Skip to main content
SpringerLink
Log in

Emergency Presentation of Heart Disease

  • Chapter
  • First Online:
Cardiac Emergencies in Children

  • 1259 Accesses

Abstract

Pediatric patients with congenital and acquired heart disease may present to the emergency department (ED) with acute life-threatening decompensation. These children often present with high acuity and in shock, with cyanosis, or with respiratory distress. In this chapter we review common ED presentations of pediatric heart disease and their chronology, pathophysiology, management strategies, and common diagnostic clues/pitfalls that clinicians may face when treating these complex patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Selected Reading

  1. Allan L, Benacerraf B, Copel JA, et al. Isolated major congenital heart disease. Ultrasound Obstet Gynecol. 2001;17(5):370–9.

    Article  CAS  Google Scholar 

  2. Kemper AR, Mahle WT, Martin GR, et al. Strategies for implementing screening for critical congenital heart disease. Pediatrics. 2011;128:1259–67.

    Article  Google Scholar 

  3. Mastropietro CW, Tourner SP, Sarnaik AP. Emergency presentation of congenital heart disease in children. Pediatr Emerg Med Pract. 2008;5(5):1–31.

    Google Scholar 

  4. Pickert CB, Moss MM, Fiser DH. Differentiation of systemic infection and congenital obstructive left heart disease in the very young infant. Pediatr Emerg Care. 1998;14(4):263–7.

    Article  CAS  Google Scholar 

  5. Hoke TR, Donohue PK, Bawa PK, et al. Oxygen saturation as a screening test for critical congenital heart disease: a preliminary study. Pediatr Cardiol. 2002;23(4):403–9.

    Article  CAS  Google Scholar 

  6. Ross RD, Bollinger RO, Pinsky WW. Grading the severity of congestive heart failure in infants. Pediatr Cardiol. 1992;13(2):72–5.

    Article  CAS  Google Scholar 

  7. McCrindle BW, Shaffer KM, Kan JS, et al. Cardinal clinical signs in the differentiation of heart murmurs in children. Arch Pediatr Adolesc Med. 1996;150(2):169–74.

    Article  CAS  Google Scholar 

  8. Freed MD, Heymann MA, Lewis AB, et al. Prostaglandin E1 infants with ductus arteriosus-dependent congenital heart disease. Circulation. 1981;64(5):899–905.

    Article  CAS  Google Scholar 

  9. Freedman SB, Haladyn JK, Floh A, et al. Pediatric myocarditis: emergency department clinical findings and diagnostic evaluation. Pediatrics. 2007;120(6):1278–85.

    Article  Google Scholar 

  10. Durani Y, Eagan M, Baffa J, et al. Pediatric myocarditis: presenting clinical characteristics. Am J Emerg Med. 2009;27:942–7.

    Article  Google Scholar 

Download references

Conflicts of Interest

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

Author information

Authors and Affiliations

  1. Department of Pediatrics, Division of Emergency Medicine, Children’s Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA

    Syana Sarnaik M.D.

  2. Department of Pediatrics, Division of Critical Care Medicine, Children’s Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA

    Katherine Cashen D.O. & Ashok P. Sarnaik M.D., F.A.A.P., F.C.C.M.

Authors
  1. Syana Sarnaik M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Katherine Cashen D.O.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ashok P. Sarnaik M.D., F.A.A.P., F.C.C.M.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Syana Sarnaik M.D. .

Editor information

Editors and Affiliations

  1. Pediatrics, Division of Critical Care Medicine, Children's Hospital of Michigan & Wayne State University School of Medicine, Detroit, Michigan, USA

    Ashok P. Sarnaik

  2. Pediatrics, Division of Cardiology, Children’s Hospital of Michigan & Wayne State University School of Medicine, Detroit, Michigan, USA

    Robert D. Ross

  3. Pediatrics, Division of Cardiology, Children’s Hospital of Michigan & Wayne State University School of Medicine, Detroit, Michigan, USA

    Steven E. Lipshultz

  4. Pediatric Cardiovascular Surgery, Children’s Hospital of Michigan & Wayne State University School of Medicine, Detroit, Michigan, USA

    Henry L. Walters III

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sarnaik, S., Cashen, K., Sarnaik, A.P. (2018). Emergency Presentation of Heart Disease. In: Sarnaik, A., Ross, R., Lipshultz, S., Walters III, H. (eds) Cardiac Emergencies in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-73754-6_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-73754-6_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73753-9

  • Online ISBN: 978-3-319-73754-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation