Cardiac emergencies in the newborn

Mahoney, Liam, RojasAnaya, Hector and Rabe, Heike (2018) Cardiac emergencies in the newborn. In: Buonocore, Giuseppe, Bracci, Rodolfo and Weindling, Michael (eds.) Neonatology: a practical approach to neonatal diseases. Springer International Publishing, Switzerland, pp. 1-17. ISBN 9783319181592

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There are a number of different cardiac emergencies that can face the neonatologist. Many of these relate to the initial presentation of congenital cardiac lesions (incidence 6–13 per 1,000 live births) (Reller et al. 2008; Ishikawa et al. 2011; Ferencz et al. 1985). Rarer causes also include cardiac arrhythmias (1 in 25,000 for supraventricular tachycardia) (Dubin 2000) and cardiomyopathies (5–9 per 100,000 infants) (Nugent et al. 2003; Lipshultz et al. 2003) which can lead to hemodynamic decompensation in the neonate. Furthermore, iatrogenic injuries caused by interventions can lead to emergencies such as cardiac tamponade. These particular pathologies can present acutely and require prompt treatment by the attending physician. For the purposes of this chapter, the pathologies are split into four common presentations with the aim of providing a practical approach to cardiac emergencies in newborns.

• Shock/circulatory failure
• Cyanosis
• Acute heart failure
• Arrhythmias

Item Type: Book Section
Schools and Departments: Brighton and Sussex Medical School > Clinical and Experimental Medicine
Subjects: R Medicine > RJ Pediatrics
R Medicine > RJ Pediatrics > RJ0101 Child health. Child health services
R Medicine > RJ Pediatrics > RJ0251 Newborn infants Including physiology, care, treatment, diseases
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Depositing User: Judy Keogh
Date Deposited: 25 Jul 2016 14:09
Last Modified: 13 Feb 2018 15:59

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