Cardiac emergencies

Woolf, Paul K.

doi:10.1017/cbo9780511919268.004

Cited by 5 publications

(19 citation statements)

References 20 publications

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“…Intravenous adenosine and transesophageal electrode recording can be used to assist in the diagnosis (Fazio et al, 2008;Gewitz & Woolf, 2006;Kaltman & Shah, 2004). Guidelines are available for treatment of atrial fibrillation in adults, and with modifications, provide a framework for treating children with the arrhythmia (American College of Cardiology/American Heart Association/European Society of Cardiology, 2006; American College of Cardiology Foundation/American Heart Association/Heart Rhythm Society (ACCF/AHA/HRS), 2011).…”

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

“…Guidelines are available for treatment of atrial fibrillation in adults, and with modifications, provide a framework for treating children with the arrhythmia (American College of Cardiology/American Heart Association/European Society of Cardiology, 2006; American College of Cardiology Foundation/American Heart Association/Heart Rhythm Society (ACCF/AHA/HRS), 2011). Emergency management of children with significant hemodynamic compromise would include electrical cardioversion (Gewitz & Woolf, 2006;Kaltman & Shah, 2004). In more stable children, the use of intravenous beta-adrenergic blocker (eg, esmolol, propranolol) or calcium channel blocker (eg.…”

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

“…In more stable children, the use of intravenous beta-adrenergic blocker (eg, esmolol, propranolol) or calcium channel blocker (eg. verapamil, diltiazem) could be used to slow the ventricular response rate (Fazio et al, 2008;Gewitz & Woolf, 2006;Kaltman & Shah, 2004). See table for a listing of useful drugs in the management of atrial fibrillation in children.…”

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

“…www.intechopen.com basis if needed (Fazio et al, 2008;Gewitz & Woolf, 2006;Kaltman & Shah, 2004). Other drugs available for the management of acute and chronic atrial fibrillation in children include sotalol, propafenone, procaineamide, flecainide, ibutilide, and dofetilide (Gewitz & Woolf, 2006;Kaltman & Shah, 2004;Fazio et al, 2008).…”

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

“…Other drugs available for the management of acute and chronic atrial fibrillation in children include sotalol, propafenone, procaineamide, flecainide, ibutilide, and dofetilide (Gewitz & Woolf, 2006;Kaltman & Shah, 2004;Fazio et al, 2008). In patients with WPW syndrome, digoxin and verapamil should not be used due to tendency to increase antegrade conduction via the accessory atrioventricular connection (Byrum et al, 1982;Fazio et al, 2008;Gewitz & Woolf, 2006;Kaltman & Shah, 2004;Rowland, 1983).…”

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

See 4 more Smart Citations

Atrial Fibrillation in Children

Martin¹,

Hagenbuch²

2012

Atrial Fibrillation - Basic Research and Clinical Applications

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Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

Section: Management Of Atrial Fibrillation In Childrenmentioning

confidence: 99%

See 3 more Smart Citations

Atrial Fibrillation in Children

Martin¹,

Hagenbuch²

2012

Atrial Fibrillation - Basic Research and Clinical Applications

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Pediatric Emergency Medicine

Durani¹

2006

Pediatric Emergency Care

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Cardiac Tamponade in a Child With Fever of Unknown Origin

Rossfeld

Basu

2017

Hospital Pediatrics

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An 8-year-old girl with neurofibromatosis type 1 and mild intermittent asthma presented with an 8-day history of a daily fever between 101°F and 105°F, a nonproductive cough, congestion, a sore throat, and myalgias, despite treatment with amoxicillin for bronchitis and cefazolin for a Staphylococcus epidermidis urinary tract infection. She presented on day 8 of her illness with a macular hand rash, flank pain, and strawberry tongue and was admitted for evaluation of a fever of unknown origin. She did not have any weight loss or joint pain. Admission laboratory values were notable for a white blood cell count of 26 800 cells/mm 3 with 15% bands and 74% segmented neutrophils, an erythrocyte sedimentation rate of 52 mm per hour, C-reactive protein levels of 21.5 mg/dL, ferritin levels of 1129 ng/mL, normal results from liver function tests, a respiratory virus film array with results positive for sapovirus, and sterile blood and urine cultures. She was started on empirical ceftriaxone coverage with no improvement in symptoms. Computed tomography of the head, chest, abdomen, and pelvis revealed cervical, axillary, mediastinal, mesenteric, and inguinal lymphadenopathy. A transthoracic echocardiogram showed no evidence of intracardiac vegetations but revealed a small pericardial effusion. She remained hospitalized with almost daily fevers despite antibiotics but was otherwise hemodynamically stable. On hospital day 9, the patient developed tachycardia (130-140 beats per minute), respiratory distress (tachypnea to 62 breaths per minute with accessory respiratory muscle use), hypoxemia (pulse oxygen saturation of 89%), and hypotension (77/42 mm Hg). On examination, she had nasal flaring and subcostal retractions; her lungs were clear to auscultation. She had no visible jugular venous distention (JVD), hepatomegaly, or lower extremity edema, and her heart sounds were not muffled. A chest radiograph (CXR) revealed a newly enlarged cardiac silhouette and clear pulmonary fields (Fig 1). An electrocardiogram (ECG) showed sinus tachycardia with normal axis, low voltages, and T-wave inversions in the lateral precordial leads. A repeat echocardiogram revealed a 2.2 cm circumferential pericardial effusion with right atrial collapse in diastole, increased atrioventricular valve inflow respiratory variation, and inferior vena cava plethora consistent with tamponade physiology (Fig 2).

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Cardiac emergencies

Cited by 5 publications

References 20 publications

Atrial Fibrillation in Children

Atrial Fibrillation in Children

Pediatric Emergency Medicine

Cardiac Tamponade in a Child With Fever of Unknown Origin

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