Clinical Features of Renovascular Hypertension in Infancy: Report of a 9-Month-Old Infant

PEDIATRICS ◽  
1975 ◽  
Vol 56 (1) ◽  
pp. 108-110
Author(s):  
Sudesh P. Makker ◽  
John D. Lubahn
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Congestive Heart Failure ◽  
Renovascular Hypertension ◽  
Clinical Features ◽  
Surgical Intervention ◽  
Failure To Thrive ◽  
Clinical Findings ◽  
Extreme Irritability ◽  
Made In

Certain common but seldom recognized clinical features of renovascular hypertension peculiar to infancy are emphasized in this communication from the observations made in a 9-month-old infant. Failure to thrive, extreme irritability, hypotonia, anorexia, vomiting, diarrhea, respiratory distress, and congestive heart failure are common clinical findings. Unless the physician is aware of this symptomatology or blood pressure is routinely obtained in all infants, the condition is likely to be missed. Renovascular hypertension is malignant and carries a high mortality but if diagnosed early may be cured by surgical intervention.

AORTIC STENOSIS IN INFANCY

PEDIATRICS ◽  
1964 ◽  
Vol 33 (6) ◽  
pp. 931-936
Author(s):  
Bernard H. Feldman ◽  
Lewis P. Scott
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Left Ventricular Hypertrophy ◽  
Aortic Stenosis ◽  
Ventricular Hypertrophy ◽  
Surgical Intervention ◽  
Clinical Findings ◽  
Left Ventricular ◽  
Congenital Aortic Stenosis ◽  
Digitalis Therapy

1. Four infants with congenital aortic stenosis of varying severity have been presented. 2. Clinical findings of severity include congestive heart failure, diminished pulse volume, and electrocardiographic evidence of left ventricular hypertrophy and strain. 3. Congestive heart failure which responds to digitalis therapy is not, in itself, a criterion for surgical intervention in infancy. 4. The presence of left ventricular hypertrophy and strain usually indicates the need for surgical intervention.

Early Surgical Intervention for Infective Endocarditis

2002 ◽  
Vol 10 (4) ◽  
pp. 298-301 ◽  
Author(s):  
Hong Sheng Zhu ◽  
Pei Yan Yao ◽  
Jia Hao Zheng ◽  
A Thomas Pezzella
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Heart Disease ◽  
Infective Endocarditis ◽  
Complex Disease ◽  
Surgical Intervention ◽  
Elective Surgery ◽  
Postoperative Bleeding ◽  
Arterial Embolization ◽  
Early Surgical Intervention

Infective endocarditis remains a serious and complex disease with significant morbidity and mortality. Sixty cases of infective endocarditis were retrospectively reviewed, consisting of 41 males and 19 females aged 7 to 50 years (mean, 30 years). Congenital heart disease was diagnosed in 19 of the patients and rheumatic heart disease in 41. Congestive heart failure occurred in 36 and systemic embolism in 8 cases. Blood cultures were positive in only 21.7% of the cases, while vegetations were detected by 2-dimensional echocardiography in 70%. Elective surgery was performed in 57 patients and emergent operation for systemic arterial embolization and/or intractable congestive heart failure in 3 patients. Two patients required reoperation for postoperative bleeding. All but 2 patients had been followed up for 6 to 160 months with no evidence of reinfection. Three patients with mechanical valve implantation later died of intracranial bleeding due to over-anticoagulation. The remaining 55 resumed normal activity. The encouraging outcomes were the result of an aggressive diagnostic approach and early surgical intervention.

Altered blood pressure variability in patients with congestive heart failure

1999 ◽  
Vol 17 (Supplement) ◽  
pp. 1905-1910 ◽  
Author(s):  
Alberto Radaelli ◽  
Silvia Perlangeli ◽  
Maria Cristina Cerutti ◽  
Luca Mircoli ◽  
Ileana Mori ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Congestive Heart Failure ◽  
Blood Pressure Variability ◽  
Altered Blood

COARCTATION OF THE AORTA WITH CONGESTIVE HEART FAILURE IN INFANCY—MEDICAL TREATMENT

PEDIATRICS ◽  
1956 ◽  
Vol 17 (1) ◽  
pp. 45-57
Author(s):  
Henry T. Lang ◽  
Alexander S. Nadas
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Medical Treatment ◽  
Ventricular Hypertrophy ◽  
Failure To Thrive ◽  
Coarctation Of The Aorta ◽  
Left Ventricular ◽  
Late Childhood ◽  
Feeding Problems ◽  
Left And Right

Nine infants with uncomplicated coarctation of the aorta in congestive heart failure are presented. The symptomatology was dominated by feeding problems, failure to thrive, dyspnea, and cyanosis. On physical examination, in addition to signs referable to the coarctation, signs of both left and right-sided congestive heart failure were noted. The roentgenographic survey revealed marked generalized cardiomegaly and pulmonary congestion. Electrocardiograms in the infants less than 6 months of age showed left, right, or combined ventricular hypertrophy, whereas those more than 6 months of age all showed left ventricular hypertrophy. Medical treatment, consisting of digitalis, oxygen, mercurial diuretics, diet low in sodium, and antibiotics, was successful in all instances. Digitalization was maintained throughout infancy. Operative intervention can be safely postponed until late childhood unless medical management is not successful. A review of the pertinent literature is presented.

Effect of quinapril on blood pressure and heart rate in congestive heart failure

1992 ◽  
Vol 69 (19) ◽  
pp. 1587-1590 ◽  
Author(s):  
Jonathan N. Townend ◽  
John N. West ◽  
Michael K. Davies ◽  
William A. Littler
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Heart Rate ◽  
Congestive Heart Failure

Propranolol — B.P. (‘Inderal’) and Hydrochlorothiazide Combination in Hypertension

1973 ◽  
Vol 1 (7) ◽  
pp. 616-619 ◽  
Author(s):  
P D Nigam ◽  
R Ravishankar ◽  
K A Ramachandren ◽  
P C Sikand
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Congestive Heart Failure ◽  
Side Effects ◽  
Blood Pressure Control ◽  
Postural Hypotension ◽  
Moderate Hypertension ◽  
Pressure Control

Twenty patients with mild and moderate hypertension were treated with varying doses of propranolol along with hydrochlorothiazide 25 mg daily. In eighteen patients ( 90%) the blood pressure control was good. Bronchospasm, congestive heart failure, significant postural hypotension and other bothersome side-effects were not observed. Propranolol has the merit of causing a slow reduction in blood pressure without troublesome side-effects.

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