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Symptoms and Signs – Differential Diagnosis of Sudden Death, Pediatric Age
SUDDEN INFANT DEATH SYNDROME (SIDS) AND SIDS
“MIMICS”
• SIDS
• Long QT syndromes
• Inborn errors of metabolism
• Child abuse
• Myocarditis
• Duct-dependent congenital heart disease
CORRECTED OR UNCORRECTED CONGENITAL HEART
DISEASE
• Aortic stenosis
• Tetralogy of Fallot
• Transposition of great vessels (postoperative atrial switch)
• Mitral valve prolapse
• Hypoplastic left heart syndrome
• Eisenmenger’s syndrome
CORONARY ARTERIAL DISEASE
• Anomalous origin
• Anomalous tract
• Kawasaki’s disease
• Periarteritis
• Arterial dissection
• Marfan syndrome
• Myocardial infarction
MYOCARDIAL DISEASE
• Myocarditis
• Hypertrophic cardiomyopathy
• Dilated cardiomyopathy
• Arrhythmogenic right ventricular dysplasia
CONDUCTION SYSTEM ABNORMALITY/ARRHYTHMIA
• Long QT syndromes
• Proarrhythmic drugs
• Preexcitation syndromes
• Heart block
• Commotio cordis
• Idiopathic ventricular fibrillation
• Heart tumor
MISCELLANEOUS
• Pulmonary hypertension
• Pulmonary embolism
• Heat stroke
• Cocaine
• Anorexia nervosa
• Electrolyte disturbances
SUDDEN INFANT DEATH SYNDROME (SIDS) AND SIDS
“MIMICS”
• SIDS
• Long QT syndromes
• Inborn errors of metabolism
• Child abuse
• Myocarditis
• Duct-dependent congenital heart disease
CORRECTED OR UNCORRECTED CONGENITAL HEART
DISEASE
• Aortic stenosis
• Tetralogy of Fallot
• Transposition of great vessels (postoperative atrial switch)
• Mitral valve prolapse
• Hypoplastic left heart syndrome
• Eisenmenger’s syndrome
CORONARY ARTERIAL DISEASE
• Anomalous origin
• Anomalous tract
• Kawasaki’s disease
• Periarteritis
• Arterial dissection
• Marfan syndrome
• Myocardial infarction
MYOCARDIAL DISEASE
• Myocarditis
• Hypertrophic cardiomyopathy
• Dilated cardiomyopathy
• Arrhythmogenic right ventricular dysplasia
CONDUCTION SYSTEM ABNORMALITY/ARRHYTHMIA
• Long QT syndromes
• Proarrhythmic drugs
• Preexcitation syndromes
• Heart block
• Commotio cordis
• Idiopathic ventricular fibrillation
• Heart tumor
MISCELLANEOUS
• Pulmonary hypertension
• Pulmonary embolism
• Heat stroke
• Cocaine
• Anorexia nervosa
• Electrolyte disturbances
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