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Congenital heart malformations associated with dilated cardiomyopathy.

Abstract：

:From June 1977 to February 1986 we studied 31 children with dilated cardiomyopathy. Seven patients (22%) aged 8 months to 3 years had associated congenital cardiac lesions--tetralogy of Fallot (3), coarctation of the aorta (2), ventricular septal defect (1) and Ebstein's malformation (1). The diagnosis was confirmed by hemodynamic and angiographic studies in 5 patients and by autopsy in 2. Although different congenital lesions were present, all 7 patients had congestive heart failure, flattening of T-waves or ST-segment depression on the electrocardiogram and significant decrease in the left ventricular shortening fraction as judged by echo. We conclude that the incidence of dilated cardiomyopathy associated with congenital heart malformations is high in our pediatric population. The clinical status of patients appears to be more dependent on the improvement of dilated cardiomyopathy and less dependent upon the underlying congenital heart malformations.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Areias JC,Valente I

doi

10.1016/0167-5273(87)90035-0

subject

Has Abstract

pub_date

1987-10-01 00:00:00

pages

83-8

issue

1

eissn

0167-5273

issn

1874-1754

pii

0167-5273(87)90035-0

journal_volume

17

pub_type

杂志文章

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