Grading the Severity of Congestive-Heart-Failure in Infants

Ross, RD, Bollinger, RO and Pinsky, WW (1992) Grading the Severity of Congestive-Heart-Failure in Infants. Pediatric Cardiology, 13 2: 72-75. doi:10.1007/BF00798207

Author Ross, RD
Bollinger, RO
Pinsky, WW
Title Grading the Severity of Congestive-Heart-Failure in Infants
Journal name Pediatric Cardiology   Check publisher's open access policy
ISSN 0172-0643
Publication date 1992-04-01
Year available 1992
Sub-type Article (original research)
DOI 10.1007/BF00798207
Open Access Status Not yet assessed
Volume 13
Issue 2
Start page 72
End page 75
Total pages 4
Place of publication NEW YORK
Publisher Springer-Verlag
Language eng
Abstract To determine which variables most accurately define congestive heart failure (CHF) in infants, 41 patients (median age 2.5 months) were graded by four pediatric cardiologists for the presence and severity of CHF based on the following variables: amount of formula consumed per feeding, feeding time, history of diaphoresis or tachypnea, growth parameters, respiratory and heart rates, respiratory pattern, perfusion, presence of edema, diastolic filling sounds, and hepatomegaly. There were 19 patients graded as having no CHF, nine as mild, seven moderate, and six severe CHF. The most sensitive and specific variables (p < 0.0001) for the presence of CHF were a history of < 3.5 oz/feed, respiratory rate > 50/min, an abnormal respiratory pattern, diastolic filling sounds, and hepatomegaly. Moderate to severe CHF was present when patients took < 3 oz/feed or > 40 min/feed, had an abnormal respiratory pattern with a resting respiratory rate > 60/min, and had a diastolic filling sound and moderate hepatomegaly. Severe CHF was accompanied by a heart rate > 170/min, decreased perfusion, and severe hepatomegaly. Thus, the grading of the severity of CHF in infants should include an accurate description of these historical and clinical variables.
Keyword Congestive Heart Failure
Congenital Heart Disease
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: ResearcherID Downloads - Archived
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