Aprile 2004 - Volume XXIII - numero 4

Medico e Bambino


Aggiornamento

Le urgenze cardiologiche in età perinatale Parte I

UGO VAIRO1, PETRONILLA APPIO1, ROCCO LEONE1, MARIA VITTORIA SCHIAVO2, SERGIO MANIERI2, AMELIA SCAVONE2, CAROLINA IANNIELLO3, VITO MOLINARI3, GIULIO STRANGIO3, GIUSEPPE ADURNO4, MICHELE PRINCIPALE5, MARIA ROSARIA TAGLIENTE6, SAVINO MASTROPASQUA7, GABRIELE D’AMATO7, MARIA CRISTINA MENCOBONI8, GILBERTO DANESE8, NICOLA D’ANDREA8

1Cardiologia Pediatrica,
2Pediatria
3Terapia Intensiva Neonatale
4Terapia Intensiva Cardiopediatrica
5Ostetricia e Ginecologia, Azienda Ospedaliera San Carlo, Potenza;
6Cardiologia Pediatrica,
7Terapia Intensiva Neonatale, Azienda Ospedaliera Di Venere - Giovanni XXIII, Bari;
8Pediatria e Neonatologia, Ospedale di Matera

CONGESTIVE HEARTH FAILURE IN THE NEONATAL PERIOD

Key words: Congestive heart failure, Newborn circulation, Congenital heart disease

Congestive heart failure (CHF) is a clinical syndrome in which the heart is unable to pump enough blood to the body to meet its needs, to dispose of venous return adequately, or a combination of the two. CHF in the newborn usually result from congenital heart disease with volume and/or pressure overload; less frequently from primary miocardial disease or disorders of cardiac rhythm. The clinical presentation is characterized by failure to feed and grow, tachycardia, tachypnea/dyspnea, and enlarged liver. The maintenance of the patency of the ductus arteriosus (DA) or the induction of its closure by the administration of, respectively, prostaglandin or indometacin or ibuprofen represents the milestone for the management of critically ill neonates. In most cases prompt interventional cardiac catheterization or surgery is needed. Persistence of the fetal circulation and transient myocardial ischemia are self-limited within a few weeks and require suitable therapy. The Authors report their large multidisciplinary experience (catheter interventions, heart surgery and intensive care) in dealing with such conditions in the neonatal period.

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U. Vairo, et al. Le urgenze cardiologiche in età perinatale Parte I. Medico e Bambino 2004;23(4):225-234 https://www.medicoebambino.com/?id=0404_225.pdf


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