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Current management of pediatric dilated cardiomyopathy.

AbstractPURPOSE OF REVIEW:
American and European guidelines for treatment of adult heart failure have been recently revised. This review will reconcile those guidelines to recent studies and experience in the treatment of pediatric dilated cardiomyopathy.
RECENT FINDINGS:
Therapy for pediatric dilated cardiomyopathy includes establishing a diagnosis for diagnostic-specific therapies as well as preventive strategies for anthracycline toxicity and muscular dystrophy. Pediatric studies demonstrate safety and efficacy for use of angiotensin-converting enzyme inhibition and beta-blockers in dilated cardiomyopathy. Cardiac resynchronization and mitral annuloplasty represent potential nonpharmacologic therapies. Implantable defibrillator therapy may be of less import in children as compared with adults. Ventricular assist devices (VADs) are now available for all ages, which can improve survival and potentially can lead to recovery.
SUMMARY:
The robust development of new therapies for adult heart failure has been successfully applied to children with dilated cardiomyopathy. Therapies for severe, intractable heart failure have been more widely utilized than therapies for mild-to-moderate heart failure.
AuthorsJennifer N A Silva, Charles E Canter
JournalCurrent opinion in cardiology (Curr Opin Cardiol) Vol. 25 Issue 2 Pg. 80-7 (Mar 2010) ISSN: 1531-7080 [Electronic] United States
PMID20019605 (Publication Type: Journal Article, Review)
Chemical References
  • Adrenergic beta-Antagonists
  • Angiotensin-Converting Enzyme Inhibitors
  • Antihypertensive Agents
Topics
  • Adrenergic beta-Antagonists (therapeutic use)
  • Angiotensin-Converting Enzyme Inhibitors (therapeutic use)
  • Antihypertensive Agents (therapeutic use)
  • Cardiac Resynchronization Therapy
  • Cardiomyopathy, Dilated (diagnosis, therapy)
  • Child
  • Child Welfare
  • Defibrillators, Implantable
  • Heart Failure (drug therapy, therapy)
  • Heart Transplantation
  • Heart-Assist Devices
  • Humans
  • Practice Guidelines as Topic
  • Severity of Illness Index

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