Acute Heart Failure Syndromes in the Pediatric Emergency Department

Macicek, Scott L.; Macias, Charles G.; Jefferies, John L.; Kim, Jeffrey; Price, Jack F.

doi:10.1542/peds.2008-2198

Cited by 54 publications

(39 citation statements)

References 18 publications

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“…These infants also had longer LOS and more PICU admissions [5]. The diagnosis of HF in these patients may be of help in the early assessment and management in the ED [3]. In our study, all patients recovered; however, the cohort who had HF had a significantly longer LOS, and 3 (43%) of 7 patients were admitted to the PICU.…”

Section: Discussionmentioning

confidence: 53%

“…In recent years, following studies in adults, BNP has been extensively studied in pediatrics for the early diagnosis of cardiac disease as well as assessment of heart failure (HF) in a multitude of clinical situations [1,2]. The diagnosis of pediatric HF in the emergency department (ED) is challenging due to nonspecific symptoms and signs [3]. A previous pediatric study compared noncardiac patients who presented with respiratory symptoms with cardiac patients who presented with HF and reported that the BNP can be a useful test to differentiate between the 2 groups [4].…”

Section: Introductionmentioning

confidence: 99%

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Diagnosing heart failure in children with congenital heart disease and respiratory syncytial virus bronchiolitis

Samuel

Hershkovitz

Brik

et al. 2014

The American Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Diagnosing heart failure in children with congenital heart disease and respiratory syncytial virus bronchiolitis

Samuel

Hershkovitz

Brik

et al. 2014

The American Journal of Emergency Medicine

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“…Because of faster ventricular rates and their inability to verbalize their symptoms, infants usually show typical heart failure symptoms (respiratory distress, diaphoresis, and poor feeding) earlier. On the other hand, older children may present with palpitation, exercise intolerance, chest pain or syncope (15). As the underlying tachyarrhythmia may not be apparent, a high index of suspicion is the most important step for diagnosis of TIC.…”

Section: Discussionmentioning

confidence: 99%

Results of radiofrequency ablation in children with tachycardia-induced cardiomyopathy

Aykan¹,

Karagöz²,

Akın³

et al. 2014

Anadolu Kardiyol Derg

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Objective: Tachycardia-induced cardiomyopathy (TIC) is a rare but potentially curable cause of dilated cardiomyopathy. Data on radiofrequency ablation (RFA) for TIC is limited. The aim of this study is to present our experience with RFA in children with TIC, retrospectively. Methods: The medical records of patients with TIC and those underwent RFA between 2000-2011 were systematically reviewed. Demographics and echocardiographic features were recorded. Tachycardia-induced cardiomyopathy is defined as dilatation of the heart chambers or heart failure with chronic or very frequent cardiac arrhythmia. Diagnosis was confirmed with normalization of functions after sinus rhythm has been achieved. Results: A total of 12 patients with a mean age of 6.3±4.1 years (in utero-11.5 years) at diagnosis were enrolled in the study consisting of 7 patients with permanent junctional reciprocating tachycardia and 5 patients with focal atrial tachycardia. The mean pre-RFA left ventricular end-diastolic diameter and left ventricular ejection fraction (LVEF) values were 49.1±9.6 mm (32-66) and 40.8±13.4% (23-57%), respectively. One month after RFA, the mean LVEF value was 62±4.9% (52-69), with only 2 out of 12 patients' LVEF values were still lower than 58%. Tachycardia recurrence was observed in 4 patients, 3 of which had successful repeated RFA procedure. Overall, cure for arrhythmia was achieved in 11 patients (92%), while reversal of heart failure achieved in all patients. In 1 patient permanent complete AV block was developed after the procedure. Conclusion: Treatment of tachycardia with RFA, particularly in patients with arrhythmia refractory to medical therapy, is a feasible and effective treatment option regardless of age. (Anadolu Kardiyol Derg 2014; 14: 625-30)

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“…Infants are recognized on the basis of respiratory distress, diaphoresis, and poor feeding, while older children may present with exercise intolerance, dyspnea on exertion, chest pain, or syncope [3, 4]. Older children may describe palpitations though this is not always reliable.…”

Section: Discussionmentioning

confidence: 99%

Tachycardia-Induced Cardiomyopathy in a 1-Month-Old Infant

Mares

Bar‐Cohen²

2012

Case Reports in Pediatrics

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Supraventricular tachycardia (SVT) is the most common arrhythmia in children and is especially common in infants. SVT is typically thought of as an acute condition; however, if unrecognized, a persistent tachyarrhythmia can progress to a state of cardiac contractile dysfunction known as tachycardia-induced cardiomyopathy. A high index of suspicion for an underlying arrhythmia is needed in the workup of any patient with new onset heart failure, and the 12-lead electrocardiogram can aid in the diagnosis. While this may be a rare cause of dilated cardiomyopathy and heart failure in children, the condition is usually reversible and should be considered in infants and young children.

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Acute Heart Failure Syndromes in the Pediatric Emergency Department

Abstract: These data yield important insight into the clinical features and initial treatment of children who present with AHFS in the ED and may allow for improved recognition and treatment of this clinical syndrome.

Cited by 54 publications

References 18 publications

Diagnosing heart failure in children with congenital heart disease and respiratory syncytial virus bronchiolitis

Diagnosing heart failure in children with congenital heart disease and respiratory syncytial virus bronchiolitis

Results of radiofrequency ablation in children with tachycardia-induced cardiomyopathy

Tachycardia-Induced Cardiomyopathy in a 1-Month-Old Infant

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