• Pediatric emergency care · Feb 2012

    Case Reports

    Heart failure secondary to dilated cardiomyopathy: a role for emergency physician bedside ultrasonography.

    • Adam Sivitz and Arun Nagdev.
    • Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Newark Beth Israel Medical Center, Children's Hospital of New Jersey, Newark, NJ, USA. asivitz@sbhcs.com
    • Pediatr Emerg Care. 2012 Feb 1;28(2):163-6.

    AbstractHeart failure as a result of cardiomyopathy is an uncommon presentation in the pediatric emergency department (PED). The initial presenting symptoms in these cases are often nonspecific and may be confused with more common pediatric illnesses. We report a case of a 3-year-old girl initially discharged from a PED after routine evaluation of vomiting and diarrhea with a diagnosis of acute gastroenteritis only to return 1 week later in heart failure from a dilated cardiomyopathy. A bedside ultrasound performed by the emergency physician in the PED allowed for the initiation of appropriate, rapid, goal-directed therapy and expedited timely transport to a facility with pediatric cardiothoracic surgery. We will review dilated cardiomyopathy and the role of emergency physician echocardiography.

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