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Apparent life-threatening event: a review
1Department of Pediatrics, Pediatric Hospitalist Division, Children's National Medical Center, George Washington University School of Medicine and Health Sciences, 111 Michigan Avenue NW, Washington, DC 20010, USA.
An "apparent life-threatening event" (ALTE) refers to an episode that is of concern to the caregiver and is associated with a combination of apnea, color change, change in tone, choking, or gagging. Although the natural history of ALTE is most often benign, there is a risk for subsequent morbidity and mortality. The provider must stabilize the infant as needed, obtain key history, identify and address any underlying causes, educate the caregivers, and provide a safe disposition. This article summarizes the body of literature concerning ALTE, with specific attention to the diagnosis and management of these cases.
An "apparent life-threatening event" (ALTE) refers to an episode that is of concern to the caregiver and is associated with a combination of apnea, color change, change in tone, choking, or gagging. Although the natural history of ALTE is most often benign, there is a risk for subsequent morbidity and mortality. The provider must stabilize the infant as needed, obtain key history, identify and address any underlying causes, educate the caregivers, and provide a safe disposition. This article summarizes the body of literature concerning ALTE, with specific attention to the diagnosis and management of these cases.
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