CARDIOMYOPATHIES IN CHILDHOOD: CLINICAL COURSE, DIAGNOSIS AND CARE TACTICS

The article examines aspects of the clinical course, diagnostics and treatment of various forms of cardiomyopathy (dilated, hypertrophic, restrictive) in children. Due to the relevance of the problem, the obtained data on the features of the clinical course, diagnostics and tactics of patient management are of interest to cardiologists, general practitioners and pediatricians of family clinics. A total of 37 children aged 0-17 years were examined. Among those examined, the frequency of various forms of cardiomyopathy was: dilated - 62.1%, hypertrophic - 32.4%, restrictive - 5.4%. Anamnestic data, severity of the course, features of ECG, echocardiography, radiography for each form of cardiomyopathy were studied. Latent, mild, but more often moderate and severe course of the disease was noted. Patients with DCM and HCM often have various rhythm and conduction disorders. Outpatient observation and timely (continuous) therapy of CHF are indicated for children with cardiomyopathies. In severe cases of HCM with obstructive forms of HCM, the issue of surgical treatment is considered.