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Near missed reversible cardiomyopathy: The value of the electrocardiogram

Dilated cardiomyopathy is a devastating disease affecting the myocardium that is characterized by cardiac chamber dilatation with contractile function impairment in the absence of structural heart disease. The majority of cases are idiopathic; these patients have a poor outcome. However, identifying...

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Autores principales: Al-Fayyadh, Majid, Alwadai, Abdualah, Al Huzaimi, Abdulah, Al Halees, Zohair
Formato: Online Artículo Texto
Lenguaje:English
Publicado: King Faisal Specialist Hospital and Research Centre 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372371/
https://www.ncbi.nlm.nih.gov/pubmed/30805433
http://dx.doi.org/10.1016/j.ijpam.2015.02.002
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author Al-Fayyadh, Majid
Alwadai, Abdualah
Al Huzaimi, Abdulah
Al Halees, Zohair
author_facet Al-Fayyadh, Majid
Alwadai, Abdualah
Al Huzaimi, Abdulah
Al Halees, Zohair
author_sort Al-Fayyadh, Majid
collection PubMed
description Dilated cardiomyopathy is a devastating disease affecting the myocardium that is characterized by cardiac chamber dilatation with contractile function impairment in the absence of structural heart disease. The majority of cases are idiopathic; these patients have a poor outcome. However, identifying a reversible etiology and instituting appropriate intervention could reverse the disease process and result in complete recovery. An electrocardiogram is a simple, non-invasive and quick test that should be performed in each patient presenting with dilated cardiomyopathy. Failure to perform this test or misinterpreting its result could result in a tragic misdiagnosis of idiopathic cardiomyopathy, depriving the patient of a potentially curative intervention. Here, we report two cases of dilated cardiomyopathy caused by clinical conditions with recognizable ECGs. In both cases, the diagnosis was missed initially, delaying corrective interventions. These cases draw attention to the importance of performing and correctly interpreting ECGs in patients with dilated cardiomyopathy.
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spelling pubmed-63723712019-02-25 Near missed reversible cardiomyopathy: The value of the electrocardiogram Al-Fayyadh, Majid Alwadai, Abdualah Al Huzaimi, Abdulah Al Halees, Zohair Int J Pediatr Adolesc Med Instructive Case Dilated cardiomyopathy is a devastating disease affecting the myocardium that is characterized by cardiac chamber dilatation with contractile function impairment in the absence of structural heart disease. The majority of cases are idiopathic; these patients have a poor outcome. However, identifying a reversible etiology and instituting appropriate intervention could reverse the disease process and result in complete recovery. An electrocardiogram is a simple, non-invasive and quick test that should be performed in each patient presenting with dilated cardiomyopathy. Failure to perform this test or misinterpreting its result could result in a tragic misdiagnosis of idiopathic cardiomyopathy, depriving the patient of a potentially curative intervention. Here, we report two cases of dilated cardiomyopathy caused by clinical conditions with recognizable ECGs. In both cases, the diagnosis was missed initially, delaying corrective interventions. These cases draw attention to the importance of performing and correctly interpreting ECGs in patients with dilated cardiomyopathy. King Faisal Specialist Hospital and Research Centre 2015-03 2015-04-04 /pmc/articles/PMC6372371/ /pubmed/30805433 http://dx.doi.org/10.1016/j.ijpam.2015.02.002 Text en Copyright © 2015, King Faisal Specialist Hospital & Research Centre (General Organization),. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Instructive Case
Al-Fayyadh, Majid
Alwadai, Abdualah
Al Huzaimi, Abdulah
Al Halees, Zohair
Near missed reversible cardiomyopathy: The value of the electrocardiogram
title Near missed reversible cardiomyopathy: The value of the electrocardiogram
title_full Near missed reversible cardiomyopathy: The value of the electrocardiogram
title_fullStr Near missed reversible cardiomyopathy: The value of the electrocardiogram
title_full_unstemmed Near missed reversible cardiomyopathy: The value of the electrocardiogram
title_short Near missed reversible cardiomyopathy: The value of the electrocardiogram
title_sort near missed reversible cardiomyopathy: the value of the electrocardiogram
topic Instructive Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372371/
https://www.ncbi.nlm.nih.gov/pubmed/30805433
http://dx.doi.org/10.1016/j.ijpam.2015.02.002
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