Connolly et al reported the New York University Pediatric Heart Failure Index (NYU PHFI) to describe pediatric patients with heart failure. The authors are from New York University.
Categories:
(1) signs and symptoms
(2) hepatomegaly
(3) tachypnea or dyspnea
(4) medications
(5) physiology
|
Parameter |
Finding |
Points |
|
abnormal ventricular function by echo or gallop |
no |
0 |
|
|
yes |
2 |
|
dependent edema or ascites or pleural effusion |
no |
0 |
|
|
yes |
2 |
|
failure to thrive, cachexia |
no |
0 |
|
|
yes |
2 |
|
marked cardiomegaly |
no |
0 |
|
|
yes |
1 |
|
physical activity intolerance or prolonged feeding time |
no |
0 |
|
|
yes |
1 |
|
perfusion |
fair to good |
0 |
|
|
poor |
2 |
|
pulmonary edema |
no |
0 |
|
|
yes |
1 |
|
resting sinus tachycardia |
no |
0 |
|
|
yes |
2 |
|
retractions |
no |
0 |
|
|
yes |
2 |
|
hepatomegaly |
none |
0 |
|
|
less than 4 cm below costal margin |
1 |
|
|
>= 4 cm below CM |
2 |
|
tachypnea or dyspnea |
none |
0 |
|
|
mild to moderate |
1 |
|
|
moderate to severe |
2 |
|
digoxin |
no |
0 |
|
|
yes |
1 |
|
diuretics |
none |
0 |
|
|
mild to moderate dose |
1 |
|
|
high dose |
2 |
|
|
multiple |
2 |
|
ACE inhibitor, ARB, vasodilator |
no |
0 |
|
|
yes |
1 |
|
beta-blocker |
no |
0 |
|
|
yes |
1 |
|
anticoagulants not related to prosthetic valves |
no |
0 |
|
|
yes |
2 |
|
antiarrhythmic agents or implantable cardiac defibrillator |
no |
0 |
|
|
yes |
2 |
|
physiology |
single ventricle |
2 |
|
|
other |
0 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 30
|
Score |
Heart Failure Severity (Zhang et al) |
|
<= 6 |
absent |
|
7 to 10 |
mild |
|
11 to 13 |
moderate |
|
14 to 30 |
severe |
Specialty: Cardiology
