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

PR Bhima Shankar, Chidambaram Shanthi, Kottarathu Mammen Cherian
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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 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
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PR Bhima Shankar, Chidambaram Shanthi, Kottarathu Mammen Cherian
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.






[FULL TEXT] [PDF]*


        
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 Whats new | Sitemap | Feedback | Copyright and Disclaimer
 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008