The Outcome of Dilated Cardiomyopathy in Pediatric Age Group After One Year Treatment for Acute and Chronic LV Dysfunction

Abstract

Dilated cardiomyopathy (DCM) means congestive heart failure as a result of dilation and systolic dysfunction of cardiac ventricles (mainly the left ventricle). It is a common type of cardiac muscle disease in pediatric age group. Many children with DCM are without symptoms, but known patients with DCM may present with acute heart failure, others may be developed ventricular abnormal rhythm and atrioventricular block, syncopal attack and sudden death . Dilated cardiomyopathy (DCM) in pediatric age group has a worse prognosis, the survival rate was 41% at 1 year and 20% at 3 years.The participants belongs to both 48 patients)15 patients with acute DCM , mean age (10.24±11.38 months; 8 females and 7 males) and 33 patients with chronic DCM (mean age (10.46±10.72 months;18females and 15 males) were selected and examined in the cardiology clinic of Karbala pediatric teaching hospital between April 2013 and October 2014. 2- D echocardiography, M- mode for assessment of cardiac function ( Ejection fraction (EF).At the time of attendance , all the patients with acute DCM (NO.=15) had low EF, with treatment , there was improvement in the EF during the period of treatment and follow up, after 1 year 66.7% of patients had normal EF.Also, all patients with chronic DCM (NO.=33) had low EF, with treatment , there was improvement in EF, after 1 year 60.6% of patients had normal EF. At the time of attendance , all the patients with acute and chronic DCM had low EF, with treatment, there was improvement in the EF during the period of treatment and follow up, after 1 year of treatment and follow up.