Idiopathic Restrictive Cardiomyopathy in Children

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  • Ishida Hidekazu
    Department of Pediatrics, Osaka University Graduate School of Medicine

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  • 小児期発症の特発性拘束型心筋症

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Abstract

<p>Restrictive cardiomyopathy (RCM) is characterized by impaired ventricular diastolic function with preserved ventricular contraction and wall thickness. The prognosis of young children with idiopathic RCM is poor, and the 2-year transplant-free survival rate has been reported to be approximately 40%. No medical treatment has been established for ventricular diastolic dysfunction; thus, heart transplantation is the only way to cure end-stage heart failure in patients with RCM. Herein, the pathology, etiology, clinical examinations, and medical management of pediatric patients with RCM were reviewed. This article includes a clinical case review of pediatric patients with RCM in our institute and the results of in vitro experiments using cardiac fibroblasts derived from patients with RCM and exome sequencing.</p>

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