TY - CHAP M1 - Book, Section TI - Chapter 72. Pediatric Heart Disease A1 - Meckler, Garth D. A2 - Cline, David M. A2 - Ma, O. John A2 - Cydulka, Rita K. A2 - Meckler, Garth D. A2 - Handel, Daniel A. A2 - Thomas, Stephen H. Y1 - 2012 N1 - T2 - Tintinalli's Emergency Medicine Manual, 7e AB - There are 6 common clinical presentations of pediatric heart disease: cyanosis, shock, congestive heart failure (CHF), pathologic murmur, hypertension, and syncope. Table 72-1 lists the most common lesions in each category. While cyanosis and shock typically appear in the first weeks of life and are often dramatic in their presentation, the symptoms of CHF may be subtle and include respiratory distress or feeding intolerance, which may be misdiagnosed as viral upper respiratory tract illness, especially in winter months. A high index of suspicion must therefore be maintained in order to make the correct diagnosis. This chapter focuses on conditions producing cardiovascular symptoms seen in the emergency department (ED) that require immediate recognition, therapeutic intervention, and prompt referral to a pediatric cardiologist. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=56274169 ER -