Pediatric Cardiac Function Staging and Management Recommendations
ABSTRACT The global prevalence of heart failure in children continues to increase, accompanied by a growing disease burden. To advance early prevention and intervention by shifting the focus upstream in the disease process, the Cardiovascular Group of the Pediatrics Society of the Chinese Medical Association has introduced the concept of pediatric cardiac function staging applicable to all children. This framework categorizes pediatric cardiac function into three distinct stages: the stage of cardiac function sufficiency (Stage A), the stage of cardiac dysfunction (Stage B), and the stage of cardiac function failure (Stage C). Based on this staging system, the diagnostic criteria and management strategies for each stage are delineated, with the aim of establishing a comprehensive management pathway rooted in cardiac function staging. This approach seeks to further reduce the incidence and burden of pediatric heart failure, providing a theoretical foundation and practical guidance for achieving the goal of making pediatric heart failure preventable, manageable, and treatable.
Authors
- Chenggang Mao (ORCID: https://orcid.org/0009-0001-8403-9783)
- 安金斗
- 庄建新
- Bo Pan (ORCID: https://orcid.org/0009-0001-2139-1632)
- Yifei Li (ORCID: https://orcid.org/0000-0002-3096-4287)
- Li Zhang (ORCID: https://orcid.org/0000-0001-8142-403X)
- Li Zhang (ORCID: https://orcid.org/0000-0003-0712-0112)
- Yanmin Zhang (ORCID: https://orcid.org/0000-0001-7580-4693)
- Jie Tian (ORCID: https://orcid.org/0000-0002-9006-6710)
- Zipu Li
- Shiwei Yang (ORCID: https://orcid.org/0000-0001-9570-1800)
- Yao Lin (ORCID: https://orcid.org/0000-0002-0809-9194)
- Z Chen (ORCID: https://orcid.org/0000-0002-4759-0904)
- Wenhong Ding
- C H Xie
- Ying Guo
- Ling Sun
- Yue Yuan
- Yanyan Xiao
- Huili Zhang
- Ling Han
- Xing Shen
Institutions
- Qingdao University (CN)
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Sichuan University (CN)
- Soochow University (CN)
- Affiliated Hospital of Southwest Medical University (CN)
- West China Second University Hospital of Sichuan University (CN)
- Nanjing Children's Hospital (CN)
- Shanghai Children's Medical Center (CN)
- Guangzhou Women and Children Medical Center (CN)
- Children's Hospital of Zhejiang University (CN)
- Shandong Provincial Hospital (CN)
- Affiliated Hospital of Qingdao University (CN)
- Beijing Anzhen Hospital (CN)
- Hunan Children's Hospital (CN)
- Xi’an Children’s Hospital (CN)
- Beijing Children’s Hospital (CN)
- Children's Hospital of Suzhou University (CN)
- First Affiliated Hospital of Zhengzhou University (CN)
- Children's Hospital of Chongqing Medical University (CN)
- Fu Wai Hospital (CN)
- Shandong First Medical University (CN)
- Qingdao Women and Children's Hospital (CN)
- Chongqing Medical University (CN)
- Guangzhou Medical University (CN)
Publication Details
- Journal
- Pediatric Discovery
- Published
- 2026-06-27
- DOI
- https://doi.org/10.1002/pdi3.70063
- Primary Topic
- Heart Failure Treatment and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00