Pediatric Heart Failure: A Practical Guide to Diagnosis and Management

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 accura...

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Main Authors: Daniele Masarone, Fabio Valente, Marta Rubino, Rossella Vastarella, Rita Gravino, Alessandra Rea, Maria Giovanna Russo, Giuseppe Pacileo, Giuseppe Limongelli
Format: Article
Language:English
Published: Elsevier 2017-08-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957217300505
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author Daniele Masarone
Fabio Valente
Marta Rubino
Rossella Vastarella
Rita Gravino
Alessandra Rea
Maria Giovanna Russo
Giuseppe Pacileo
Giuseppe Limongelli
author_facet Daniele Masarone
Fabio Valente
Marta Rubino
Rossella Vastarella
Rita Gravino
Alessandra Rea
Maria Giovanna Russo
Giuseppe Pacileo
Giuseppe Limongelli
author_sort Daniele Masarone
collection DOAJ
description 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).
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series Pediatrics and Neonatology
spelling doaj-art-32e19104f1104b71a57dee4f48b064192025-08-20T02:10:41ZengElsevierPediatrics and Neonatology1875-95722017-08-0158430331210.1016/j.pedneo.2017.01.001Pediatric Heart Failure: A Practical Guide to Diagnosis and ManagementDaniele MasaroneFabio ValenteMarta RubinoRossella VastarellaRita GravinoAlessandra ReaMaria Giovanna RussoGiuseppe PacileoGiuseppe LimongelliPediatric 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).http://www.sciencedirect.com/science/article/pii/S1875957217300505cardiomyopathiescongenital heart diseasespediatric cardiac transplantationpediatric heart failure
spellingShingle Daniele Masarone
Fabio Valente
Marta Rubino
Rossella Vastarella
Rita Gravino
Alessandra Rea
Maria Giovanna Russo
Giuseppe Pacileo
Giuseppe Limongelli
Pediatric Heart Failure: A Practical Guide to Diagnosis and Management
Pediatrics and Neonatology
cardiomyopathies
congenital heart diseases
pediatric cardiac transplantation
pediatric heart failure
title Pediatric Heart Failure: A Practical Guide to Diagnosis and Management
title_full Pediatric Heart Failure: A Practical Guide to Diagnosis and Management
title_fullStr Pediatric Heart Failure: A Practical Guide to Diagnosis and Management
title_full_unstemmed Pediatric Heart Failure: A Practical Guide to Diagnosis and Management
title_short Pediatric Heart Failure: A Practical Guide to Diagnosis and Management
title_sort pediatric heart failure a practical guide to diagnosis and management
topic cardiomyopathies
congenital heart diseases
pediatric cardiac transplantation
pediatric heart failure
url http://www.sciencedirect.com/science/article/pii/S1875957217300505
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