Clinical indications for permanent cardiac pacing were: 1) elective, 2) syncope, 3) congestive heart failure.
The patient developed congestive heart failure 4 weeks later.
To date hypertrophic cardiomyopathy presenting in infancy has been associated with a poor prognosis, often progressing to severe congestive heart failure and death.
Symptoms, such as congestive heart failure and cyanosis are more frequently observed in infants than in children, and arrhythmias are less frequent during childhood.
Pulmonary changes were at the time attributed to congestive heart failure.
At the age of 17 years, he was admitted for congestive heart failure and ventricular arrhythmia.
He also received dopamine and furosemide for congestive heart failure, but continued to demonstrate poor cardiac output.
The patient has responded with the resolution of congestive heart failure symptoms.
