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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
Summary
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.
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