January 1, 2013SHILAP Revista de lepidopterologíaOpen Access

Heart failure after transvenous closure of atrial septal defect associated with atrial standstill and thiamine-responsive megaloblastic anemia

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Population

1 eight-year-old boy with diabetes mellitus, congenital heart disease, atrial standstill, and…

Design

Case_report

Authors

VDVehbi DoğanMinistry of Health FŞFiliz ŞenocakMinistry of Health UÖUtku Arman ÖrünMinistry of Health

Discussion

Member takes

Implication

Thiamine may aid rare post-ASD closure HF in children with megaloblastic anemia; hypothesis-generating and should not yet change practice.

Structured PICO

Population

1 eight-year-old boy with diabetes mellitus, congenital heart disease (secundum atrial septal defect, enlargement of right ventricle and both atria), atrial standstill (absent P waves), and thiamine-responsive megaloblastic anemia.

Intervention

Transvenous closure of the atrial septal defect, followed by thiamine and supportive treatment for acute heart failure.

Outcome

Development and clinical course of acute heart failure post-closure

Acute heart failure can rarely occur in children after transvenous closure of an atrial septal defect, particularly in the setting of atrial standstill and thiamine-responsive megaloblastic anemia, and may improve with thiamine and supportive care.

Cite This Study

Doğan et al. (2013) studied this question.

synapsesocial.com/papers/69d6b3a539aaaf0da5ab32bb https://doi.org/10.5543/tkda.2013.63295

Topics

Heart failure HFrEF treatment Cardiomyopathy

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Implication

Thiamine may aid rare post-ASD closure HF in children with megaloblastic anemia; hypothesis-generating and should not yet change practice.