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Treatable Cause of Dilated Cardiomyopathy, Rickets; Two Years’ Experience
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Original Research
VOLUME: 20 ISSUE: 2
P: 65-71
June 2022

Treatable Cause of Dilated Cardiomyopathy, Rickets; Two Years’ Experience

J Turk Soc Intens Care 2022;20(2):65-71
DOI: 10.4274/tybd.galenos.2021.29392
Nihal Akçay 1
Ülkem Koçoğlu Barlas 1
Esra Deniz Papatya Çakır 2
Mey Talip Petmezci 1
Hasan Serdar Kıhtır 1
Osman Yeşilbaş 1
Bedir Akyol 3
Esra Şevketoğlu 1
1. Sağlık Bilimleri Üniversitesi, İstanbul Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Yoğun Bakım Kliniği, İstanbul, Türkiye
2. Sağlık Bilimleri Üniversitesi, İstanbul Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Yoğun Bakım Kliniği, İstanbul, Türkiye
3. Sağlık Bilimleri Üniversitesi, İstanbul Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Kardiyoloji Kliniği, İstanbul, Türkiye
4. Sağlık Bilimleri Üniversitesi, İstanbul Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Endokrin Kliniği, İstanbul, Türkiye
5. Sağlık Bilimleri Üniversitesi, İstanbul Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Endokrinoloji Kliniği, İstanbul, Türkiye
6. Sağlık Bilimleri Üniversitesi, İstanbul Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Kardiyoloji Kliniği, İstanbul, Türkiye
No information available.
No information available
Received Date: 28.04.2020
Accepted Date: 25.01.2021
Publish Date: 03.06.2022
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ABSTRACT

Objective:

Dilated cardiomyopathy (DC) results from dilatation of one or both ventricles and is caused by systolic dysfunction. Rickets are a rare cause of DC. Here, we present a case series of DC due to rickets, which was successfully treated.

Materials and Methods:

Patients were followed-up at paediatric intensive care unit (ICU) with the diagnosis of DC-related heart failure, which was retrospectively evaluated. Patients with a disease other than hypocalcaemia and low vitamin D levels, which can cause heart failure, were excluded from this study.

Results:

Six patients who developed rickets-related heart failure were included in this study. The mean age of the patients was 6.4±3.2 months. All patients had growth developmental delay. Although most of the patients were admitted to the hospital due to respiratory distress, congestive heart failure findings were detected at the first examination of all the patients. The vitamin D levels of all patients were low. While the pre-treatment mean ejection fraction (EF) of the patients was 35.16% (±10.66), the post-treatment mean EF was found to be 55% (±9.83). Significant improvement in left ventricular function was observed post-treatment.

Conclusion:

In patients admitted to the ICU due to the diagnosis of heart failure, rickets should be considered and treated, considering that it can cause many other complications, including vitamin D deficiency, cardiomyopathy and cardiac dysfunction.

Keywords: Vitamin D deficiency, cardiomyopathy, rickets

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