[Dilated cardiomyopathy in appearance primitive. about children [23 cases]]

ABSTRACT

It's a retrospective study of 23 cases of dilated cardiomyopathy in the child collected in different services of pediatrics [Ibn Rochd CHU and Sid Soufi] and in the Cardiology service of the Ibn Rochd CHU on a period of 8 years [1981 -1988]. The analysis of thee observations showed that - The CMD of the child is a relatively rare affection - The middle age is of 3,8 years. 82,4% are young children of less than 6 years old, - The sharing is homogenous between the two sexes. - The family inquiry is imperative during all CMD of primitive behaviour. - The clinic board is that of a cardiac insufficiency [95,6%], the most often dramatic In the infant. - The electrocardiogram is constantly disturbed, but without any specificity for the cardiomyopathy. - The echocardiography is apriviled ged technique for the study of the dilated cardiornyopathies. It allows to set the diagnosis, to follow the evolution and to value the prognostic. - The medical treatment is based on the association of a rest, a salt-free diet, diuretics and digitalics. - The evolution is marked by a strong precocious mortality with possibility of a total recovery in almost a the cases. The etiology remains unknown and the prognostic stays difficult to value