Document Detail


Delayed dilated cardiomyopathy for major burn injuries.
MedLine Citation:
PMID:  12781611     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The early impact on the heart of severe burns has all been well documented previously. Here, we report on the late effects of burns upon the heart, and dilated cardiomyopathy, such aspects having been little reported previously in the literature. METHODS: Over the past 8 years (June 1991 to December 1998), 55 scalded or flame-burnt patients for whom the total burnt body surface area (TBSA) exceeded 50% were treated. Seventeen patients survived and were followed up. The mean age was 44 years. The mean follow-up period was 47.3 months; four patients displayed a previous history of heart disease. We used several parameters to evaluate and follow cardiac status to see the late effect of burns upon the heart. RESULTS: Of 17 patients, 3 patients (17.7%) were found to exhibit dilated cardiomyopathies after a mean time of 6 months post-injury. A dramatic recovery from symptoms and roentgenographic findings were observed for all patients following symptomatic treatment. CONCLUSION: Here we report three cases of delayed dilated cardiomyopathy, a condition that has been little reported in the past. There may be many causating factors. Several recommendations are described.
Authors:
Tzyy-Jiin Chen; Bing-Hwei Shen; Fa-Lai Yeh; Jin-Teh Lin; Hsu Ma; Chih-Hung Huang; Rong-Hwang Fang
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  29     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-03     Completed Date:  2003-09-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  England    
Other Details:
Languages:  eng     Pagination:  343-8     Citation Subset:  IM    
Affiliation:
Division of Plastic and Reconstructive Surgery, Department of Surgery, Min-Sheng General Hospital, National Yang-ming University, Taoyuan, Taiwan, ROC.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Body Weight
Burns / complications*
Cardiomyopathy, Dilated / etiology*,  prevention & control,  radiography
Echocardiography / methods
Electrocardiography / methods
Female
Follow-Up Studies
Humans
Male
Middle Aged
Physical Examination
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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