Neonatal Cardiac Emergencies
Current Approaches to Newborn Emergencies, NOVA Publications , ss.319-338, 2026
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2026
- Yayınevi: NOVA Publications
- Sayfa Sayıları: ss.319-338
- Anahtar Kelimeler: cardiac, emergencies, newborn
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Neonatal cardiac emergencies represent a critical subset of neonatal pathology, characterized by structural or functional cardiac abnormalities that require immediate recognition and intervention. Although cardiac conditions are relatively uncommon causes of pediatric emergencies, their delayed diagnosis may result in life-threatening complications such as respiratory failure, cardiogenic shock, or circulatory collapse. These emergencies typically present in one of four clinical scenarios: cyanosis, circulatory shock, acute heart failure, or arrhythmias - each often related to ductal-dependent lesions or transitional circulatory changes. The diagnostic process in neonates is particularly challenging due to the limited reliability of physical examination, electrocardiography, and radiographic imaging in this age group. Therefore, clinical suspicion - guided by vital signs, timing of presentation, and characteristic symptom clusters - plays a pivotal role in early identification. Prompt initiation of therapies, such as prostaglandin E1 in suspected ductal-dependent conditions, may be lifesaving prior to confirmatory echocardiography. This chapter provides a systematic approach to recognizing and managing neonatal cardiac emergencies to improve outcomes in this vulnerable population.