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Pediatric Cardiomyopathy

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Copyright 2003

NORD is grateful to Steve D. Colan, MD, Associate Professor of Pediatrics at Harvard Medical School and Chief, Division of Noninvasive Cardiology, Boston Children’s Hospital, and the Children's Cardiomyopathy Foundation for assistance in the preparation of this report. .

Synonyms of Pediatric Cardiomyopathy
  • Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)
  • Asymmetrical Septal Hypertrophy
  • Familial Congestive Cardiomyopathy
  • Familial Dilated Cardiomyopathy (FDC)
  • Hypertrophic Obstructive Cardiomyopathy (HOCM)
  • Idiopathic Dilated Cardiomyopathy
  • Idiopathic Hypertrophic Subaortic Stenosis
  • Non-obstructive Hypertrophic Cardiomyopathy

Disorder Subdivisions

  • Arrhythmogenic Right Ventricular Dysplasia (ARVD)
  • Dilated Cardiomyopathy
  • Hypertrophic Cardiomyopathy (HCM)
  • Restrictive Cardiomyopathy


General Discussion
Pediatric cardiomyopathy is a rare heart condition that affects infants and children. Specifically, cardiomyopathy means disease of the heart muscle (myocardium). Several different types of cardiomyopathy exist and the specific symptoms vary from case to case. In some cases, no symptoms may be present (asymptomatic); in many cases, cardiomyopathy is a progressive condition that may result in an impaired ability of the heart to pump blood; fatigue; heart block; irregular heartbeats (tachycardia); and, potentially, heart failure and sudden cardiac death.

Cardiomyopathy may be termed ischemic or nonischemic. Ischemic cardiomyopathy refers to cases that occur due to a lack of blood flow and oxygen (ischemia) to the heart. Such cases often result from hardening of the arteries (coronary artery disease). Nonischemic cardiomyopathy refers to cases that occur due to structural damage or malfunction of the heart muscle. Nearly all cases of pediatric cardiomyopathy are nonischemic. This report deals with nonischemic pediatric cardiomyopathy.

Cardiomyopathy may also be termed primary or secondary. Primary cardiomyopathy refers to cases where cardiomyopathy occurs by itself or for unknown reasons (idiopathic). Secondary cardiomyopathy refers to cases where the disease occurs secondary to a known cause such as heart muscle inflammation (myocarditis) caused by viral or bacterial infections; exposure to certain toxins such as heavy metals or excessive alcohol use; or certain disorders that affect the heart and/or additional organs systems. According to the Pediatric Cardiomyopathy Registry, approximately 79 percent of pediatric cardiomyopathy cases occur for unknown reasons (idiopathic).

Nonischemic cardiomyopathy may be further divided into four subtypes based upon the specific changes within the heart. These subtypes are: dilated, hypertrophic, restrictive and arrhythmogenic right ventricular dysplasia.
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Organizations related to Pediatric Cardiomyopathy
  • American Heart Association
    7272 Greenville Avenue
    Dallas TX 75231-4596
    Phone #: 214-373-6300
    800 #: 800-242-8721
    e-mail: Review.personal.info@heart.org
    Home page: http://www.americanheart.org
  • Cardiac Arrhythmias Research and Education Foundation, Inc. (C.A.R.E)
    427 Fulton Street
    P.O. Box 69
    Seymour WI 54165
    Phone #: 920-833-7000
    800 #: 800-404-9500
    e-mail: care@careforhearts.org
    Home page: http://www.longqt.org
  • Cardiomyopathy Association
    Chiltern Court, Unit 10
    Asheridge Road
    Chesham
    Bucks Intl HP5 2PX
    Phone #: +44- (0-)1494 791224
    800 #: 080-0 0-18 1024
    e-mail: info@caridiomyopathy.org
    Home page: http://www.cardiomyopathy.org
  • Children's Cardiomyopathy Foundation (CCF)
    PO Box 547
    Tenafly NJ 07670
    Phone #: 866-808-2873
    800 #: --
    e-mail: info@childrenscardiomyopathy.org
    Home page: http://www.childrenscardiomyopathy.org
  • Congenital Heart Information Network (C.H.I.N.)
    101 N Washington Ave, Suite 1A 101 N Washington Ave, Suite 1A
    Margate City NJ 08402-1195
    Phone #: 609-822-1572
    800 #: --
    e-mail: mb@tchin.org
    Home page: http://www.tchin.org
  • Genetic and Rare Diseases (GARD) Information Center
    PO Box 8126
    Gaithersburg MD 20898-8126
    Phone #: 301-251-4925
    800 #: 888-205-2311
    e-mail: http://rarediseases.info.nih.gov/GARD/EmailForm.aspx
    Home page: http://rarediseases.info.nih.gov/GARD
  • HOPE (The Heart of Pediatric Electrophysiology)
    PO Box 519
    Park Ridge NJ 07565
    Phone #: 201-505-9383
    800 #: 877-394-4673
    e-mail: info@heartbeatsofhope.org, info@timothysyndrome.org
    Home page: http://www.heartbeatsofhope.org
  • Hypertrophic Cardiomyopathy Association
    328 Green Pond Rd
    P.O. Box 306
    Hibernia NJ 07842
    Phone #: 973-983-7429
    800 #: 877-329-4262
    e-mail: support@4hcm.org
    Home page: http://www.4hcm.org
  • Irish Heart Foundation
    4 Clyde Road
    Ballsbridge
    Dublin None 4
    Phone #: +35-3 1- 6685001
    800 #: N/A
    e-mail: info@irishheart.ie
    Home page: http://www.irishheart.ie
  • Kids With Heart National Association for Children's Heart Disorders, Inc.
    P.O Box 12504
    Green Bay WI 54307-2504
    Phone #: 920-498-0058
    800 #: 800-538-5390
    e-mail: michelle@kidswithheart.org
    Home page: http://www.kidswithheart.org
  • Little Hearts, Inc.
    P.O. Box 171
    110 Court Street, Suite 3A
    Cromwell CT 06416
    Phone #: 860-635-0006
    800 #: 866-435-4673
    e-mail: info@littlehearts.org
    Home page: http://www.littlehearts.org
  • Montgomery Heart Foundation for Cardiomyopathy
    1830 E. Monument St./Suite 7300
    Baltimore MD 21205
    Phone #: 402-502-2578
    800 #: --
    e-mail: njohnso5@jhmi.edu
    Home page: http://www.hopkinsmedicine.org/cardiomyopathy/
  • NIH/National Heart, Lung and Blood Institute Information Center
    P.O. Box 30105
    Bethesda MD 20824-0105
    Phone #: 301-592-8573
    800 #: --
    e-mail: nhlbiinfo@rover.nhlbi.nih.gov
    Home page: N/A

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Last modified Wednesday, November 26, 2008