Source:http://linkedlifedata.com/resource/pubmed/id/16818458
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
15
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pubmed:dateCreated |
2006-7-18
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pubmed:abstractText |
AIMS: Non-compaction of the left ventricular myocardium (NCVM) is reportedly exceedingly rare and associated with a high morbidity and mortality. A different genetic background has been suggested for NCVM with [non-isolated NCVM (ni-NCVM)] and without [isolated NCVM (i-NCVM)] other congenital heart defects. We prospectively evaluated both the NCVM subgroups regarding frequency of occurrence and cardiovascular complications in a paediatric population. Results In a prospective, single-centre study, 66/5220 consecutive patients (1.26%) were diagnosed (25 i-NCVM, 41 ni-NCVM). The median age was 4 years (range 0-21), the median follow-up 12 months (range 0-51). The occurrence of congestive heart failure (CHF) at follow-up was 68.0%. CHF was as frequently seen in i-NCVM and ni-NCVM patients (77.5 vs. 62.1%, P = 0.322). The occurrence of arrhythmias (20.0%) and thrombo-embolic events (13.9%) was not different between subgroups. The cardiomyopathy related mortality was 7.1%, with three and one deaths in the i-NCVM and ni-NCVM groups, respectively (P = 0.126). CONCLUSION: When prospectively evaluated, NCVM appears to have been previously under-diagnosed. Whereas arrhythmias and thrombo-embolic events were rare, CHF was frequently found. An equally aggressive anticongestive treatment regimen would seem indicated for both the NCVM subgroups.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0195-668X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1855-60
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:16818458-Adolescent,
pubmed-meshheading:16818458-Adult,
pubmed-meshheading:16818458-Arrhythmias, Cardiac,
pubmed-meshheading:16818458-Child,
pubmed-meshheading:16818458-Child, Preschool,
pubmed-meshheading:16818458-Echocardiography,
pubmed-meshheading:16818458-Female,
pubmed-meshheading:16818458-Follow-Up Studies,
pubmed-meshheading:16818458-Heart Failure,
pubmed-meshheading:16818458-Heart Ventricles,
pubmed-meshheading:16818458-Humans,
pubmed-meshheading:16818458-Infant,
pubmed-meshheading:16818458-Infant, Newborn,
pubmed-meshheading:16818458-Male,
pubmed-meshheading:16818458-Prospective Studies,
pubmed-meshheading:16818458-Thromboembolism
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pubmed:year |
2006
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pubmed:articleTitle |
Complications of non-compaction of the left ventricular myocardium in a paediatric population: a prospective study.
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pubmed:affiliation |
Departments of Kinderkardiologie, Universitäts-Klinikum Hamburg-Eppendorf, Martinistr. 52, D-20246 Hamburg, Germany. lilje@europe.com
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pubmed:publicationType |
Journal Article
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