Congestive heart failure (peds) - Revision history

Ostermayer at 17:59, 17 January 2026

2026-01-17T17:59:17Z

← Older revision		Revision as of 17:59, 17 January 2026
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	{{~~Peds top}} [[~~congestive heart failure~~]]''~~		{{PediatricPage\|congestive heart failure}}
	==Background==		==Background==
	*Pediatric congestive heart failure (CHF) affects 12,000-35,000 children in the United States each year<ref>Rossano JW, Kim JJ, Decker JA, et al. Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study. J Card Fail 2012; 18:459</ref>		*Pediatric congestive heart failure (CHF) affects 12,000-35,000 children in the United States each year<ref>Rossano JW, Kim JJ, Decker JA, et al. Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study. J Card Fail 2012; 18:459</ref>

Rossdonaldson1: /* Evaluation */

2020-05-25T16:19:24Z

Evaluation

← Older revision		Revision as of 16:19, 25 May 2020
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	==Evaluation==		==Evaluation==
			===Workup===
	*Blood Work		*Blood Work
	**CBC		**CBC
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	*[[Echocardiography]]		*[[Echocardiography]]

			===Diagnosis===
			*Definitive diagnosis typically via [[echocardiography]]

			{{Lung ultrasound pulmonary edema}}

	==Management==		==Management==

Rossdonaldson1: /* Management */

2020-05-25T16:17:47Z

Management

← Older revision		Revision as of 16:17, 25 May 2020
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	==Management==		==Management==
			[[File:Starling.jpg\|thumbnail\|Goal in heart failure management is to reduce preload (EDV), to reach higher SV on Frank Starling curve.]]
	*Management tailored to severity of disease		*Management tailored to severity of disease
	*Noninvasive ventilation		*Noninvasive ventilation

Rossdonaldson1: /* Clinical Features */

2020-05-25T16:15:19Z

Clinical Features

← Older revision		Revision as of 16:15, 25 May 2020
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	==Clinical Features==		==Clinical Features==
	*Symptoms<ref>Judge et al. Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department. Pediatr Emerg Med Pract. 2016. May;13(5):1-28</ref>		===Symptoms<ref>Judge et al. Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department. Pediatr Emerg Med Pract. 2016. May;13(5):1-28</ref>===
	**Difficulty breathing		*Difficulty breathing
	**Feeding difficulty - irritability with feeding, prolonged feeding time, refusal to feed		*Feeding difficulty - irritability with feeding, prolonged feeding time, refusal to feed
	***If an infant has to decide between feeding and breathing, he/she will choose to breathe		**If an infant has to decide between feeding and breathing, he/she will choose to breathe
	**Sweating with feeds		*Sweating with feeds
	***"Exercise intolerance"		**"Exercise intolerance"
	**Failure to thrive		*Failure to thrive
	**Fussiness		*Fussiness
	**Older children: fatigue, exercise intolerance, dyspnea, orthopnea, abdominal pain, dependent edema<ref>Jayaprasad. Heart Failure in Children. Heart Views. 2016 Jul-Sep;17(3):92-99</ref>		*Older children: fatigue, exercise intolerance, dyspnea, orthopnea, abdominal pain, dependent edema<ref>Jayaprasad. Heart Failure in Children. Heart Views. 2016 Jul-Sep;17(3):92-99</ref>

			===Physical Exam===
	*Physical Exam		*Tachycardia
	**Tachycardia		*Tachypnea with labored breathing and accessory muscle use
	**Tachypnea with labored breathing and accessory muscle use		*Grunting with nasal flaring
	**Grunting with nasal flaring		*Rales
	**Rales		*S3 gallop
	**S3 gallop		*Hepatomegaly
	**Hepatomegaly		*Cyanosis, cool/mottled extremities
	**Cyanosis, cool/mottled extremities		*Decreased capillary refill
	**Decreased capillary refill		*Edema of face and limbs
	**Edema of face and limbs

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Background */

2020-05-25T16:14:41Z

Background

← Older revision		Revision as of 16:14, 25 May 2020
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	*Pediatric congestive heart failure (CHF) affects 12,000-35,000 children in the United States each year<ref>Rossano JW, Kim JJ, Decker JA, et al. Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study. J Card Fail 2012; 18:459</ref>		*Pediatric congestive heart failure (CHF) affects 12,000-35,000 children in the United States each year<ref>Rossano JW, Kim JJ, Decker JA, et al. Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study. J Card Fail 2012; 18:459</ref>
	*The causes and clinical presentation varies differently compared to adults		*The causes and clinical presentation varies differently compared to adults
	*Causes
	**Structural		===Causes===
	***[[Congenital Heart Disease]]		*Structural
	**Acquired		**[[Congenital Heart Disease]]
	***Arrhythmias		*Acquired
	***Cardiomyopathy		**[[Arrhythmia]]
	***[[Myocarditis (peds)]]		**Cardiomyopathy
	***Myocardial ischemia (rare)		**[[Myocarditis (peds)]]
	***Drugs/toxins		**[[Myocardial ischemia]] (rare)
	***Systemic ~~Lupus Erythematosus~~		**Drugs/[[toxins]]
			**[[Systemic lupus erythematosus]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1 at 16:12, 25 May 2020

2020-05-25T16:12:36Z

← Older revision		Revision as of 16:12, 25 May 2020
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			{{Peds top}} [[congestive heart failure]]''
	==Background==		==Background==
	*Pediatric congestive heart failure (CHF) affects 12,000-35,000 children in the United States each year<ref>Rossano JW, Kim JJ, Decker JA, et al. Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study. J Card Fail 2012; 18:459</ref>		*Pediatric congestive heart failure (CHF) affects 12,000-35,000 children in the United States each year<ref>Rossano JW, Kim JJ, Decker JA, et al. Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study. J Card Fail 2012; 18:459</ref>

Rossdonaldson1: Rossdonaldson1 moved page Congestive Heart Failure (peds) to Congestive heart failure (peds)

2020-05-25T16:09:26Z

Rossdonaldson1 moved page Congestive Heart Failure (peds) to Congestive heart failure (peds)

← Older revision	Revision as of 16:09, 25 May 2020
(No difference)

Cdichang at 04:23, 17 May 2020

2020-05-17T04:23:19Z

← Older revision		Revision as of 04:23, 17 May 2020
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	==References==		==References==
	<references/>		<references/>

			[[Category:Pediatrics]]
			[[Category:Cardiology]]

Cdichang: /* See Also */

2020-05-17T01:59:37Z

Cdichang: /* Disposition */

2020-05-17T01:55:44Z

Disposition

← Older revision		Revision as of 01:55, 17 May 2020
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	==Disposition==		==Disposition==
			*In general CHF exacerbation will require admission
			*NICU/PICU if unstable

	==See Also==		==See Also==

← Older revision		Revision as of 01:59, 17 May 2020
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	==See Also==		==See Also==
			*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5105230/
			*https://www.pedscases.com/congenital-congestive-heart-failure
			*https://pedemmorsels.com/tag/congenital-heart-disease/

	==External Links==		==External Links==