Heart failure in the emergency department: a diagnostic challenge.
Marta Dorado Criadoa, Celia Fabra Garridob, Julia Martín Sánchezc, Carlos Labrandero de Lerad, María de Ceano-Vivas La Callec
aMIR-Pediatría. Hospital Infantil Universitario La Paz. Madrid. España.
bMIR-Pediatría. Hospital Universitario La Paz. Madrid. España.
cServicio de Urgencias Pediátricas. Hospital Infantil Universitario La Paz. Madrid. España.
dServicio de Cardiología Pediátrica. Hospital Infantil Universitario La Paz. Madrid. España.
Correspondence: M Dorado. E-mail: doradocriado@gmail.com
Reference of this article: Dorado Criado M, Fabra Garrido C, Martín Sánchez J, Labrandero de Lera C, de Ceano-Vivas La Calle M. Heart failure in the emergency department: a diagnostic challenge. Rev Pediatr Aten Primaria. 2019;21:e77-e79.
Published in Internet: 19-06-2019 - Visits: 18615
Abstract
Heart failure is an uncommon pathology in medical pediatric consultations. The forms in which this disability is clinically expressed are diverse, however, in the adult patient it is often detected through classic symptoms such as dyspnea. In the case of the pediatric patient this spectrum of presentation is much wider and non-specific. The percentage of patients who are not correctly diagnosed at the first medical consultation amounts to 50%, receiving many of them antibiotic therapy after having been labelled as bacterial infection. Therefore, we present the case of a three-year-old child diagnosed with heart failure in our pediatric emergency department.
Keywords
● Cardiomyopathy ● Heart failure ● Tachycardia
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