Affiliation:
1. Department of Pediatrics, Johns Hopkins University School of Medicine and The Cardiac Clinic, Children's Medical and Surgical Center, The Johns Hopkins Hospital, Baltimore
Abstract
Sweating was found to be increased in children with congenital heart disease who had a propensity to congestive heart failure, e.g., children with endocardial fibroelastosis or large or moderate sized left-to-right shunts. This was suggested in a review of cardiac clinic records of 220 patients and was supported by the results of pilocarpine sweat tests which were performed on 34 cardiac patients. By history and by measurement of the amount of sweat produced, children with a history of or tendency toward heart failure could be predicted though patients did not need to be in failure when tested. Contrary to previous opinion, the left-to-right shunt was not in itself sufficient to cause the child to sweat. The shunt had to be large enough to be associated with failure at some time.
It is suggested that the pilocarpine sweat test might actually be useful as an aid in predicting a child's potential for heart failure. Several theories regarding the mechanism of sweating in these situations are discussed.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology and Child Health
Cited by
6 articles.
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2. Ventricular Septal Defect;Clinical Recognition of Congenital Heart Disease;2012
3. Endocardial Fibroelastosis;Clinical Recognition of Congenital Heart Disease;2012
4. The Clinical Diagnostic Approach in Congenital Heart Disease;Neonatal Heart Disease;1992
5. Klimaeinflüsse auf das Kind unter körperlicher Belastung;Die Praxis der Sportmedizin in der Kinderheilkunde;1986