RT Book, Section
A1 Meckler, Garth D.
A2 Cydulka, Rita K.
A2 Fitch, Michael T.
A2 Joing, Scott A.
A2 Wang, Vincent J.
A2 Cline, David M.
A2 Ma, O. John
SR Print(0)
ID 1143141600
T1 Pediatric Heart Disease
T2 Tintinalli's Emergency Medicine Manual, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071837026
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1143141600
RD 2024/04/19
AB There  are  six  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.