MARITAL-STATUS AS A PREDICTOR OF SURVIVAL IN IDIOPATHIC DILATED CARDIOMYOPATHY - THE WASHINGTON, DC DILATED CARDIOMYOPATHY STUDY

Marital status and other socioeconomic and clinical factors were exami ned as predictors of survival in idiopathic dilated cardiomyopathy usi ng data from a hospital-based study in Washington, DC. Twenty-five (18 .1%) of the cases (n = 138) were single, 66 (47.8%) were married, 25 ( 18.1%) were divorced or separated, and 22 (15.9%) were widowed. Marrie d patients were more likely to be male, to have an annual household in come grater than $15,000, and to live with another person (p less than or equal to 0.01) as compared with those who were single, widowed, di vorced or separated. Widowed patients were older on average and more l ikely to abstain from drinking alcohol. The cumulative survival among widowed patients at 12 and 24 months was 54.6 and 48.5%, respectively, as compared with 75.8 and 59.0% among single patients and 80.0 and 71 .2% among married patients. The survival of divorced or separated pati ents was relatively good with a cumulative survival of 84.0% at both 1 2 and 24 months. Older age, lower ejection fraction, ventricular arrhy thmias, bundle branch block, and marital status were significant predi ctors of survival in univariate analysis using the proportional hazard s model. In multivariable analysis, age, race, ejection fraction, and marital status were statistically significant independent predictors o f survival, with single patients with idiopathic dilated cardiomyopath y having a poorer survival than those who were married (adjusted RR = 2.5, 95% CI 1.1-6.2, p < 0.05). The observed association with marital status may be explained by psychosocial factors not examined in the pr esent study such as quality of social network or psychological stress.