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New Emirates Medical Journal

Volume 3, 2 Issues, 2022
ISSN: 0250-6882 (Online)
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Open Access Article

The Failing Heart in Pediatric Dilated Cardiomyopathy Caused by Excessive Water Drinking: A Case Report and Brief ReviewAlternate Title: Failing Heart in Pediatric Dilated Cardiomyopathy

Aditya Doni Pradana1, 2, *, Jarot Widodo3
1 Department of Emergency Services, Kendal Islamic Hospital, Kendal, Central Java, Indonesia
2 Preventative Cardiovascular Medicine, Faculty of Life Sciences and Education, University of South Wales, Cardiff, United Kingdom
3 Department of Cardiology and Vascular Medicine, Kendal Islamic Hospital, Kendal, Central Java, Indonesia



Acute heart failure in Dilated Cardiomyopathy (DCM) is a rare cardiac disease in the pediatric population. A 15-year-old boy was admitted to the emergency department of Kendal Islamic Hospital, Kendal, Indonesia, on June 26th, 2020, with shortness of breath, tachycardia, and oxygen desaturation.

Case Presentation:

The chest X-ray showed significant cardiomegaly with a cardiothoracic ratio of 70% and signs of pulmonary congestion. Transthoracic echocardiography revealed dilation of the left atrium and Left Ventricle (LV), decreased global LV systolic function with reduced left ventricular ejection fraction of 22%. Subsequently, he was diagnosed with acute heart failure in dilated cardiomyopathy and discharged on day six of hospitalization.


Focused initial assessment and time-to-therapy in acute heart failure settings need to be understood by all clinicians, especially emergency care physicians.

Keywords: Acute heart failure, Dilated cardiomyopathy, HFrEF, Pediatric cardiomyopathy, Door-to-diuretic therapy, Water drinking.

Article Information

Identifiers and Pagination:

Year: 2021
Volume: 2
Issue: 2
First Page: 138
Last Page: 142
Publisher Id: nemj-2-138
DOI: 10.2174/0250688203666210111153452

Article History:

Received Date: 31/07/2020
Revision Received Date: 30/11/2020
Acceptance Date: 08/12/2020
Electronic publication date: 27/7/2021
Collection year: 2021

© 2021 Pradana and Widodo

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Emergency Services, Kendal Islamic Hospital, Kendal, Central Java, Indonesia;
Tel: +6294-641-870; E-mail:


Abdullah Shehab
Emirates Cardiac Society
Emirates Medical Association
(United Arab Emirates)
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Acceptance rate = 40%

Average review speed: 45 days average

18 days from acceptance to publication