PEDIATRIC HEART FAILURE: ETIOLOGY, CLINICAL FEATURES, AND CONTEMPORARY MANAGEMENT
Keywords:
Pediatric heart failure, congenital heart disease, cardiomyopathy, myocarditis, echocardiography, natriuretic peptides, multidisciplinary care.Abstract
This paper reviews the main aspects of heart failure in children, a syndrome that differs substantially from adult heart failure in its causes, presentation, and treatment. The etiology, pathophysiology, age-related clinical manifestations, diagnostic methods, and current therapeutic strategies are discussed. Particular attention is given to congenital heart disease and cardiomyopathies as leading causes, the role of echocardiography and natriuretic peptides in diagnosis, and the importance of a multidisciplinary approach. The findings emphasize that early recognition and cause-specific treatment are decisive for survival and quality of life.
References
1.Kantor PF, Lougheed J, Dancea A, et al. Presentation, diagnosis, and medical management of heart failure in children: Canadian Cardiovascular Society guidelines. Can J Cardiol. 2013;29(12):1535–1552.
2.Rossano JW, Kim JJ, Decker JA, et al. Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study. J Card Fail. 2012;18(6):459–470.
3.Hsu DT, Pearson GD. Heart failure in children: Part I: history, etiology, and pathophysiology. Circ Heart Fail. 2009;2(1):63–70.
4.Hsu DT, Pearson GD. Heart failure in children: Part II: diagnosis, treatment, and future directions. Circ Heart Fail. 2009;2(5):490–498.
5.Lipshultz SE, Law YM, Asante-Korang A, et al. Cardiomyopathy in children: classification and diagnosis. A scientific statement from the American Heart Association. Circulation. 2019;140(1):e9–e68.
6.Ross RD. The Ross classification for heart failure in children after 25 years: a review and an age-stratified revision. Pediatr Cardiol. 2012;33(8):1295–1300.
7.Shaddy RE, Boucek MM, Hsu DT, et al. Carvedilol for children and adolescents with heart failure: a randomized controlled trial. JAMA. 2007;298(10):1171–1179.
