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Management of the failing heart in infants

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Summary

Recognition, causes and principles of management of heart failure in infants have been presented. The initial symptoms and signs are subtle. If proper attention is paid, early recognition of congestive failure is possible, The commonest cause in this age group is congenital heart disease and heart failure appears in the first few months of life. The management consists not only in the control of heart failure but also in a careful evaluation of the cause. Surgery—curative or palliative—should be utilized as early as feasible. Early recognition and referral to centres specially geared for providing medical and surgical care is essential if the salvage rate is to be improved.

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References

  • Ainger, L.E. (1967). Large tonsils and adenoids in small children with cor pulmonale.Brit. Heart. J. 73, 550.

    Google Scholar 

  • Bland, J.W., Edwards, F.K. and Brinsfield, D. (1969). Pulmonary hypertension and chronic upper airway obstruction. New concepts of etiologic factors.Amer. J. Cardiol. 23, 830.

    Article  PubMed  Google Scholar 

  • Celander, O. (1966). Studies of the periphereal circulation. In Cassels, D.E. (Ed): The Heart and Circulation in the Newborn and Infant.Grune & Stratton, New York, pp. 98–110.

    Google Scholar 

  • Cox, M.A., Schiebler, G.L., Taylor, W.J., Wheat, M.W. and Krovetz, L.J. (1965). Reversible pulmonary hypertension in a child with respiratory obstruction and cor pulmonale.J. Pediat. 67, 192.

    Article  Google Scholar 

  • Dawes, G.S. (1966). Changes in the circulation at birth. In: Cassels, D.E. (Ed). The Heart and Circulation in the Newborn and Infant.Grune & Stration. New York, pp. 74–79.

    Google Scholar 

  • Engle, M.A. (1970). When the child’s heart fails: Recognition, treatment, prognosis.Progress in Cardiovasc. Dis. 12, 601.

    Article  CAS  Google Scholar 

  • Gear, J., Measroch, V. and Prensloo, F.R. (1956). The medical and public health importance of the Coxsackie viruses.South Afr. Med. J. 30, 806.

    CAS  Google Scholar 

  • Hastreiter, A.R. and Miller, R.A. (1964). Management of primary endomyocardial disease. The myocarditis-endocardial fibroelastosis syndrome.Pediat. Clin. N. Amer. 11, 401.

    PubMed  CAS  Google Scholar 

  • Javett, S.N., Heyman, S.C., Mundel, B., Pepler, W.J., Lurie, H.I., Gear, J., Measroch, V. and Kirsch, Z. (1956). Myocarditis in the newborn infant. A study of an outbreak associated with Coxsackie group B. Virus infection in a maternity home in Johannesburg.J. Pediat. 48, 1.

    Article  PubMed  CAS  Google Scholar 

  • Keith, J.D. (1956). Congestive heart failure.Pediatrics,18, 491.

    PubMed  CAS  Google Scholar 

  • Levy, A., Tabakin, B.S., Hanson, J.S. and Narkewicz, R.M. (1967). Hypertrophied adenoids causing pulmonary hypertension and severe congestive failure.New Engl. J. Med. 277, 506.

    Article  PubMed  CAS  Google Scholar 

  • Luke, M. J., Mehrizi, A., Folger, G. M. Jr. and Rowe, R.D. (1966). Chronic nasopharyngeal obstruction as a cause of cardiomegaly, cor pulmonale, and pulmonary edema.Pediatrics,37, 762.

    PubMed  CAS  Google Scholar 

  • Menashe, V.D., Farrehi, C. and Miller, M. (1965). Hyperventilation and cor pulmonale due to chronic upper airway obstruction.J. Pediat. 67, 198.

    Article  Google Scholar 

  • Moss, A.J. and Duffie, E.R. Jr. (1962). Congestive heart failure in infancy: Significance of venous pressure.J. Pediat. 60, 346.

    Article  PubMed  CAS  Google Scholar 

  • Nadas, A.S., Daeschner, C.W., Roth, A. and Blumenthal, S.L. (1952). Paroxysmal tachycardia in infants and children, study of 41 cases.Pediatrics,9, 167.

    PubMed  CAS  Google Scholar 

  • Nadas, A.S. and Hauck, A.J. (1968). Pediatric aspects of congestive heart failure.Circulation,21, 424.

    Google Scholar 

  • Noonan, J.A. (1965). Reversible corpulmonale due to hypertrophied tonsils and adenoids. Studies in two cases.Amer. Pediat. Soc. Meetings May 6–8.

  • Strang, L.B. (1966). Changes in pulmonary artery pressure and pulmonary blood flow. In Cassels, D.E. (Ed.), The heart and circulation in the Newborn and Infant.Grune & Stration, New York, pp 88–91.

    Google Scholar 

  • Van Creveld, S. and De Jaeger, H. (1956). Myocarditis in newborn caused by Coxsackie virus. Clinical and pathological data.Ann. Pediat. 187, 100.

    Google Scholar 

  • Verlinde, J.D., VanTongeren, H.A.E. and Kret, A. (1956). Myocarditis in newborns due to group B Coxsackie virus. Viral studies.Ann. Pediat. 187, 113.

    Google Scholar 

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  1. New Delhi

    R. Tandon

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  1. R. Tandon
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From the Department of Cardiology, All India Institute of Medical Sciences, New Dehli-16.

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Tandon, R. Management of the failing heart in infants. Indian J Pediatr 39, 100–109 (1972). https://doi.org/10.1007/BF02787380

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  • DOI: https://doi.org/10.1007/BF02787380

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