Corpus ID: 26432699

The Crit ical ly I l l Infant with Congenital Heart Disease

  title={The Crit ical ly I l l Infant with Congenital Heart Disease},
  author={Ashley M. Strobel and Le N. Lu}
Critically ill infants presenting to the emergency department (ED) inherently produce anxiety for emergency physicians (EPs). They often have nonspecific or subtle findings, making timely accurate diagnosis and implementation of life-saving interventions fraught with difficulty. The differential diagnosis for an ill neonate is best remembered by the mnemonic THE MISFITS (Box 1). Children with congenital cardiac disease are especially challenging to diagnose and manage because of their complex… Expand

Figures from this paper


Emergency Care for Infants and Children with Acute Cardiac Disease
4 common scenarios are reviewed: neonates presenting with ductal-dependent congenital heart disease, infants with tetralogy of Fallot who develop hypercyanotic episodes, children with decompensated congestive heart failure, and those with cardiac tamponade. Expand
Identifying Congenital Heart Disease in the Emergency Department: A Case of Total Anomalous Pulmonary Venous Return
An 8-day old male infant is sent to the emergency department by his pediatrician for weight loss, pallor, and respiratory distress and an echocardiogram revealed infradiaphragmatic total anomalous pulmonary venous return. Expand
Clinical presentations of critical cardiac defects in the newborn: Decision making and initial management
  • J. Lee
  • Medicine
  • Korean journal of pediatrics
  • 2010
The clinical presentation of critical and potentially life-threatening CHDs is discussed along with brief case reviews to help understand the hemodynamics of these defects and ensure proper decision-making in critically ill patients. Expand
The pediatric electrocardiogram part III: Congenital heart disease and other cardiac syndromes.
CHD should be considered in the differential diagnosis of any ill-appearing newborn, regardless of the presence of cyanosis, and knowledge of the common arrhythmias associated with CHD is mandatory for the acute care provider. Expand
Emergency department presentations of pediatric congenital heart disease.
A subset of acutely ill CHD patients who had presenting signs and symptoms that were potentially attributable to their underlying CHD were captured, suggesting a low threshold for inpatient management of these high-risk patients is warranted. Expand
Emergency management of hypercyanotic crises in tetralogy of Fallot.
An understanding of the pathophysiology of hypercyanotic spells will allow the emergency specialist to understand and apply a treatment option--compression of the abdominal aorta--not previously reported in the emergency medicine literature. Expand
Early detection of cardiac disease masquerading as acute bronchospasm: The role of bedside limited echocardiography by the emergency physician
The potential role of limited echocardiography by the emergency physician as a triage tool in facilitating early diagnosis and emergent therapy, reducing time to final discharge, and enhancing interaction between the pediatric emergency physician and cardiology consultants is highlighted. Expand
Impact of antenatal screening on the presentation of infants with congenital heart disease to a cardiology unit
Examination of the frequency of antenatal diagnosis in neonates presenting to The Royal Children’s Hospital severe CHD found that patients who require surgery in early infancy are most likely to benefit from this care. Expand
Emergency Presentation Of Congenital Heart Disease In Children
  • 2008
It’s January, the middle of “RSV season,” when a 2-week-old infant is brought to the emergency department by his mother because he was “breathing fast all night.” His birth history is unremarkable,Expand
The pediatric electrocardiogram: part I: Age-related interpretation.
The purpose of this 3-part review will be to review (1) age-related changes in the pediatric ECG, (2) common arrhythmias encountered in the toddler population, and (3) ECG indicators of structural and congenital heart disease in the Pediatrics population. Expand