Dr. E. SIVA KUMAR*, Dr. J. ASHOKRAJA**, Dr. P. SENTHIL KUMAR***, Dr. M.L.VASATHA KUMARI****, Dr. MADHEVAN*****, Dr. RAJARAJESHWARAN******
Madurai Medical College, Madurai. *, Madurai Medical College, Madurai. **, Madurai Medical College, Madurai. ***, Madurai Medical College, Madurai. ****, Madurai Medical College, Madurai. *****, Madurai Medical College, Madurai. ******
|Aim of the Study|
|To study the clinical course and prognosis of dilated cardiomyopathy in children admitted in the Institute of Child Health & Research Centre, Government Rajaji Hospital, Madurai. |
|Materials and Methods|
|This was a hospital based study conducted in the ICH & RC, Government Rajaji Hospital, Madurai. During the Period of September 2002 to August 2004.
Detailed history and clinical examination, chest x-ray, electrocardiograms and serial echo - cardiograms were done for all the children.
The clinical course, treatment and outcomes were noted. Patients with improved clinical status and an increase in the ejection fraction more than 5% were defined as improved (Group 1). No change or <5% change in the ejection fraction as unchanged (Group II). Clinical worsening and (or) decline in the ejection fraction>5% was classified as worsened (Group III).
|Results and Discussion|
|31 children less than 12 years of age were diagnosed as dilated cardiomyopathy during the study. Ten children died during the study. AGE: The mean age of children in our study was 3.5 + / - 4.03 years. |
|CCI is the most common presentation in our study. Preceding history of viral fever was present in 9 cases of which six children were below 2 years. Anemia - eight children and peripheral smear examination revealed dimorphic anemia in all the cases. Grade II systolic murmur was heard in about 11 cases (35%) while the remaining cases revealed no murmurs. |
|On univariate analysis only higher the age at diagnosis, higher cardiothoracic ratio and a low left ventricular ejection fraction on serial echocardiograms were associated with a poor outcome. The treatment of dilated cardiomyopathy is still largely supportive and the etiological diagnosis requires a much-detailed work up. |
|How to Cite URL :|
|KUMAR S E D, ASHOKRAJA J D, KUMAR S P D, KUMARI M D, MADHEVAN D, RAJARAJESHWARAN D.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=34|