Clinical, Echocardiography, biochemical and MRI findings in patients with acute left ventricular dysfunction to evaluate short-term outcome - A retrospective study

TL;DR

This study examines clinical, echocardiography, biochemical, and MRI findings in children with acute left ventricular dysfunction to predict short-term outcomes.

Contribution

The study identifies predictors of poor short-term outcomes in pediatric patients with acute left ventricular dysfunction.

Findings

Older age at admission is a poor predictor of short-term outcome.

Low LVEF and intracardiac thrombus on echocardiography are linked to worse outcomes.

Ionotropic support and longer hospital stays indicate poor prognosis.

Abstract

Heart failure in children is rare, but it strikes younger children at a younger age. Caregivers need training owing to the increased
risk of death and the clinical presentation differs from that of adults. In order to forecast the early results in individuals with
acute left ventricular dysfunction, it is necessary to assess several clinical, echocardiographic, biochemical and cardiac magnetic
resonance imaging (MRI) results. The research took place in New Delhi at the Fortis Escorts Heart Institute's Department of Paediatric
Cardiology. The research recruited 60 instances of severe acute LV dysfunction in children and adolescents (aged 1 month to 18 years)
using a retrospective approach. Older age at admission, children with low LVEF on admission, requirement of ionotropic support on
admission, Intracardiac thrombus on echocardiography evaluation and longer hospital stay were poor predictors of short-term outcome.