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Left bundle branch block in infants with dilated cardiomyopathy conveys a poor prognosis

Published online by Cambridge University Press:  19 August 2008

James F. Cnota  and
Ricardo A. Samson
James F. Cnota
Affiliation:
Department of Pediatrics, Steele Memorial Children's Research Center, College of Medicine, University of Arizona, Tucson, AZ, USA
Ricardo A. Samson*
Affiliation:
Department of Pediatrics, Steele Memorial Children's Research Center, College of Medicine, University of Arizona, Tucson, AZ, USA
*
Ricardo A. Samson, MD, Department of Pediatrics, Arizona Health Sciences Center, 1501 N. Campbell Avenue, PO Box 245073, Tucson, AZ 85724-5073, USA. Tel: 520-626-6508; Fax: 520-626-6571
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Abstract

We describe three infants < 3 months of age seen consecutively with dilated cardiomyopathy who presented initially with left bundle branch block on the surface 12-lead electrocardiogram. Each infant subsequently had a poor outcome: two died and one required heart transplantation. These results suggest that the presence of left bundle branch block on the 12-lead electrocardiogram conveys a poor prognosis in infants with dilated cardiomyopathy.

Keywords

Dilated cardiomyopathybundle branch blockinfantsoutcome
Type
Original Articles
Information
Cardiology in the Young , Volume 9 , Issue 1 , January 1999 , pp. 55 - 57
Copyright
Copyright © Cambridge University Press 1999

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References

1.Taliercio, CP, Seward, JB, Driscoll, DJ, Fisher, LD, Gersh, BJ. Idiopathic dilated cardiomyopathy in the young: clinical profile and natural history. J Am Coll Cardiol 1985; 6: 1126–1131.CrossRefGoogle Scholar
2.Lewis, AB. Prognostic value of echocardiography in children with idiopathic dilated cardiomyopathy. Am Heart J 1994; 128: 133–136.CrossRefGoogle ScholarPubMed
3.Matitiau, A, Perez-Atayde, A, Sanders, SP, Sluysmans, T, Parness, IA, Spevak, PJ, Colan, SD. Infantile dilated cardiomyopathy: relation of outcome to left ventticulat mechanics, hemody-namics and histology at the time of presentation. Circulation 1994; 90: 1310–1318.CrossRefGoogle ScholarPubMed
4.Lewis, AB, Chabot, M. Outcome of infants and children with dilated cardiomyopathy. Am J Catdiol 1991; 68: 365–369.CrossRefGoogle ScholarPubMed
5.Cianfrocca, C, Pelliccia, F, Nigri, A, Critelli, G. Resting and ambulatory ECG predictots of mode of death in dilated car diomyopathy. J Electrocardiol 1992; 25: 295–303.CrossRefGoogle Scholar
6.Fahy, GJ, Pinski, SL, Miller, DP, McCabe, N, Pye, C, Walsh, MJ, Robinson, K. Natural history of isolated bundle branch block. Am J Cardiol 1996; 77: 1185–1190.CrossRefGoogle ScholarPubMed
7.Unverferth, DYMagorien, RD, Moeschberget, ML, Baker, PB, Fetters, JK, Leier, CVFactors influencing the one-year mortal ity of dilated cardiomyopathy. Am J Cardiol 1984; 54: 147–152.CrossRefGoogle Scholar
8.Ewing, LL. Intraventricular conduction disturbances in chil dren. Prog Pediatr Cardiol 1994; 4: 11–19.CrossRefGoogle Scholar
9.Bharati, S, Lev, M. Anatomy of the normal conduction system and disease-related changes and their relationship to arrhyth-mogenesis. In: Podrid, P, Kowey, P (eds), Cardiac Arrhythmia: Mechanisms, Diagnosis and Management. Williams & Wilkins, Baltimore, 1995, pp 6–7.Google Scholar
10.Backer, CL, Zales, VR, Idriss, FS, Lynch, P, Crawford, S, Benson, DW Jr, Mavroudis, C. Heart transplantation in neonates and children. J Heart Lung Transplant 1992; 11: 311–319.Google Scholar
11.Burch, M, Siddiqi, SA, Celermajer, DS, Scott, C, Bull, C, Deanfield, JE. Dilated cardiomyopathy in children: determinants of outcome. Br Heart J 1994; 72: 246–250.CrossRefGoogle ScholarPubMed