DILATED CARDIOMYOPATHY IN A TERTIARY CARE HOSPITAL
Dr. E. SIVA KUMAR*, Dr. J. ASHOKRAJA**, Dr. P. SENTHIL KUMAR***, Dr. M.L.VASATHA KUMARI****, Dr. MADHEVAN*****, Dr. RAJARAJESHWARAN******
Madurai Medical College, Madurai. *, Madurai Medical College, Madurai. **, Madurai Medical College, Madurai. ***, Madurai Medical College, Madurai. ****, Madurai Medical College, Madurai. *****, Madurai Medical College, Madurai. ******
Aim of the Study
To study the clinical course and prognosis of dilated cardiomyopathy in children admitted in the Institute of Child Health & Research Centre, Government Rajaji Hospital, Madurai.
Materials and Methods
This was a hospital based study conducted in the ICH & RC, Government Rajaji Hospital, Madurai. During the Period of September 2002 to August 2004.

Detailed history and clinical examination, chest x-ray, electrocardiograms and serial echo - cardiograms were done for all the children.

The clinical course, treatment and outcomes were noted. Patients with improved clinical status and an increase in the ejection fraction more than 5% were defined as improved (Group 1). No change or <5% change in the ejection fraction as unchanged (Group II). Clinical worsening and (or) decline in the ejection fraction>5% was classified as worsened (Group III).
Results and Discussion
31 children less than 12 years of age were diagnosed as dilated cardiomyopathy during the study. Ten children died during the study. AGE: The mean age of children in our study was 3.5 + / - 4.03 years.
Clinical Picture
CCI is the most common presentation in our study. Preceding history of viral fever was present in 9 cases of which six children were below 2 years. Anemia - eight children and peripheral smear examination revealed dimorphic anemia in all the cases. Grade II systolic murmur was heard in about 11 cases (35%) while the remaining cases revealed no murmurs.
Conclusion
On univariate analysis only higher the age at diagnosis, higher cardiothoracic ratio and a low left ventricular ejection fraction on serial echocardiograms were associated with a poor outcome. The treatment of dilated cardiomyopathy is still largely supportive and the etiological diagnosis requires a much-detailed work up.
How to Cite URL :
KUMAR S E D, ASHOKRAJA J D, KUMAR S P D, KUMARI M D, MADHEVAN D, RAJARAJESHWARAN D.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=34
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