Heart failure (Paediatrics)

Medium urgency
-Very severe

It is a heart disorder that makes it impossible to pump enough oxygenated blood to cover the metabolic needs of the organs and tissues.

Between the most common, it is worth mentioning: an increase in body fluids, congenital heart diseases, abnormalities in the cardiac valves or coronary arteries, arterial hypertension, cardiac arrhythmias, and myocardial or pericardial infections.

It manifests in a very non-specific way with: difficulty eating, nausea, fatigue, irritability, agitation, drowsiness, passing less urine than normal, a chronic cough, and a lower tolerance to physical exercise. It can even go to the extent of causing growth retardation. Diagnosis is clinical through questioning and physical exploration. The suspected diagnosis is confirmed with additional tests: blood tests, a chest X-ray, an electrocardiogram, an echocardiogram, an MRI scan.

The treatment's goal is to correct the triggering cause and address the symptoms. Oxygen therapy as well as cirretic, hypertensive, and heart-pumping treatments for strength will be used.

Bibliographic references
  1. Rakesh K Singh. Etiology and diagnosis of heart failure in infants and children.. UpToDate. Mayo 2014
  2. Catherine K Allan. Clinical manifestations and diagnosis of myocarditis in children. UpToDate. Noviembre 2015
  3. Rakesh K Singh. Management of heart failure in infants and children. UpToDate. Febrero 2015
  4. Douglas L. Mann. Insuficiencia cardiaca: fisiopatología y diagnóstico. Harrison. Principios de Medicina Interna, 19e. Capítulo 279
  5. E. Roig Minguell. Insuficiencia cardíaca. Farreras Rozman. Medicina Interna, ed 18. Capítulo 52
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Elevation of the head to sleep due to shortness of breath


    Bubbling pot noise when breathing


    Breathe better when sitting down


    Jugular veins of the neck enlarged


    Skin with alternating white and blue areas

Pre-hospital care recommendations

Get into a semi-sitting position.
Call medical assistance for instructions.