Clinical profile of conjestive cardiomyopathy in children
| Autor: | Saadeh B. Jureidini, Ian C. Balfour, R.Scott Appleton, Soraya Nouri, Su-chiung Chen |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Cardiomyopathy
Dilated Male medicine.medical_specialty Biopsy Cardiomyopathy Infarction Electrocardiography Cardiothoracic ratio Congestive Cardiomyopathy Internal medicine medicine Humans cardiovascular diseases Risk factor Child medicine.diagnostic_test business.industry Myocardium Mortality rate Fractional shortening Prognosis medicine.disease Survival Rate Echocardiography Cardiology Female Cardiology and Cardiovascular Medicine Chest radiograph business |
| Zdroj: | Journal of the American College of Cardiology. 15:189-193 |
| ISSN: | 0735-1097 |
| DOI: | 10.1016/0735-1097(90)90199-y |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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