E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Article 


Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy

Amna Mamoun, Sulafa Ali.

Abstract
Cardiomyopathy (CMP) constitutes a group of diseases of heart muscle that lead to significant mortality and morbidity, with limited data in Africa. This study aims to describe clinical and echocardiographic (echo) patterns and short term outcomes of pediatric CMP. The study was carried at Gaafar Ibnauf Children’s Hospital and included all children 0-18 years with an echo diagnosis of CMP. A retrospective part of the study was carried from January 2013 to January 2019 and a prospective part from January to June 2019. Clinical and echo data were collected on presentation and on at least one follow up. A total of 146 patients were diagnosed with CMP
during the study period. Most patients (48%) presented at 1-6 years of age, neonatal CMP was present in 4%. Familial incidence was detected in 11% of cases. Heart failure was the most common mode of presentation in 96% of patients; 65% needed hospitalization; a third of them needed intensive care unit admission. The most common type of CMP was the dilated type (67%). Others included noncompaction CMP (19%), restrictive CMP and hypertrophic CMP (each of them in 6% of patients). Hospital mortality was 20% for the whole cohort and 100% for neonates. Other complications occurred in 21% of patients including arrhythmias, cerebrovascular accidents and end stage renal disease. Echo follow up showed that most patients (52%) remained the same, 26% worsened and 21% improved. Genetic and metabolic studies that could help to improve management and outcomes of CMP are needed.

Key words: Pediatric cardiomyopathy; Echocardiography; Outcome; Sudan.


 
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Pubmed Style

Mamoun A, Ali S. Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy. doi:10.24911/SJP.106-1600099020


Web Style

Mamoun A, Ali S. Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy. http://www.sudanjp.com/?mno=134980 [Access: November 24, 2021]. doi:10.24911/SJP.106-1600099020


AMA (American Medical Association) Style

Mamoun A, Ali S. Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy. doi:10.24911/SJP.106-1600099020



Vancouver/ICMJE Style

Mamoun A, Ali S. Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy. doi:10.24911/SJP.106-1600099020



Harvard Style

Mamoun, A. & Ali, . S. (2021) Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy. doi:10.24911/SJP.106-1600099020



Turabian Style

Mamoun, Amna, and Sulafa Ali. 2021. Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy. doi:10.24911/SJP.106-1600099020



Chicago Style

Mamoun, Amna, and Sulafa Ali. "Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy." doi:10.24911/SJP.106-1600099020



MLA (The Modern Language Association) Style

Mamoun, Amna, and Sulafa Ali. "Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy." doi:10.24911/SJP.106-1600099020



APA (American Psychological Association) Style

Mamoun, A. & Ali, . S. (2021) Clinical and echocardiographic patterns and outcomes of Sudanese children with cardiomyopathy. doi:10.24911/SJP.106-1600099020





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