The highest mortality rates in childhood dilated cardiomyopathy occur during the first year after diagnosis

• Published in: Acta Paediatrica 2018-04, Vol.107 (4), p.672-677
• Main Authors: Fadl, Shalan, Wåhlander, Håkan, Fall, Katja, Cao, Yang, Sunnegårdh, Jan
• Format: Article
• Language: English
• Subjects: Adolescent; Cardiomyopathy; Cardiomyopathy, Dilated - diagnosis; Cardiomyopathy, Dilated - mortality; Cardiomyopathy, Dilated - therapy; Child; Child mortality; Child, Preschool; Children; Cohort analysis; Cohort Studies; Cohort study; Diagnosis; Dilated cardiomyopathy; Heart; Humans; Incidence; Incidence mortality; Infant; Infant, Newborn; Males; Medicin och hälsovetenskap; Morbidity; Mortality; Neuromuscular diseases; Pediatrics; Pediatrik; Prognosis; Regular; Survival Rate; Sweden; Transplants; Treatment Outcome; Ventricle; Ventricles (cerebral)
• ISSN: 0803-5253; 1651-2227; 1651-2227
• DOI: 10.1111/apa.14183

Aim The aim of the study was to assess the incidence, mortality and morbidity of dilated cardiomyopathy (DCM) and noncompaction of the left ventricle (LVNC) in Swedish children. Methods We reviewed hospital records of all children with dilated cardiomyopathy (DCM) or left ventricular noncompaction cardiomyopathy (LVNC) up to the age of 18 in the healthcare region of western Sweden from 1991 to 2015. Results In total, 69 cases (61% males) were identified. The combined incidence of DCM and LVNC was 0.77 (95% CI 0.59‐0.96) per 100 000 person years. Children were divided into six groups, and their outcomes were analysed depending on their aetiology. Idiopathic DCM was reported in 43%, and familial dilated and left ventricular noncompaction aetiology was present in 32%. DCM due to various diseases occurred in 8%. DCM associated with neuromuscular diseases was present in 16%. The overall risk of death or receiving transplants in children with idiopathic and familial DCM was 30% over the study period, and 21% died in the first year after diagnosis. Conclusion The combined incidence of DCM and LVNC was similar to previous reports. Most children with idiopathic DCM presented during infancy, and mortality was highest during the first year after diagnosis.