Heart Failure

Evaluation and Management of the Child With Acute Decompensated Heart Failure: A Scientific Statement From the American Heart Association

Circulation, 2026AHA Scientific StatementSource: Abstract only (full text via journal)DOI: 10.1161/CIR.0000000000001428PMID 41937629

Authors: AHA writing group
Journal / date: Circulation, 2026
DOI / URL: 10.1161/CIR.0000000000001428 | PMID 41937629
Source basis: Abstract only (full text via journal)
Study type: AHA Scientific Statement
Population: Children and adolescents with congenital or acquired heart disease presenting with acute decompensated HF
Why it matters (clinical takeaway):

First comprehensive AHA guidance specifically for pediatric ADHF — a population with rising admissions, higher morbidity/mortality than adults, and much greater resource use.
Covers ED assessment, inpatient management, and discharge planning across the cardiology/EM/surgery/critical care/psychology intersection.
Useful as a shared reference for adult HF cardiologists who occasionally consult on transitioning pediatric patients into adult congenital HF programs.

Caveats / limitations: Statement (not guideline). Highlights knowledge gaps in this domain — formal recommendation strength is limited.
Referenced trials pulled forward: None pulled this pass.