By ULY CLINIC staff

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Cardiomyopathy in Children

Disease of the heart muscle causing dilatation and/or impaired contraction. There are three types: hypertrophic, dilated and restrictive cardiomyopathy.
 

Diagnostic Criteria
 

• Angina

• Features of heart failure in severe cases

Investigations
 

• ECG

• Chest X ray

• Echocardiogram

• Cardiac catheterization

• CT

• Angiogram

Treatment

For Hypertrophic Cardiomyopathy

Non Pharmacological treatment

• Avoid strenuous exercises

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Pharmacological treatment

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• Give Propranolol PO 2 mg/kg 6 hourly OR

• Atenolol PO 1mg/kg once per day.

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Dilated and Restrictive cardiomyopathy
 

Non Pharmacological treatment
 

• Bed rest.

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Pharmacological treatment
 

• Give Digoxin AND

• Frusemide and Spironolactone dose as above

 

Last updated on 26.09.2020

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References

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1. ​Tanzanian Standard treatment guideline for children 2017 edition page 107