Cardiomyopathy
Conditions
Keywords
Dilated, Cardio-myopathy, pediatric, mono, nuclear, cells
Brief summary
Collecting mono nuclear cells from the patient's blood after a course of granulocyte stimulation then injecting them into the weak heart muscle measuring the heart function at the beginning and after 2.4.6 months to assess the improvement due to this procedure, by comparing these patients to patients with the same condition treated the classic way.
Detailed description
Dilated cardiomyopathy in children has high morbidity and mortality, current treatment doesn't improve the prognosis and the only cure available is heart transplantation which is limited, has long waiting list (if available), high cost, and has many side effects, leading to the need of novel effective, less costly therapeutic alternatives. Stem cell therapy has proven to improve the cardiac function, reverse the pathologic histological changes, decrease the morbidity and mortality, offering a possible replacement to heart transplantation, different reports proved the safety and efficacy of this therapy using different types of cells and different routs of application in cardiomyopathy and acute myocardial infarction in children and adults, and in congenital heart disease, but the published cases of this therapy conducted on children with dilated cardiomyopathy are scanty .
Interventions
trans endocardium injection of autologous mono nuclear cells for the intervention group and classic treatment for the control group
classical heart failure medical treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* Dilated cardiomyopathy diagnosed and treated at least 6 mo. Ago * LVEF less than 40% * Use of I.V inotropes
Exclusion criteria
* Acute infection * Severe organ failure (other than the heart)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Left ventricle ejection fraction (LVEF) | 6 months | measured by echo (mono mode, 3 Dimentional) |
Countries
Syria