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European Heart Journal 1987 8(2):100-105;
Copyright © 1987 by the European Society of Cardiology.
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© 1987 The European Society of Cardiology

Dilated cardiomyopathy in childhood: problems of diagnosis and long-term follow-up

A. A. SCHMALTZ*,, J. APITZ* and W. HORT{dagger}

*Department of Paediatric Cardiology, University Children's Hospital TÜbingen
{dagger}Institute of Pathology, University of DÜsseldorf F.R.G.

Received 24 February 1986; revised 23 June 1986; .

Address for reprints: Prof.Dr A. A. Schmaltz, Department of Pediatric Cardiology, Univ.-Kinderklinik, RÜmelinstr. 21, D-7400 Tübingen, FR Germany.

Abstract

Clinical profile and course of 13 infants and children (median age 2 years, range 2 months to 17 years) with dilated cardiomyopathy are presented. Endocardial fibroelastosis and myocurditis were excluded by transvascular endomyocardial hiopsy. Elevated cardio-thoracic ratio (mean 0.67), depressed fractional shortening (mean 13%) and cardiac index (mean 2.521 min–1 m–2) were the indicators of congestive heart failure. During a mean follow-up of 41 months (range 6 to 204 months) five patients died, four remained in a stable condition, four improved. The main complications were rhythm disturbances (23%) and thrombus formation (15%). We could not identify any predictors of survival.

Key Words: Dilated cardiomyopathy in childhood • differential diagnosis • long-term follow-up.


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