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Chapter 32 - Dilated Cardiomyopathy

from Section 6 - Heart Failure, Mechanical Circulatory Support, and Transplantation

Published online by Cambridge University Press:  09 September 2021

Laura K. Berenstain
Affiliation:
Cincinnati Children's Hospital Medical Center
James P. Spaeth
Affiliation:
Cincinnati Children's Hospital Medical Center
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Summary

Cardiomyopathy is a disease of the myocardium associated with cardiac dysfunction that cannot be explained by abnormal loading conditions or congenital heart disease. Dilated cardiomyopathy (DCM) is a phenotypic class of cardiomyopathy that is defined by ventricular chamber dilation with dysfunction that is secondary to ineffective systolic shortening. In children without known structural heart abnormalities DCM is the most common cause of congestive heart failure. The outcome of patients presenting with DCM is variable, with some children who present with fulminant heart failure requiring mechanical circulatory support followed by transplantation while others recover normal function. This chapter details the perioperative considerations involved in care of a child with severe DCM.

Type
Chapter
Information
Congenital Cardiac Anesthesia
A Case-based Approach
, pp. 246 - 251
Publisher: Cambridge University Press
Print publication year: 2021

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References

References

Lee, T. M., Hsu, D.T., Kantor, P., et al. Pediatric cardiomyopathies. Circ Res 2017; 121: 855–73.Google Scholar
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Kirk, R., Naftel, D., Hoffman, T. M., et al. Outcome of pediatric patients with dilated cardiomyopathy listed for transplant: a multi-institutional study. J Heart Lung Transplant 2009; 28: 1322–8.CrossRefGoogle ScholarPubMed
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Ramamoorthy, C., Haberkern, C., Bhananker, S., et al. Anesthesia-related cardiac arrest in children with heart disease: data from the Pediatric Perioperative Cardiac Arrest (POCA) registry. Anesth Analg 2010; 110: 1376–82.CrossRefGoogle ScholarPubMed

Suggested Reading

Ing, R. J., Ames, W. A., and Chambers, N. A. Paediatric cardiomyopathy and anaesthesia. Br J Anaesth 2012; 108: 412.Google Scholar
Williams, G. D. and Hammer, G. B. Cardiomyopathy in childhood. Curr Opin Anesthesiol 2011; 24: 289300.CrossRefGoogle ScholarPubMed

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