Pediatric Heart Failure: A Practical Guide to Diagnosis and Management

被引:73
作者
Masarone, Daniele [1 ]
Valente, Fabio [1 ]
Rubino, Marta [1 ]
Vastarella, Rossella [1 ]
Gravino, Rita [1 ]
Rea, Alessandra [1 ]
Russo, Maria Giovanna [1 ]
Pacileo, Giuseppe [1 ]
Limongelli, Giuseppe [1 ]
机构
[1] Univ Naples 2, Dept Cardiothorac Sci, Cardiol SUN Heart Failure Unit, Via Leonardo Bianchi 1, I-80100 Naples, Italy
关键词
cardiomyopathies; congenital heart diseases; pediatric cardiac transplantation; pediatric heart failures; CARDIAC RESYNCHRONIZATION THERAPY; SCIENTIFIC STATEMENT; INTERNATIONAL SOCIETY; CHILDREN; DISEASE; TRANSPLANTATION; ETIOLOGY; SUPPORT; PATHOPHYSIOLOGY; CARDIOMYOPATHY;
D O I
10.1016/j.pedneo.2017.01.001
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Pediatric heart failure represents an important cause of morbidity and mortality in childhood. Currently, there are well-established guidelines for the management of heart failure in the adult population, but an equivalent consensus in children is lacking. In the clinical setting, ensuring an accurate diagnosis and defining etiology is essential to optimal treatment. Diuretics and angiotensin-converting enzyme inhibition are the first-line therapies, whereas beta-blockers and devices for electric therapy are less used in children than in adults. In the end-stage disease, heart transplantation is the best choice of treatment, while a left ventricular assist device can be used as a bridge to transplantation (due to the difficulties in finding organ donors), recovery (in the case of myocarditis), or destination therapy (for patients with systemic disease). Copyright (C) 2017, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC.
引用
收藏
页码:303 / 312
页数:10
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