Document Detail


Heart failure therapy in children.
MedLine Citation:
PMID:  16375626     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The most common reason for heart failure in children is volume overload secondary to a left-to-right shunt. Therefore, an accurate diagnosis with identification of possible surgical or interventional reactions should be the first priority. Medical therapy is mainly based on diuretics, angiotensin-converting enzyme inhibitors, cardiac glycosides and beta-blockers. There are few prospective trials in pediatric cardiology, but the available data reach a similar conclusion to that of adults with heart failure. Diuretics are an important tool in patients with fluid retention, and angiotensin-converting enzyme inhibitors are helpful in patients with volume overload of the ventricles. Cardiac glycosides are still in use, but there is a trend toward primary use of diuretics. Angiotensin-converting enzyme inhibitors and beta-blockers have been used successfully in the treatment of heart failure in children, but there are limited data on its efficacy.
Authors:
Hans Henrik Odland; Erik M D Thaulow
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Expert review of cardiovascular therapy     Volume:  4     ISSN:  1744-8344     ISO Abbreviation:  Expert Rev Cardiovasc Ther     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-26     Completed Date:  2006-08-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101182328     Medline TA:  Expert Rev Cardiovasc Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  33-40     Citation Subset:  IM    
Affiliation:
Barneklinikken, Rikshospitalet, 0027 Oslo, Norway. odland@rikshospitalet.no
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MeSH Terms
Descriptor/Qualifier:
Cardiovascular Agents / therapeutic use*
Child
Heart Failure / diagnosis*,  drug therapy*,  surgery
Humans
Chemical
Reg. No./Substance:
0/Cardiovascular Agents

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