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Hypertension masquerading as Pediatric Cardiomyopathy: an exercise in cognitive biases

Published online by Cambridge University Press:  25 January 2021

Asim Al Balushi ,
Chentel Cunningham ,
Manjula Gowrishankar ,
Jennifer Conway  and
Michael Khoury Open the ORCID record for Michael Khoury [Opens in a new window]
Asim Al Balushi
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada Division of Pediatric Cardiology, Department of Pediatrics, Stollery Children’s Hospital, Edmonton, Alberta, Canada
Chentel Cunningham
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Stollery Children’s Hospital, Edmonton, Alberta, Canada Faculty of Nursing, Department of Pediatrics, University of Alberta, Edmonton, Canada
Manjula Gowrishankar
Affiliation:
Division of Pediatric Nephrology, Department of Pediatrics, University of Alberta, Edmonton, Canada
Jennifer Conway
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada Division of Pediatric Cardiology, Department of Pediatrics, Stollery Children’s Hospital, Edmonton, Alberta, Canada
Michael Khoury*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada Division of Pediatric Cardiology, Department of Pediatrics, Stollery Children’s Hospital, Edmonton, Alberta, Canada
*
Author for correspondence: M. Khoury, MD FRCPC, Pediatric Cardiology, Department of Pediatrics, Stollery Children’s Hospital, 8440-112th St. NW, Edmonton, AlbertaT6G 2B7, Canada. Tel: (780) 407-8361. Fax: (780) 407-3954. E-mail: Khoury1@ualberta.ca
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Abstract

Heuristics and cognitive biases constantly influence clinical decision-making and often facilitate judgements under uncertainty. They can frequently, however, lead to diagnostic errors and adverse outcomes, particularly when considering rare disease processes that have common, masquerading presentations. Herein, we present two such cases of newborn infants with hypertensive renal disorders that were initially thought to have cardiomyopathy.

Keywords

Cardiomyopathyhypertensionrenalcognitive biasheuristics
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 6 , June 2021 , pp. 1036 - 1038
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

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Sukarochana, K, Tolentino, W, Kiesewetter, WB. Wilms’ tumor and hypertension. J Pediatr Surg 1972; 7: 573–576.CrossRefGoogle ScholarPubMed
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Al Balushi et al. supplementary material

Al Balushi et al. supplementary material

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