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TIMIC. Majority in IS therapy arm showed an ↑ in LVEF (26.54-45.6%) and ↓ in LVEDD (68.4-54.4 mm) No patients in placebo arm improved; some showed further ↓ in LVEF and ↑ in LVEDD No CV death or transplant at 6 months in both arms. (p < 0.001).
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TIMIC Majority in IS therapy arm showed an ↑ in LVEF (26.54-45.6%) and ↓ in LVEDD (68.4-54.4 mm) No patients in placebo arm improved; some showed further ↓ in LVEF and ↑ in LVEDD No CV death or transplant at 6 months in both arms (p < 0.001) Trial design: Patients with virus-negative inflammatory cardiomyopathy were randomized to either immunosuppressive (IS) therapy with prednisone and azathioprine or placebo for 6 months. Echocardiographic parameters were compared at 6 months. Results 30 19.1 15 -6.4 Conclusions % 0 • IS therapy in virus-negative inflammatory cardiomyopathy may be associated with an improvement in LVEF and LVEDD, compared with placebo • Further corroboration is necessary • May represent novel approach to HF management in these patients -15 Change in LVEF from baseline IS therapy (n = 43) Placebo (n = 42) Frustaci A, et al. Eur Heart J 2009;Jun 25:[Epub]