Elderly patients with Arg820Gln mutation may show "burnt-out" phase HCM, and patients with this mutation may be included among those diagnosed as having DCM. Screening of patients with DCM, as well as HCM, for this mutation is of significant importance because patients with this mutation may be diagnosed clinically as having DCM.

The findings of the present study imply that as well as frailty, poor social support and economic disadvantage are associated with a decline in dietary variety. In particular, frail men with income <1.5 million yen per year had a high risk of decreased dietary variety. Formal and informal support to secure food accessibility for physically and socially vulnerable older adults should be encouraged. Geriatr Gerontol Int 2017; 17: 2232-2238.

No abstract

t has been reported that women who present with acute myocardial infarction (AMI) have a worse in-hospital and long-term prognosis than men, 1-4 but other studies have reported that there is no significant difference in the mortality rate between men and women after adjusting for differences in age and other prognostic factors. 2,4-6 Thus, the effect of gender on the outcome in patients with AMI is controversial.Although there are many reports on AMI, the characteristics and outcome of women and men with unstable angina pectoris (UAP) have been rarely investigated. 4,7,8 Hochman et al reported that among patients with UAP, female sex was an associated independent protective effect. 7 Thus, the effect of gender may be different between AMI and UAP.

The occurrence of malignant VT in HCM may be associated with global cardiac sympathetic nerve activity rather than with the heterogeneity of this activity.