Reversibility of Dilated Cardiomyopathy in a child with Sepsis

ABSTRACT

Dilated Cardiomyopathy is a diagnosis that usually carries a serious prognosis. However, among the numerous cases of dilated cardiomyopathy a few that are acute, fulminant and potentially reversible.

Sepsis induced cardiomyopathy is a reversible myocardial dysfunction that typically resolves in 7-10 days. It is characterized by left ventricular dilation and depressed ejection fraction.

Sepsis induced cardiomyopathy leads to a significant morbidity and mortality if not diagnosed early and treated judiciously with efficiency. Although the syndrome remains a dilemma along with conventional treatment of dilated cardiomyopathy, intensive fluid therapy, Ivabradine, trimetazidine dihydrochloride and above all aggressive source control and use of broad-spectrum antibiotics and maintenance of optimum hemodynamics with vasoactive agents. Our case study is reflecting that whenever an acute onset cardiomyopathy is found a reversible cause should be looked for.

Key words: Reversible Dilated Cardiomyopathy, Sepsis, Ivabradine, Trimetazidine dihydrochloride