Dilated cardiomyopathy and thrombo-embolism |
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Institution: | (1) Postfach, R?mergasse 8, CH-4005 Basel, Switzerland Tel.: 61 861 18 00 (P), Tel.: 61 691 26 26 (B), Fax: 61 692 65 55 (B), CH;(2) University Children's Hospital, Barno, Switzerland, CH;(3) University Children's Hospital, Zürich, Switzerland, CH;(4) University Children's Hospital, Geneva, Switzerland, CH;(5) University Children's Hospital, St. Gallen, Switzerland, CH |
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Abstract: | 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
Received: 12 May 1996 / Accepted: 29 July 1996 |
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Keywords: | Dilated cardiomyopathy Thrombo-embolism Prevention |
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