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2000, Number 1

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Med Crit 2000; 14 (1)

Heart failure in pediatric intensive care unit

Millán JC, Lizalde IML, Torres VA

Language: Spanish
References: 34
Page: 18-23
PDF size: 157.19 Kb.


ABSTRACT

Objective: To determine the incidence, associated factors and outcome of pediatric patients who develop heart failure.
Design: Prospective and observational study.
Setting: Pediatric intensive care unit (PICU) of a general hospital of Mexico City.
Patients: All the patients admitted to the PICU between August 1996 and July 1997 were evaluated.
Interventions: None.
Results: Six hundred patients were admitted to the PICU. Of these patients 88 (14.7%), had heart failure: 54% within the first two months of life, and 15%, 9% and 7.1%, respectively for patients within 3-5, 11-15 and 6-10 years of life. Heart failure was observed in patients underwent to cardiac surgery (48%), non-operated congenital heart disease (19%) valvular disease 11%, sepsis 16%, respiratory failure 4%, and cardiomiopathy due to drugs 2%. The mortality rate was 25%.
Conclusion: Heart failure is a frequent problem in critically ill pediatric patients in our hospital.


REFERENCES

  1. Deedwania PC, Crawford MH et al. Consideraciones actuales sobre insuficiencia cardíaca congestiva. Clínicas Cardiológicas de Norteamérica 1994;1:1-23.

  2. Besteti RB, Coutinho-Netto J, Staibano L et al. Periphery and coronary sinus cathecolamine levels in patients with severe congestive heart failure due to Chagas’ disease. Cardiology 1995;86 (3):202-6.

  3. Barretto AC, Mady C, Lanni BM et al. Relationship between ventricular arrhythmia and cardiac function in Chagas’ disease. Arquivos Brasileiros de Cardiología 1995;64(65):533-35.

  4. Atkinson P, Joubert G, Barron A, et al. Hypertrophic cardiomiopathy associated with tracolimus in paediatric transplant patients. Lancet 1995;345(8954):894-6.

  5. Derish M, Eckert K, Chin C. Reversible cardiomiopathy in a child with Addison’s disease. Intensive Care Med 1996;22:460-63.

  6. Melacini P, Vianello A, Villanova C et al. Cardiac and respiratory involvement in advanced stage Duchenne muscular dystrophy. Neuromuscular disorders 1996;6(5):367-76.

  7. Zoles VR, Benson DW. Reversible cardiomyopathy due to carnitine deficiency from renal tubular wastings. Pediatr Cardiol 1995;16:76-78.

  8. Brunvand L, Haga P, Tangsrud SE, Hang E. Congestive heart failure caused by vitamin D deficiency? Acta Pediatr 1995;86:106-8.

  9. Ferrazzini G, Fasnacht M, Arbenz U et al. Neonatal lupus erythematosus with congenital heart block and severe heart failure due to myocarditis and endocarditis of the mitral valve. Intensive Care Med 1996;22:464-466.

  10. Cowie MR, Mosterd A, Wood DA et al. The epidemiology of heart failure. Eur Heart J 1997;18:208-25.

  11. Estadísticas de prevalencia de 1997. Emergency 1997:21.

  12. Sutton GC. Epidemiologic aspects of heart failure. Am Heart J 1990;120:1538-40.

  13. Mc Murray J, Mc Donagh T, Morrison CE, Cargie HJ. Trends in hospitalization for heart failure in Scotland 1980-1990. Eur Heart J 1993;14:1158-62.

  14. Survey on heart failure in Italian hospital cardiology units. Results of the SEOSI study. SEOSI investigators. Eur Heart J 1997;18(9):1457-64.

  15. Lisa A, Kimball TR, Daniels S. Left ventricular mechanics in the preterm infant and their effects on the measurement of cardiac performance. J Pediatr 1992;120:114-9.

  16. Ueda Y, Fukushige J, Ueda K. Congestive heart failure during early infancy with ventricular septal defect relative to early closure. Pediatric Cardiology 1996;17:382-86.

  17. Agatha Y, Hirashi S, Oguchi K. Changes in left ventricular utput from fetal to early neonatal life. J Pediatr 1991;119:441-5.

  18. Caleco TM, Benitez CM, Romero LC. Características clínicas de la insuficiencia cardíaca congestiva. Medicina Interna de México 1992;8(3):121-5.

  19. Sasse SA, Chen PA, Mahutte CK. Relationship of changes in cardiac output to changes in heart rate in medical ICU patients. Intensive Care Med 1996;22:409-14.

  20. Guidelines for the evaluation and management of heart failure: Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 1995;26:1376-98.

  21. Poole Wilson PA. Prediction of heart failure- an art aided by technology. N Engl J Med 1997;336(19):1381-2.

  22. Mathew J, Davidson S, Narra L et al. Etiology and characteristics of congestive heart failure in blacks. Am J Cardiol 1996;78:1447-50.

  23. Weiss I, Ushay M, DeBruin W. Respiratory and cardiac function in children after acute hypoxemic respiratory failure. Crit Care Med 1996;24 (1):148-154.

  24. Dambrosio M, Fiore G, Brienza N. Right ventricular myocardial function in ARF patients. Intensive Care Med 1996;22:772-80.

  25. Simma B, Fritz MG, Trawóger R et al. Changes in left ventricular function in shocked newborns. Intensive Care Med 1997;23:982-86.

  26. Horton JW. Hemorrhagic shock depresses myocardial contractile function in the guinea pig. Circ Shock 1989;28:23-36.

  27. Horton J, Landreneau R, Tuggle D. Cardiac response to fluid resuscitation from hemorrhagic shock. Suppl Gynecol Obstetr 1985;160:444-52.

  28. Poelaert J, Declerck C, Vogelaers D et al. Left ventricular systolic and diastolic function in septic shock. Intensive Care Med 1997;23:553-60.

  29. Carsi Bocanegra EE. Fracciones de eyección y de acortamiento del ventrículo izquierdo en neonatos gravemente asfixiados o sépticos. Acta Pediatr Mex 1997;18(6):247-52.

  30. Moore FA, Haenel JB, Moore EE, Witehill TA. Incommensurate oxygen consumption in response to maximal oxygen availability predicts postinjury multiple organ failure. J Trauma 1992;33:58-67.

  31. Johnson GL, Moffet CB, Geil JD et al. Late echocardiographic findings following childhood chemotherapy with normal serial cardiac monitoring. J Ped Hematology/Oncology 1996;18(1):72-5.

  32. Kuwagata Y, Sugimoto H, Yoshioka T, Sugimoto T. Left ventricular performance in patient with thermal injury or multiple trauma: A clinical study with echocardiography. J Trauma 1992;32:158-65.

  33. Small N, Descorps Declére A, Duranteau J et al. Left ventricular function after severe trauma. Intensive Care Med 1996;22:439-42.

  34. Cruz RL, Torres VA, Correa FM, Veliz PR. Frecuencia y factores predisponentes de shock cardiogénico en niños posoperados de corazón del servicio de terapia intensiva pediátrica del Hospital General Centro Médico La Raza. Tesis para obtener el título de Pediatría Médica. 1994.




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