Clinical profile of conjestive cardiomyopathy in children

Abstract

The clinical profile of 23 children with congestive cardiomyopathy was reviewed to detect any factors that might be predictive for their survival. Factors examined include age at onset (less than 2 versus greater than 2 years), gender, severity of the clinical picture including data from the chest radiograph, electrocardiogram (ECG), echocardiogram, hemodynamic study and endomyocardial biopsy. Follow-up study ranged from 1 month to 14 years (mean 43 months). There were 12 survivors and 11 nonsurvivors; the 1 year mortality rate was 30% (7 of 23), and the 5 year mortality rate was 44% (10 of 23). Age at onset, gender, cardiothoracic ratio on chest radiograph, pattern of infarction, ST-T changes or arrhythmia on ECG and left ventricular end-diastolic pressure were nonpredictive of outcome. However, low shortening fraction (mean 11.5% in nonsurvivors versus 20.9% in survivors, p less than 0.01), familial cardiomyopathy and endocardial fibroelastosis indicated a very poor prognosis.

Prognostic value of chest roentgenograms in children with idiopathic dilated cardiomyopathy

“…A faixa etária no momento do diagnóstico não influenciou a mortalidade 17 , sendo encontrada idêntica observação na literatura [25][26][27] . Entretanto, Arola et al 9 encontraram, na população finlandesa, mortalidade maior nos menores de 1 ano de vida portadores de fibroelastose endocár-dica e nos adolescentes masculinos.…”

Presentation, management and outcomes of thrombosis for children with cardiomyopathy

“…The overall period prevalence of thrombosis found in the present study was 14%. The reported prevalence of thromboembolism in children with DCM ranges from 4% to 16% (1,4,9), with evidence to suggest that it may be as high as 43% to 57% at autopsy (1,16,17). There are multiple factors that have been proposed that may predispose patients with cardiomyopathy to thrombosis.…”

Etiological Spectrum of Heart Failure in Pediatric Population

“…HF in adults has received considerable attention, with multiple, large randomized trials that have evaluated the etiology and therapy of this condition. In children, however, the epidemiology of heart failure is less well described, more so in our country [4,5].…”

“…HF in adults has received considerable attention, with multiple, large randomized trials that have evaluated the etiology and therapy of this condition. In children, however, the epidemiology of heart failure is less well described, more so in our country [4,5].The study was undertaken at Department of Pediatric Medicine, Medical College Kolkata. All the relevant data was pooled from both inpatients and outpatients with heart failure.…”