Childhood Dilated Cardiomyopathy in Jos, Nigeria

Abstract

Objective: to study the pattern of childhood dilated cardiomyopathy in Jos University Teaching Hospital, Nigeria. Methodology: Paediatric echocardiography records (January 2000 to June 2002 - 2 and % years) were reviewed and cases oj dilated cardiomyopathy (DCM) Identified. Clinical, radiologic, electro- and echocardiographic data of identified cases were reviewed. Results: childhood DCM (6 cases) was the commonest acquired heart condition diagnosed in children under the age oj 5 years. Four patients presented with recurrent episodes of congestive heart failure (CHF) while 2 presented during their first episode. DCM was Initially considered in only 1 child. Another child suffered a cerebro-oascu ar accident (CVA) before the diagnosis was made. Conclusions: DCM should be considered early in young children with long-standing or recurrent CHF. A high index of suspicion, early diagnosis and appropriate management should reduce morbidity, prevent complications and prolong survival.