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Chapter 33 - Mixed Cardiomyopathy

from Section 6 - Heart Failure, Mechanical Circulatory Support, and Transplantation

Published online by Cambridge University Press:  09 September 2021

By
Adam C. Adler
Edited by
Laura K. Berenstain  and
James P. Spaeth
Laura K. Berenstain
Affiliation:
Cincinnati Children's Hospital Medical Center
James P. Spaeth
Affiliation:
Cincinnati Children's Hospital Medical Center
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Summary

The overall incidence of pediatric cardiomyopathy is estimated to be approximately 1–1.5 cases per 100,000 patients. The majority are due to dilated cardiomyopathy, which accounts for more than 50% of all cases. Hypertrophic cardiomyopathy is the second leading cause, with restrictive cardiomyopathy being the least common. While distinct classifications exist, in practice the variants occur in combination. However, there is generally a predominant phenotype diagnosed by echocardiography that allows for the formation of multicenter registries to track the epidemiologic, management, and outcomes related to pediatric cardiomyopathy. This chapter focuses on mixed hypertrophic and restrictive forms of cardiomyopathy and discusses the perioperative management of a patient with mixed cardiomyopathy.

Keywords

cardiomyopathydilated cardiomyopathydistractionhypertrophic cardiomyopathymixed cardiomyopathynoncompaction cardiomyopathyrestrictive cardiomyopathy
Type
Chapter
Information
Congenital Cardiac Anesthesia
A Case-based Approach
 , pp. 252 - 260
Publisher: Cambridge University Press
Print publication year: 2021

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References

Suggested Reading

Adler, A. C., Elattary, T., and Chandrakantan, A. Anesthesia in the form of audiovisual distraction for a child requiring surgery with end-stage cardiomyopathy: a case report. A A Pract 2019; 13: 346–9.Google ScholarPubMed
Adler, A. C., Schwartz, E. R., Waters, J. M., et al. Anesthetizing a child for a large compressive mediastinal mass with distraction techniques and music therapies as the sole agents. J Clin Anesth 2016; 35: 392–7.CrossRefGoogle ScholarPubMed
Arghami, A., Dearani, J. A., Said, S. M., et al. Hypertrophic cardiomyopathy in children. Ann Cardiothorac Surg 2017; 6: 376–85.CrossRefGoogle ScholarPubMed
Birnie, K. A., Noel, M., Chambers, C. T., et al. Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Syst Rev 2018; 10: CD005179.Google ScholarPubMed
Hensley, N., Dietrich, J., Nyhan, D., et al. Hypertrophic cardiomyopathy: a review. Anesth Analg 2015; 120: 554–69.CrossRefGoogle ScholarPubMed
Webber, S. A., Lipshultz, S. E., Sleeper, L. A., et al. Outcomes of restrictive cardiomyopathy in childhood and the influence of phenotype: a report from the Pediatric Cardiomyopathy Registry. Circulation 2012; 126: 1237–44.CrossRefGoogle ScholarPubMed
Wilkinson, J. D., Landy, D. C., Colan, S. D., et al. The Pediatric Cardiomyopathy Registry and heart failure: key results from the first 15 years. Heart Fail Clin 2010; 6: 401–13.CrossRefGoogle ScholarPubMed

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