{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T09:35:47Z","timestamp":1789983347408,"version":"4.0.1"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,6,26]],"date-time":"2017-06-26T00:00:00Z","timestamp":1498435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Clin Investigation"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The objective of this study was to identify parameters of prognostic relevance in patients presenting with chronic left ventricular dysfunction who underwent endomyocardial biopsy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A total of 351 consecutive patients (age 47\u00b77 \u00b1 12\u00b76 years, 281 male) with a chronic left ventricular dysfunction were enrolled. Endomyocardial biopsies were analysed by histopathology according to Dallas criteria and immunohistological WHO criteria. Virus genome was detected by polymerase chain reaction. The combined end point was time to death or heart transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 19% of patients (<jats:italic>n<\/jats:italic> = 67) showed positive Dallas criteria and 39% (<jats:italic>n<\/jats:italic> = 118) immunohistochemical signs of inflammation. Viral genome was present in 58% (<jats:italic>n<\/jats:italic> = 155). During follow\u2010up, 25% (<jats:italic>n<\/jats:italic> = 89; 76 death, 13 HTx) reached the end point. Dallas\u2010positive histopathology (hazard ratio: 0\u00b742; 95% CI: 0\u00b729\u20130\u00b784, <jats:italic>P<\/jats:italic> = 0\u00b7031), ejection fraction (hazard ratio: 0\u00b797; 95% CI: 0\u00b794\u20130\u00b799, <jats:italic>P<\/jats:italic> = 0\u00b7019) and \u03b2\u2010blocker therapy (hazard ratio: 0\u00b741; 95% CI: 0\u00b723\u20130\u00b769, <jats:italic>P<\/jats:italic> = 0\u00b7003) were independent outcome predictors. For patients under \u03b2\u2010blocker therapy, Dallas\u2010positive histopathology (hazard ratio: 0\u00b737; 95% CI: 0\u00b725\u20130\u00b776, <jats:italic>P<\/jats:italic> = 0\u00b7009) and NYHA class III and class IV (hazard ratio: 2\u00b711; 95% CI: 1\u00b704\u20133\u00b712, <jats:italic>P<\/jats:italic> = 0\u00b7006) were independent predictors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For patients with a chronic left ventricular dysfunction, Dallas\u2010positive histopathology, \u03b2\u2010blocker therapy and left ventricular ejection fraction are the most striking parameters for outcome prediction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eci.12772","type":"journal-article","created":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T07:58:52Z","timestamp":1495871932000},"page":"513-523","source":"Crossref","is-referenced-by-count":11,"title":["Outcome predictors in dilated cardiomyopathy or myocarditis"],"prefix":"10.1111","volume":"47","author":[{"given":"Friedhelm","family":"Kuethe","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin I Ilm\u2010Kreis\u2010Kliniken Arnstadt Arnstadt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6543-4684","authenticated-orcid":false,"given":"Marcus","family":"Franz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin I Universit\u00e4tsklinikum Jena Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Jung","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin I Universit\u00e4tsklinikum Jena Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Porrmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin I Universit\u00e4tsklinikum Jena Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Reinbothe","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin I Universit\u00e4tsklinikum Jena Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Schlattmann","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizinische Statistik, Informatik und Dokumentation Universit\u00e4tsklinikum Jena Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renate","family":"Egerer","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizinische Mikrobiologie Universit\u00e4tsklinikum Jena Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Mall","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pathologie Klinikum Darmstadt Darmstadt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.174287"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1128\/jvi.70.12.8888-8895.1996"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.548156"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.98.5.450"},{"key":"e_1_2_8_6_1","first-page":"3","article-title":"Myocarditis. 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