Aamir, J., D, F.I., Carlos, C.G., Nassiba, A., Luis, A.D., Kathryn, A., Jenna, A., Chentel, C., Santokh, D., Anne, D., Linda, F., Lars, G.W., Paula, H., Michael, K., Y, L.K., Joseph, R., Simon, U., Laura, Z., F, K.P., . . . Lindsay, R. (2026). Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Focused Guidelines on Acute Heart Failure in Children.. The Canadian journal of cardiology. https://doi.org/10.1016/j.cjca.2025.12.035
Aamir J, D FI, Carlos CG, Nassiba A, Luis AD, Kathryn A, et al. Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Focused Guidelines on Acute Heart Failure in Children.. The Canadian journal of cardiology. 2026; doi: 10.1016/j.cjca.2025.12.035
Aamir J, D FI, Carlos CG, et al. Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Focused Guidelines on Acute Heart Failure in Children.[J]. The Canadian journal of cardiology. 2026. DOI: 10.1016/j.cjca.2025.12.035.
@article{aamir2026,
author = {Jeewa Aamir and Florez Ivan D and Cuello-Garcia Carlos and Alami Nassiba and Altamirano-Diaz Luis and Armstrong Kathryn and Ashkanase Jenna and Cunningham Chentel and Dhillon Santokh and Dipchand Anne and Fazari Linda and Grosse-Wortmann Lars and Holinski Paula and Khoury Michael and Lin Kimberly Y and Rossano Joseph and Urschel Simon and Zahavich Laura and Kantor Paul F and Conway Jennifer and Atallah Joseph and Bucholz Holger and Chant-Gambacourt Catherine and Dallaire Frédéric and Dancea Adrian and Fournier Anne and George Kristen and Greenway Steven and Human Derek G and Lougheed Jane and Mejilla Allison and Price Jack F and Roche S Lucy and Ryerson Lindsay},
title = {Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Focused Guidelines on Acute Heart Failure in Children.},
journal = {The Canadian journal of cardiology},
year = {2026},
doi = {10.1016/j.cjca.2025.12.035},
note = {PMID: 41951283},
}
TY - JOUR AU - Jeewa Aamir AU - Florez Ivan D AU - Cuello-Garcia Carlos AU - Alami Nassiba AU - Altamirano-Diaz Luis AU - Armstrong Kathryn AU - Ashkanase Jenna AU - Cunningham Chentel AU - Dhillon Santokh AU - Dipchand Anne AU - Fazari Linda AU - Grosse-Wortmann Lars AU - Holinski Paula AU - Khoury Michael AU - Lin Kimberly Y AU - Rossano Joseph AU - Urschel Simon AU - Zahavich Laura AU - Kantor Paul F AU - Conway Jennifer AU - Atallah Joseph AU - Bucholz Holger AU - Chant-Gambacourt Catherine AU - Dallaire Frédéric AU - Dancea Adrian AU - Fournier Anne AU - George Kristen AU - Greenway Steven AU - Human Derek G AU - Lougheed Jane AU - Mejilla Allison AU - Price Jack F AU - Roche S Lucy AU - Ryerson Lindsay TI - Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Focused Guidelines on Acute Heart Failure in Children. T2 - The Canadian journal of cardiology PY - 2026 DO - 10.1016/j.cjca.2025.12.035 AN - PMID:41951283 ER -
Acute heart failure in children is a complex clinical syndrome associated with significant morbidity and mortality, often requiring intensive care management and consideration of advanced therapies. The heterogeneity in presentation and limited pediatric-specific data have historically led to wide variations in care. The Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association focused guidelines on acute heart failure in children provides updated, evidence-informed recommendations to guide clinicians in diagnostic evaluation and therapeutic interventions. This focused guideline addresses 10 prioritized clinical questions and offers recommendations on the following topics: (1) use of cardiac magnetic resonance imaging; (2) prognostic use of brain natriuretic peptides, and (3) genetic testing; (4) strategies for diuretic initiation and (5) guideline-directed medical therapy; (6) choice of inotropic and vasoactive agents for acute support; (7) monitoring strategies including the role of pulmonary artery catheters; (8) timing for initiating durable ventricular assist device support; (9) the use of temporary mechanical circulatory support; and (10) indications and timing for left atrial decompression in children supported with extracorporeal membrane oxygenation. These recommendations are on the basis of systematic evidence reviews, the evidence to decision framework, and expert consensus, with detailed methodology and supporting evidence provided in Supplementary material S1-S11.