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Forum Name: Congenital Heart Disease in Adults

Question: Dilated cardiomyopathy in infancy


 salah - Tue Jan 14, 2003 1:55 pm

Hello,
I have a case with cardiac problem 2 years old male child presented with shortness of the breath for 2 month duration induced by infleunza on examination he is anemic normochromic normocytic cornial opacity of left eye ecchocardiogram reveals dilated cardiomyopathy, MP he is on digoxin partialy improved please guide us what shall we do next?
Thank you
Dr salah erbil 14-1-2003
 Dr. Yasser Mokhtar - Wed Jan 15, 2003 12:57 am

User avatar Dear Dr. Salah,

Thank you very much for using our webstie.

i am not a pediatrician but i think congestive heart failure is treated the same way as it is treated in adults.

In adults, the standard regimen consitsts of:
1. Angiotensin converting enzyme inhibitors: captopril, lisinopril, etc...
2. Diuretics:
A. Lasix: In cases of volume overload.
B. Spironolactone: In resistant cases.
3. Digoxin.
4. Beta-blockers in the form of carvedilol in cases where the patient does not have florid heart failure. It takes a while for the patient to improve but it has been shown to decrease mortality and improve the cardiac function as well.
5. Treatment of the cause if not idiopathic.

Thank you very much for using our website http://doctorslounge.com and i hope that this information helped and if you still have any more concerns or questions, please, so not hesitate to post them.

Yasser Mokhtar, M.D.

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