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[Cardiomyopathy and inborn errors of metabolism in children. Study of 12 cases].
- Source :
-
Medicina clinica [Med Clin (Barc)] 2011 Nov 19; Vol. 137 (13), pp. 596-9. Date of Electronic Publication: 2011 Sep 28. - Publication Year :
- 2011
-
Abstract
- Background and Objective: Cardiomyopathy in childhood is a rare entity. Inborn errors of metabolism can cause myocardial involvement by several mechanisms.<br />Patients and Methods: Patients under 16 years diagnosed with cardiomyopathy and EIM in a period of 11 years (1998-2009) were included.<br />Results: A total of 12 patients were studied (8% of all cardiomyopathies), 9 boys and three girls, with a median age at diagnosis of 6 months (range: birth-8.8 years). Fifty percent had an onset with cardiac symptoms and heart failure was associated with an earlier diagnosis of the disease (P<.05). On ultrasound 10 patients had ventricular hypertrophy, which was associated with mitochondrial and lysosomal disease; only 2 patients had ventricular dilatation, which was associated with altered fatty acid metabolism (P<.05). The median survival was 5 months (range: 2-11 months). No variable was significantly associated with the likelihood of death.<br />Conclusions: Patients with heart failure at onset are diagnosed earlier (before 3 months of life). Echocardiography helps in the diagnosis and monitoring of metabolic disease.<br /> (Copyright © 2011 Elsevier España, S.L. All rights reserved.)
- Subjects :
- Age Factors
Cardiomyopathies diagnosis
Cardiomyopathies mortality
Cardiomyopathies therapy
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Kaplan-Meier Estimate
Male
Metabolism, Inborn Errors diagnosis
Metabolism, Inborn Errors mortality
Metabolism, Inborn Errors therapy
Retrospective Studies
Cardiomyopathies etiology
Metabolism, Inborn Errors complications
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 1578-8989
- Volume :
- 137
- Issue :
- 13
- Database :
- MEDLINE
- Journal :
- Medicina clinica
- Publication Type :
- Academic Journal
- Accession number :
- 21955540
- Full Text :
- https://doi.org/10.1016/j.medcli.2011.06.019