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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1997-5-30
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pubmed:abstractText |
The purpose of this study was to investigate the incidence, outcome and prevention of thrombo-embolism in children with dilated cardiomyopathy. From 130 patients with dilated cardiomyopathy, 17 (14%) showed evidence of thrombo-embolism. Seven had initial cardiac thrombus, 7 exhibited initial embolus and in 3 thrombo-embolism was only diagnosed at autopsy. All 17 patients showed seriously impaired systolic function of the left ventricle with fractional shortening (FS) of 10 +/- 3%, range 5%-17%, as compared to those without thrombo-embolism with FS of 17% +/- 6%, range 5%-26% (P < 0.0001). Seven patients were treated with oral anticoagulants once thrombo-embolism had been diagnosed; one of them experienced a further embolic event as opposed to three out of four patients not treated with anticoagulants. CONCLUSION: All children with dilated cardiomyopathy and fractional shortening below 20% should be treated with prophylactic anticoagulative agents.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0340-6199
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
156
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
3-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9007481-Adolescent,
pubmed-meshheading:9007481-Anticoagulants,
pubmed-meshheading:9007481-Cardiomyopathy, Dilated,
pubmed-meshheading:9007481-Child,
pubmed-meshheading:9007481-Child, Preschool,
pubmed-meshheading:9007481-Humans,
pubmed-meshheading:9007481-Incidence,
pubmed-meshheading:9007481-Infant,
pubmed-meshheading:9007481-Retrospective Studies,
pubmed-meshheading:9007481-Salicylic Acid,
pubmed-meshheading:9007481-Salicylic Acids,
pubmed-meshheading:9007481-Switzerland,
pubmed-meshheading:9007481-Thromboembolism,
pubmed-meshheading:9007481-Treatment Outcome
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pubmed:year |
1997
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pubmed:articleTitle |
Dilated cardiomyopathy and thrombo-embolism.
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pubmed:affiliation |
University Children's Hospital, Barno, Switzerland.
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pubmed:publicationType |
Journal Article
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