Diagnosis and treatment of primary cardiomyopathy in children remains a difficult chapter in pediatric cardiology. We proposed to assess 75 children with primary cardiomyopathy (40 children with acute myocarditis and 35 with dilated cardiomyopathy) during 12 months.The clinical evaluation of targeted assessment ecocardiografic (Eco) examinations usefulness in the diagnosis and initial clinical evaluation of patients. The Eco enabled assessment of pump function of left ventricle by calculating the ejection fraction (FE), shortening fraction (SF) and myocardial performance index (Tei index), which have proven to be useful in assessing left ventricular disfunction in children in primary cardiomyopathy, independent of clinical signs.

Diagnosticul si tratamentul cardiomiopatiilor primare la copii ramâne un compartiment dificil în cardiologia pediatrica . Ne-am propus sa evaluam 75 de copii cu cardiomiopatii primare (40 cu miocardite s i 35 cu cardimiopatie dilatativa) pe parcurs de 12 luni. Evaluarea clinica a vizat aprecierea utilitatii examenului ecocardiografic (EcoCG) în diagnosticul initial si la etapele de supraveghere a pacientilor. Parametrii EcoCG au permis aprecierea functiei de pompa a ventriculului stâng prin calcularea fractiei de ejectie (FE), fractiei de scurtare (FS) si indicelui de performanta miocardica (indice Tei), care s-au dovedit a fi masurari utile în evaluarea disfinctiei ventriculare stângi la copii, independent de semnele clinice.