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Pre-excitation induced left ventricular dysfunction: A less known cause of cardiomyopathy in children


Department of Cardiology, Frontier Lifeline Hospitals and K. M. Cherian Heart Foundation, Chennai, India

Correspondence Address:
PR Bhima Shankar
Frontier Lifeline Hospitals and K. M. Cherian Heart Foundation, R 30 C Ambattur Industrial Estate Road, Chennai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.107241

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Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 77-79

 

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A 7-year-old boy was diagnosed to have dilated cardiomyopathy with severe left ventricular (LV) dysfunction at 1 year of age. Although well compensated, his LV function remained impaired over the follow-up years. His electrocardiogram (ECG) was initially misinterpreted as left bundle branch block. However, on follow-up, it was recognized as a pre-excited ECG. The accessory pathway causing pre-excitation was implicated as the cause of LV dysfunction and dysynchrony as the mechanism. Radiofrequency ablation was done. His LV function and dimensions improved significantly over 6 months follow up.






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Department of Cardiology, Frontier Lifeline Hospitals and K. M. Cherian Heart Foundation, Chennai, India

Correspondence Address:
PR Bhima Shankar
Frontier Lifeline Hospitals and K. M. Cherian Heart Foundation, R 30 C Ambattur Industrial Estate Road, Chennai
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.107241

Rights and Permissions

A 7-year-old boy was diagnosed to have dilated cardiomyopathy with severe left ventricular (LV) dysfunction at 1 year of age. Although well compensated, his LV function remained impaired over the follow-up years. His electrocardiogram (ECG) was initially misinterpreted as left bundle branch block. However, on follow-up, it was recognized as a pre-excited ECG. The accessory pathway causing pre-excitation was implicated as the cause of LV dysfunction and dysynchrony as the mechanism. Radiofrequency ablation was done. His LV function and dimensions improved significantly over 6 months follow up.






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