Profile and Outcome of Dilated Cardiomyopathy in Children: A Short- term Follow up
Journal Title: Journal of Medical Research and Practice - Year 2017, Vol 6, Issue 1
Abstract
Introduction Dilated cardiomyopathy (DCM) is the most common childhood cardiomyopathy and is associated with considerable morbidity and mortality. Though less common, DCM is a serious disorder. Risk stratification of children with DCM is important to plan management and to predict morbidity and mortality. Aims To study the clinical profile of DCM in children and the risk factors predicting the short-term outcome of DCM in children. Methods and Materials Study design: Descriptive study. Study place: Chengalpattu Medical College. Study period: 2 years. Study population: Children admitted/attending pediatric department. Results About 41.9% cases were less than 12 months old. No gender difference was present. 92.7% had congestive cardiac failure at presentation with NYHA class III-IV. All of them had tachycardia and tachypnea for their age and cardiomegaly at presentation. Left ventricular hypertrophy was present in 60% of patients. Serology showed positive for coxsackie B infection in 7 (12.73%) of cases. Three of them were retrovirus positive. All of them presented with left ventricular systolic dysfunction with depressed ejection fraction and fractional shortening. 38 (69%) children showed clinical and echocardiographic improvement on follow up and in 4 (7.2%) children all medications have been stopped. Among the 17, 11 children died and 6 children did not show significant clinical and echocardiographic improvement. Out of 11 children who died, 7 were during the first admission and the remaining within 6 months of presentation. Conclusion Fractional shortening <15% and ratio of left ventricular end diastolic dimension to posterior wall thickness in diastole >8 are the independent predictors for poor short-term outcome on multivariate analysis.
Authors and Affiliations
S. Sudha
Keywords
Related Articles
- EP ID EP185749
- DOI -
- Views 153
- Downloads 0
Estimation Of Vascular Age In Stroke Patients - An Easy, Non-Invasive, Bedside, Cost-Effective Tool For Predicting Future Stroke Risk
This study aims to determine vascular age of stroke patients and compare it with their chronological age and to estimate risk factors responsible for stroke and their correlation with vascular age. It was an observationa...
Cephalic Tetanus Masquerading as Bell’s Palsy: A Rare Case Report
Background Cephalic tetanus is one of the rarest form of tetanus, and an obsolete presentation that a general practitioner comes across in this era of immunization and awareness. Case Report Here, we present the case of...
Efficacy of Topical Clobetasol Propionate and Calcitriol Ointment (0.05% and 0.0003% w/w) versus Clobetasol Propionate and Salicylic Acid Ointment (0.05% and 3%) in Treatment of Mild Chronic Plaque Psoriasis
Introduction Psoriasis is a common, chronic, inflammatory condition of the skin with a wide range of clinical presentation such as symmetrical, erythematous, well defined, dry, red, scaly papules and plaques. There are v...
Pseudotumor of Infancy– A Rare Presentation
Pseudotumor of infancy is a rare cause of a benign, firm, fibrous neck mass in neonates and infants. The term pseudotumor is a misnomer as it is not a tumor but fibrosis of the muscle. Most commonly involves the middle o...
Significance of information to patients before cataract surgery A prospective study
Purpose: To evaluate significance of information given to patients before they undergo cataract surgery in our hospital. Material and Methods: A written questionnaire translated in local language was answered by 550 pat...