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Ten Years Assessment of Children With Dilated Cardiomyopathy
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E Eizadi   , Z Amiri moghadam , S Molaee * 1, N Dehghan nayeri , A Babaei haidar abadi , E Tavasoli , M h Mosavi |
| 1- , so.molaee@gmail.com |
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Abstract: (38635 Views) |
| Introduction: Cardiomyopathies are referr-ed to those diseases accompanied with he-arth dysfunction which the most common of them is dilated cardiomyopathy. This study aimed to evaluate the clinical sympt-om, prognosis, complications, treatment and mortality in patients with cardiomyo-pathy over a 10 years period.
Materials & Methods: In this retrospective descriptive study, all patients had been dis-charged with the final diagnosis of dilated cardiomyopathy and referred to the Rajaee Hospital in Tehran, Iran during the past 10 years were studied. The necessary data of each patient was individually collected. Data analysis was performed using descrip-tive and inferential statistical tests.
Findings: From 87 patients in the study, 54 (54%) and 40 (46%) patients were female and male, respectively. The most common reason of referring to the Hospital was dys-pnea (70%) and the most common clinical finding was systolic murmur 3.6 in the left corner of sternum. The blood group of most patients was B+. There were a big heart in the radiography of chest, left ventricular di-latation in echocardiography, reduced left ventricle contractility in catheterization (EF=35%). The most common complicat-ions in the patients were mitral valve reg-urgitation and left heart failure. The embo-lism was reported as a rare complication. In evaluation of the relationship between pres-cribed medications and prognosis, the digi-talis compounds, Lasix and Aldacton (with 2 died patients), were the most prescribed medications. The three above drugs along with Hydralazine had been led to the death of 1 patient.
Discussion & Conclusion: According to the results of the study, it is appeared that the type of blood group may predispose subje-cts to dilated cardiomyopathy. Overcrowde-d environment and air pollution may incre-ase the incidence of the disease the presc-ribed medications may influence the prong-osis and mortality of the diseases. |
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| Keywords: children, dilated cardiomyopath-yprognosis |
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Full-Text [PDF 208 kb]
(6352 Downloads)
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Type of Study: Research |
Subject:
pediatrician
Received: 2013/09/21 | Accepted: 2013/09/29 | Published: 2013/09/29
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