Pediatrics 5th year, 20th lecture/part two (Dr. Jamal)
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The lecture has been given on May 19th, 2011 by Dr. Jamal.
![Cardiomyopathy “CMP”<br />This entity means myocardial dysfunction, which could be familial or result from different other diseases like muscle dystrophy, glycogen storage disease , hemochromatosis etc.<br />C.M.P is of 3 distinctive forms :<br />1. Congestive (dilated) C.M.P ; characterized by CCF ,arrhythmias , mitral or tricuspid murmurs and emboli.<br />X-ray shows cardiomegaly<br />Prognosis is bad.<br />2. Restrictive C.M.P: also presents as C.C.F. with cardiomegaly , distant heart sounds , but usually no murmurs .<br />ECG shows low voltage, arrhythmias, ST and T changes.<br />3. Obstructive : characterized by obstruction to left ventricle and interventricular septum.It is also termed Idiopathic Hypertrophic Subaortic Stenosis (IHSS)<br />30 % of cases of IHSS are familial but usually appears after childhood<br />Management :<br /> In general there is no specific treatment for C.M.P. <br />,[object Object]](https://image.slidesharecdn.com/cardiomyopathy-110527014607-phpapp01/85/pediatrics-5th-year-20th-lecturepart-two-dr-jamal-1-320.jpg)
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Pediatrics 5th year, 20th lecture/part two (Dr. Jamal)
- 2. Anticoagulant when emboli are suspected
- 3. Beta blockers are used for hypertrophic CMP
- 5. Surgical myotomy in some forms of localized obstruction.
- 6. Repair or replacement of mitral valve may be needed.
- 12. Metabolic and nutritional diseases.
- 14. IEM
- 15. Blood disorders.
- 16. Drugs.
- 18. Bed rest
- 19. Antifailure
- 20. Steroid especially in presence of cardiovascular collapse and conduction disturbance.