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115 patients 5-year-survival rate apical arrhythmias associated asymmetric septal hypertrophy atrial fibrillation autopsy average heart weight bundle branch block cardio Cardiology cardiomegaly cardiomyop chest discomfort chest pain clinical course clinical features common commonly congestive cardiomyopathy congestive failure congestive heart failure decreased diffuse myocardial fibrosis dilatation Disease New York electrocardiographic electrocardiographic findings Features and Natural frequent functional class grade group of patients group who died group who lived Harvey heart sound History of Cardiomyopathy idiopathic cardiomyopathy patients initial heart ischemic heart disease left axis deviation left bundle branch left ventricle left ventricular hypertrophy Marcus marked cardiac enlargement Medical mitral insufficiency mitral stenosis mural thrombi myocardial infarction myopathy onset patients who died patients with idiopathic premature ventricular contractions present pulmonary emboli right axis deviation right bundle branch secondary cardiomyopathies Segal ST-T changes Stapleton steroids sudden death syndrome systolic murmur therapy tients ventricular diastolic gallops ventricular gallop ventricular tachycardia