Heart failure secondary to dilated cardiomyopathy: a role for emergency physician bedside ultrasonography.
Pediatr Emerg Care
; 28(2): 163-6, 2012 Feb.
Article
em En
| MEDLINE
| ID: mdl-22307185
ABSTRACT
Heart failure as a result of cardiomyopathy is an uncommon presentation in the pediatric emergency department (PED). The initial presenting symptoms in these cases are often nonspecific and may be confused with more common pediatric illnesses. We report a case of a 3-year-old girl initially discharged from a PED after routine evaluation of vomiting and diarrhea with a diagnosis of acute gastroenteritis only to return 1 week later in heart failure from a dilated cardiomyopathy. A bedside ultrasound performed by the emergency physician in the PED allowed for the initiation of appropriate, rapid, goal-directed therapy and expedited timely transport to a facility with pediatric cardiothoracic surgery. We will review dilated cardiomyopathy and the role of emergency physician echocardiography.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Ecocardiografia
/
Cardiomiopatia Dilatada
/
Sistemas Automatizados de Assistência Junto ao Leito
/
Erros de Diagnóstico
/
Insuficiência Cardíaca
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Child, preschool
/
Female
/
Humans
Idioma:
En
Revista:
Pediatr Emerg Care
Assunto da revista:
MEDICINA DE EMERGENCIA
/
PEDIATRIA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos