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Initial presentation and management of pediatric heart failure

Amy J Romer1, Satish K Rajagopal, Rebecca J Kameny

  • 1Division of Pediatric Critical Care, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.

Current Opinion in Pediatrics
|March 13, 2018
PubMed

Insights

Pediatric heart failure requires high suspicion for accurate diagnosis in the emergency department (ED). This review offers ED physicians a framework for managing heart failure in children, especially those with structurally normal hearts.

Area of Science:

  • Pediatric Cardiology
  • Emergency Medicine
  • Critical Care

Background:

  • Pediatric heart failure is a rare but serious condition.
  • Accurate diagnosis relies on physician suspicion and understanding of varied presentations.
  • Limited studies exist due to rarity and condition heterogeneity.

Purpose of the Study:

  • To provide emergency department (ED) physicians with a framework for diagnosing and managing pediatric heart failure.
  • To emphasize the importance of high suspicion in ED settings.
  • To focus on heart failure in structurally normal hearts.

Main Methods:

  • Review of recent studies on pediatric heart failure epidemiology, presentation, and outcomes.
  • Synthesis of diagnostic and management challenges.
  • Focus on emergency department physician's perspective.

Main Results:

  • Pediatric heart failure presents diagnostic and management challenges due to nonspecific signs and symptoms.
  • Recent reports offer new insights into epidemiology and outcomes.
  • A structured approach is crucial for efficient diagnosis and management.

Conclusions:

  • ED physicians need familiarity with pediatric heart failure presentation, work-up, and management.
  • A high degree of suspicion is essential for accurate diagnosis.
  • This review aids in understanding and managing pediatric heart failure, particularly in structurally normal hearts.
Abstract

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