Cardiogenic shock (CS) is a low cardiac output state resulting in tissue hypoxia and life threatening end-organ hypoperfusion. Despite growing cardiogenic shock research in adults, the epidemiology, clinical features, and outcomes of children with CS are lacking. A group of pediatric cardiology specialists at various institutions, studied Acute Decompensated Heart Failure (ADHF), from a single-center retrospective cohort from Texas Children’s Hospital over the period of January 1, 2004 to December 31, 2018. Their paper was recently published in the Journal of American College of Cardiology, and some interesting data related to myocarditis was found.
–Approximately 1 in 4 children who are hospitalized with heart failure present in shock. Of them, 24% have myocarditis.
–Children presenting in shock are >3 times as likely to have a diagnosis of acute myocarditis as the cause of their heart failure compared with patients presenting without shock.
–Compared to other causes of acute heart failure (e.g., cardiomyopathy, congenital heart disease, etc), myocarditis is not significantly associated with in-hospital mortality.
Please read the attached paper below. One of our Board Members, Dr. Jack Price, co-authored the paper.
Cardiogenic Shock in Children 2024
