M-mode echocardiographic findings in children with idiopathic restrictive cardiomyopathy

Ashok V. Mehta, Pedro L. Ferrer, Arthur S. Pickoff, Sharanjeet S. Singh, Grace S. Wolff, Dolores S. Tamer, Otto L. Garcia, Henry Gelband

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15 Scopus citations

Abstract

The M-mode echocardiographic findings in five pediatric patients, ages 4-15 years, with primary idiopathic restrictive cardiomyopathy, diagnosed by cardiac catheterization, and of 12 normal children (control group) are presented. The M-mode echocardiographic findings in patients with restrictive cardiomyopathy were (1) normal left and right ventricular end-diastolic dimension, (2) normal left ventricular posterior wall and interventricular septal thickness (three patients) or mild concentric hypertrophy (two patients), (3) normal opening and closing velocity of the mitral valve, (4) consistently enlarged left atrium (more than 40 mm) in all, and (5) right ventricular systolic time intervals compatible with pulmonary artery hypertension. The left ventricular ejection phase parameters (systolic time intervals, shortening fraction, and mean velocity of circumferential fiber shortening) were normal. Left ventricular relaxation phase parameters (diastolic function) were abnormal. The isovolumic relaxation time index was prolonged, 68±40 ms (±SD), in the study group as compared with 11±6 ms (±SD) in the control group (P<0.001). Percent relaxation of left ventricular posterior wall endocardium at 50% of diastole was decreased, 58±4% (±SD), in the study group as compared with 85±6% (±SD) in the control group (P<0.005). We conclude that M-mode echocardiography provides a relatively useful and specific noninvasive method for the diagnosis of primary restrictive cardiomyopathy in pediatric patients.

Original languageEnglish (US)
Pages (from-to)273-279
Number of pages7
JournalPediatric Cardiology
Volume5
Issue number4
DOIs
StatePublished - Dec 1 1984

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Keywords

  • Idiopathic restrictive cardiomyopathy
  • M-mode echocardiography

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

Cite this

Mehta, A. V., Ferrer, P. L., Pickoff, A. S., Singh, S. S., Wolff, G. S., Tamer, D. S., Garcia, O. L., & Gelband, H. (1984). M-mode echocardiographic findings in children with idiopathic restrictive cardiomyopathy. Pediatric Cardiology, 5(4), 273-279. https://doi.org/10.1007/BF02424972