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Posted On : 14 Dec 2010

thanks for your previous reply.
i am having 2 month baby who was born at term gestation with 2.6 kg.baby was diagnosed antenatally having pericardial effusion and required nicu stay of 10 days and was o2 dependent for 2 days.
echo after 14 days showed pericardial effusion decreased but child was diagnosed to have cardiomyopathy so was on lasix and captopril.
even on follow up weight is just 2.95 kg.

can you advice what i can do for weight gain and any other treatment option for cardiomyopathy

thanking you
dr kunal

Expert Answer :

Answer Discussion :

K

kandakatla hari

0

nothing can be done at this juncture,give him breast feeds,if inadequate supplement,watch him carefully with every fortnight visits,fallow with repeated echocardiography.

14 years ago

V

vipul mistry

0

iv immunoglobulin....evaluetion for cardiomaypathy....

14 years ago

S

saeedelsadek

0

we have to avoid energy loss by giving tube feeding and ensure adequate calories intake, you can add digoxin and reduce lasix.

14 years ago

A

ARUNABABU KUKKAMALLA

0

SIMYLMCT

14 years ago

B

bassam alawy

0

Itis hopless condition no way for weihgt gain dueto heart failure only symptomatic treatad bad prognosis

14 years ago

Answer 1

One needs to find out the cause of cardiomyopathy. One should rule out Carnitine deficiency, other metabolic problems. Also hypocalcemia should be ruled out. Carnitine supplement may be useful in case of Carnitine deficiency. What is the ejection fraction_? Dose of diuretic and Captopril may be adjusted to increase the cardiac output.

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