TY - CHAP M1 - Book, Section TI - Congestive Heart Failure A1 - Moro-Sutherland, Donna M. A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. Y1 - 2014 N1 - T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - A directed history and physical examination can provide clues to the presence and possible etiologies of heart failure.Abnormal vital signs with normal temperature may suggest cardiac disease.Tachycardia of heart failure is often “monotonous” or incessant, and does not typically respond to treatment (i.e., volume, antipyretics, pain medications, etc.).Tachypnea, failure to thrive, or diaphoresis with feeding, accompanied by abnormal lung sounds, tachycardia, gallop, and hepatomegaly suggest CHF in an infant.New-onset heart failure may be less overtly symptomatic in older children. Symptoms of abdominal pain and nausea and anorexia can be present, sometimes diverting attention from the real cause.Management is directed at the cause. Medications to consider include diuretics, vasodilators, inotropes, and neurohumoral modulators. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1106772933 ER -