Clinical, Echocardiography, biochemical and MRI findings in patients with acute left ventricular dysfunction to
Deen Dayal Nagar1, Varsha Shrivastava2, Yamini Batham3
1Department of Pediatric Cardiology, Sawai Man Singh Medical College and J K Lone Hospital, Jaipur, Rajasthan, India.
Insights
Pediatric heart failure, though rare, affects young children and differs from adult presentations. Key factors like older age and low ejection fraction predict poor short-term outcomes in children with acute left ventricular dysfunction.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Research
- Clinical Medicine
Background:
- Heart failure in children is uncommon but serious, impacting younger patients.
- Clinical presentation and caregiver needs differ significantly from adult heart failure.
- Early outcome prediction in pediatric acute left ventricular dysfunction requires comprehensive assessment.
Purpose of the Study:
- To identify predictors of short-term outcomes in pediatric patients with severe acute left ventricular dysfunction.
- To analyze clinical, echocardiographic, biochemical, and cardiac MRI data for prognostic value.
Main Methods:
- Retrospective study of 60 children and adolescents (1 month to 18 years) with severe acute LV dysfunction.
- Data collected included age, left ventricular ejection fraction (LVEF), ionotropic support, intracardiac thrombus, and hospital stay.
- Utilized clinical, echocardiographic, biochemical, and cardiac MRI findings for analysis.
Main Results:
- Older age at admission was associated with poorer outcomes.
- Low LVEF on admission and need for ionotropic support were negative prognostic indicators.
- Presence of intracardiac thrombus and longer hospital stay also predicted adverse short-term results.
Conclusions:
- Several factors, including older age, low LVEF, ionotropic support, intracardiac thrombus, and prolonged hospitalization, are poor predictors of short-term outcomes in pediatric acute left ventricular dysfunction.
- These findings highlight the need for careful monitoring and management in this vulnerable population.
Abstract:
Heart failure in children is rare, but it strikes younger children at a younger age. Caregivers need training owing to the increased risk of death and the clinical presentation differs from that of adults. In order to forecast the early results in individuals with acute left ventricular dysfunction, it is necessary to assess several clinical, echocardiographic, biochemical and cardiac magnetic resonance imaging (MRI) results. The research took place in New Delhi at the Fortis Escorts Heart Institute's Department of Paediatric Cardiology. The research recruited 60 instances of severe acute LV dysfunction in children and adolescents (aged 1 month to 18 years) using a retrospective approach. Older age at admission, children with low LVEF on admission, requirement of ionotropic support on admission, Intracardiac thrombus on echocardiography evaluation and longer hospital stay were poor predictors of short-term outcome.
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