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Echocardiographic evaluation of the failing heart*

Published online by Cambridge University Press:  17 September 2015

Anitha Parthiban*
Affiliation:
Ward Family Heart Center, Children’s Mercy Hospital, Kansas City, Missouri, United States of America
Girish Shirali
Affiliation:
Ward Family Heart Center, Children’s Mercy Hospital, Kansas City, Missouri, United States of America
*
Correspondence to: A. Parthiban, MD, Children’s Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, United States of America. Tel: +816 234 3947; Fax: +816 302 9987; E-mail: aparthiban@cmh.edu

Abstract

Heart failure in children can result from a wide range of aetiologies and can manifest in systolic and/or diastolic dysfunction. Echocardiography is the primary test for the diagnosis and follow-up of children with heart failure. In this article, we critically review standard echocardiographic measurements that have been shown to have prognostic importance in children with various types of heart failure. Each of the common forms of cardiomyopathy that is encountered in childhood – dilated, hypertrophic, restrictive, left ventricular non-compaction, and arrhythmogenic right ventricular cardiomyopathy – is discussed separately. Special attention is paid to the failing right ventricle, both in the systemic and in the sub-pulmonary position, to the failing univentricular heart, and to the assessment of diastolic function in children.

Type
Original Articles
Copyright
© Cambridge University Press 2015 

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Footnotes

*

Presented at Johns Hopkins All Children’s Heart Institute, International Pediatric Heart Failure Summit, Saint Petersburg, Florida, United States of America, 4–5 February, 2015.

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