A HANDS-ON MANUAL FOR IDENTIFYING AND TREATING HEART FAILURE IN CHILDREN

M. Hadi
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Abstract

The incidence of heart failure among children constitutes a major cause of sickness and mortality during their initial years of existence. Whereas well-established guidelines are present for managing heart failure in adults, a corresponding consensus for the pediatric group is lacking. Within a healthcare setting, it's of paramount importance to establish a correct diagnosis and identify the root cause for the most effective intervention. Primary interventions include diuretics and angiotensin-converting enzyme inhibitors, however, the utilization of beta-blockers and cardiac therapy devices is less common in pediatric cases as compared to adults. For severe conditions, heart transplant remains the go-to therapeutic choice. Additionally, left ventricular assist devices can be employed as a temporary solution awaiting transplantation (due to scarcity of organ donors), recovery (in instances of myocarditis), or a definitive solution (for patients with systemic disease).
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识别和治疗儿童心力衰竭的实用手册
儿童心力衰竭的发病率是他们最初几年生病和死亡的一个主要原因。尽管对于成人心力衰竭的管理有完善的指导方针,但对于儿科群体缺乏相应的共识。在医疗保健环境中,建立正确的诊断并确定最有效干预的根本原因至关重要。主要干预措施包括利尿剂和血管紧张素转换酶抑制剂,然而,与成人相比,在儿科病例中使用-受体阻滞剂和心脏治疗装置的情况较少。对于严重的疾病,心脏移植仍然是治疗的首选。此外,左心室辅助装置可作为等待移植(由于器官供体稀缺)、恢复(在心肌炎的情况下)或最终解决方案(用于全身性疾病的患者)的临时解决方案。
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