Common Problems in the Emergency Department in a Child with Known Heart Disease

  • Syana SarnaikEmail author
  • Nirupama Kannikeswaran
  • Prashant Mahajan
  • Ashok P. Sarnaik


Children with underlying heart disease often present to the emergency department (ED) with common pediatric illnesses. In addition to the morbidity from the illness itself, these illnesses can further alter the fragile cardiovascular physiology in children with underlying heart disease placing them at a higher risk for complications and mortality. In this chapter, we will provide case-based scenarios of common pediatric conditions such as bronchiolitis, croup, and acute gastroenteritis in children with underlying heart disease to provide a framework for their management. We will also review the changes in the cardiovascular physiology secondary to such illness and their implications in the management of such patients.


Children with heart disease Respiratory tract illness Gastroenteritis Management Emergency department 


Conflicts of Interest

Disclosures: The authors have not disclosed any potential conflicts of interest.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Syana Sarnaik
    • 1
    Email author
  • Nirupama Kannikeswaran
    • 1
  • Prashant Mahajan
    • 2
    • 3
  • Ashok P. Sarnaik
    • 4
  1. 1.Division of Emergency Medicine, Department of Pediatrics, Children’s Hospital of MichiganWayne State University School of MedicineDetroitUSA
  2. 2.Department of Emergency MedicineCS Mott Children’s Hospital of MichiganAnn ArborUSA
  3. 3.University of Michigan School of MedicineAnn ArborUSA
  4. 4.Division of Critical Care Medicine, Department of Pediatrics, Children’s Hospital of MichiganWayne State University School of MedicineDetroitUSA

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