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New pediatric heart failure guidelines a first in Canada
Date:10/29/2012

rrect treatment, Dr. Kantor emphasized.

Key recommendations for management after diagnosis are:

  • Admission to a hospital that has pediatric expertise for immediate care.
  • Ongoing care to be provided by an expert in pediatric cardiology.

"It is very important that these children receive expert care because they tend to deteriorate rapidly," says Dr. Kantor. "They need to be admitted to a hospital that has pediatric expertise and be evaluated by a children's heart specialist, with echocardiography done by that specialist."

Key recommendations for treatment are:

  • Prompt use of diuretics.
  • Treatment with inotropic drugs to rescue the patient, and a transition to ACE inhibitors thereafter.

"We strongly recommend the use of diuretics, which are very effective in an emergency setting," says Dr. Kantor. "We also strongly recommend rescue treatment with inotropic drugs, such as epinephrine and milrinone, to restore the circulation, followed later on by ACE inhibitors, which are effective heart failure treatment in adults and appear to be effective in children as well."

For myocarditis, the experts recommend supportive care, to allow the heart to recover on its own. This can mean giving the patient drugs to support blood pressure, circulation, and occasionally, use of a ventricular assist device, to improve the circulation while the heart recovers, giving it a chance to rest.

These guidelines will benefit practitioners in the field by standardizing practice across institutions, and allowing patients to benefit regardless of where they are cared for.

"Canadian Cardiovascular Society guidelines are an invaluable resource that establish best practices in patient care," says Dr. Michelle Graham, chair of the CCS Guidelines Committee. "These guidelines are important references for our healthcare practitioners in Canada and they are recognized and used by p
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Contact: Jane-Diane Fraser
jfraser@hsf.ca
613-569-4361 x273
Heart and Stroke Foundation of Canada
Source:Eurekalert

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