The Use of the Biomarker Procalcitonin in Pediatric Cardiovascular Disorders

  • Raj SahuleeEmail author
  • Jaclyn McKinstry
  • Sujata B. Chakravarti
Intensive Care Medicine (E Cheung and T Connors, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Intensive Care Medicine


Purpose of Review

We highlight the recent data investigating the use of the biomarker procalcitonin (PCT) in several clinical scenarios involving children with cardiovascular disorders. The diagnostic, therapeutic, and prognostic uses of PCT are discussed.

Recent Findings

Limited pediatric-specific data, but substantial adult studies have described the use of PCT in 4 clinical scenarios: infection after cardiac surgery, heart failure and respiratory illness, infective endocarditis, and cardiac arrest.


Procalcitonin is a biomarker with increasing utility in pediatric cardiovascular illness. Procalcitonin has successfully been shown useful in detecting bacterial infection after cardiac surgery, differentiating heart failure from respiratory infections, aiding the rapid diagnosis of infective endocarditis, and prognosticating patient outcomes after cardiac arrest. It also seems to perform superiorly to other inflammatory markers in these settings as well. A better understanding of the utility of PCT monitoring could help clinicians make more rapid and accurate clinical decisions.


Procalcitonin Biomarker Cardiac surgery Heart failure Infective endocarditis Cardiac arrest 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Raj Sahulee
    • 1
    Email author
  • Jaclyn McKinstry
    • 1
  • Sujata B. Chakravarti
    • 1
  1. 1.Department of Pediatrics, Division of CardiologyNew York University School of MedicineNew YorkUSA

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