - 4
ER -