Spaziani G, Bennati E, Marrone C, Lucà F, Iorio A, Rao CM, Di Fusco SA, Russo MG, Colivicchi F, Gabrielli D, Santoro G, Favilli S, Gulizia MM. Pathophysiology and clinical presentation of paediatric heart failure related to congenital heart disease.
Acta Paediatr 2021;
110:2336-2343. [PMID:
33948967 DOI:
10.1111/apa.15904]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 04/26/2021] [Accepted: 04/30/2021] [Indexed: 11/30/2022]
Abstract
Congenital heart disease (CHD) and cardiomyopathies represent the two most important causes of paediatric heart failure (HF) in developed countries. We made a review of the literature on pathophysiology and clinical presentation of paediatric HF in children with CHD. Two main pathophysiologic models can be identified: the 'over-circulation failure', characterised by signs and symptoms of congestion or hypoperfusion, due respectively to volume or pressure overload, and the 'pump failure'. CONCLUSIONS: The comprehension of the HF pathophysiology in paediatric patients with CHD is of paramount importance for the optimal management and for addressing the best therapeutic choices.
Collapse