Search

While paediatric cardiology may be a small specialty, it is important to note that congenital heart disease ranks as the most prevalent congenital condition globally. As a result, cardiac problems form a significant part of the workload of many general paediatricians, neonatologists, and other paediatric specialists. Beyond congenital heart conditions, acquired heart diseases are frequently encountered in general practice. The management of heart-related conditions can often be complex, leading to apprehension for junior doctors during their rotations in this field. The Oxford Specialist Handbook of Paediatric Cardiology aims to address this challenge and provides essential insights into the diagnosis, management, and care of young patients with heart conditions. This comprehensive guide to paediatric cardiology takes a systematic approach to heart lesions which will form a major part of the book, offering quick two-page refreshers for clinicians. It covers common heart surgeries, diagnostic frameworks, major investigations, and subspecialties like interventional cardiology, fetal cardiology, and more. It also addresses drug therapy, emergencies, psychology, and palliative care. This book includes everything that a junior doctor needs when starting in the speciality and will also be a valuable reference guide for more senior trainees and consultants.

This book provides concise, practical, and up-to-date information on congenital and acquired heart disease in children. Thirty-eight congenital cardiovascular malformations, 9 acquired cardiovascular conditions, physiology unique to congenital heart disease, 10 common postoperative issues, and topical issues including COVID-19 and the heart and lymphatic disorders and interventions in congenital heart patients are included. Each chapter is in the reader-friendly format, covering aetiology, pathophysiology, clinical manifestations, investigations, and management approach of congenital and paediatric acquired heart disease by incorporation of coloured figures, tables, and boxes. It will equip medical undergraduates and trainees in paediatric cardiology, cardiac surgery, cardiac intensive care, and cardiac nursing staff with up-to-date knowledge and practical skills to manage and to care for children with congenital and acquired heart disease.

The 3rd edition of this textbook has been entirely re-written from scratch. The book harnesses the collective expertise of a number of pediatric cardiac experts in the country, many of whom are experienced teachers in leading academic institutions. The content has been completely re-organized and greatly expanded. There are 55 chapters in total. Several new chapters have been added to this edition. These include chapters on screening, counseling of parents, pediatric cardiac intensive care and common problems in office practice.

Diagnóstico e tratamento das principais cardiopatias congênitas e adquiridas em crianças e adolescentes. Cardiologia Pediátrica – Prática Clínica é uma obra voltada para pediatras, cardiologis_x0002_tas, clínicos, estudantes e especialistas que queiram se informar e se atualizar sobre o assunto. De leitura fácil e ricamente ilustrado com desenhos e imagens de alta qualidade, o livro aborda, de maneira prática e objetiva, as principais cardiopatias congênitas e adquiridas em crianças e adolescentes.

Written by Dr. Filip Kucera, a pediatric cardiology consultant at Great Ormond Street Hospital, Atlas of Pediatric Echocardiography provides'next level'guidance for clinicians who want to improve their echocardiographic skills. It covers a wide range of levels, from a beginner to an advanced level. This highly illustrated atlas is an excellent resource not only for pediatric cardiologists and trainees in pediatric cardiology, but also neonatologists, pediatric intensivists, and pediatricians with an interest in echocardiography. - Contains over 800 high-quality echocardiograms, depicting normal views followed by congenital and acquired cardiovascular defects and other conditions. - Provides clear explanations for all pathology images for a clear understanding of the diagnosis. - Includes a guide to normal echocardiographic examination. - Covers segmental approach to congenital heart disease; atrial, ventricular and atrio-ventricular septal defects; diseases of the mitral, tricuspid, left and right ventricular outflow tract; double outlet right ventricle; tetralogy of Fallot; transposition of the great arteries; truncus arteriosus; functionally single ventricle; PDA; coarctation and interruption of the aorta; vascular rings; pulmonary and systemic venous anomalies; congenital coronary artery abnormalities; myocarditis; cardiomyopathies; Kawasaki disease; rheumatic heart disease; infective endocarditis; pericardial disease; cardiac tumors; pulmonary hypertension; genetic syndromes; mechanical circulatory support; heart transplantation and more.

A comprehensive guide to the assessment, diagnosis, investigation and management of complex clinical scenarios in congenital cardiovascular medicine. Challenging Concepts in Congenital and Acquired Heart Disease in the Young contains a series of challenging concepts in paediatric cardiology covering all subspecialty areas including general paediatric cardiology, intervention, cardiac imaging, electrophysiology, heart failure and cardiomyopathies, cardiac devices, transplant medicine, epidemiology and foetal cardiology. Each case provides an in-depth review of current practice, the application of national and international guidelines and a summary of evidence from the medical literature. Data sets, investigation results and cardiac imaging give the reader a'real-life'sense of being in the outpatient clinic, emergency room, cardiac intensive care unit, cardiac catheterisation laboratory or cardiac operating theatre. Every description is punctuated by'Clinical Tips','Learning Points'and'Landmark Trial Summaries'to enhance the learning process alongside an'Expert Commentary'written by internationally-renowned leaders in the field of paediatric cardiology. This book will appeal to all those involved in the treatment of congenital patients; Paediatric Cardiology Trainees, Paediatricians with an interest in Cardiology, Adult Congenital Heart Disease (ACHD) Trainees, Paediatric Cardiology Consultants, ACHD Consultants, Congenital Paediatric Nurses, Congenital Adult Nurses, Cardiac Physiologists and Echocardiographers.

While most current texts on the coronary artery include only a single chapter on anomalies, this is the first of its kind to focus on the challenges involved with imaging coronary artery anomalies in infants. Since the appearance of coronary artery anomalies is dramatically different in infants with commonly associated congenital heart disease, unique techniques and careful timing are required for imaging these 1-2 mm blood vessels. Additionally, many coronary anomalies are not commonly seen because the infants don't survive past childhood.Comprised of hundreds of anomalies in infants collected over a number of years, this atlas includes 3d color-coded images, surgical reports, angiograms, CTs and MRIs, as well as detailed instructions for performing coronary CTAs in infants. The 3d models also show the relation of coronary anomalies with congenital heart disease. Atlas of Pediatric CTA of Coronary Artery Anomalies is a timely resource for pediatric cardiologists, pediatric radiologists, fellows and residents who wish to improve their skill set when faced the dual challenges of the size of the patient and the associated complex congenital heart disease seen with the coronary anomalies. This atlas is also a valuable resource for medical students, physician assistants and nurse practitioners in pediatric cardiology and pediatric radiology.

This book is written for health care professionals to help update knowledge of pediatric cardiology from the Aristotelean heart era and particularly from the past several decades. The current and future shortage of pediatric cardiologists necessitates steady, rejuvenated information on the Aristotelean heart for primary care clinicians as they care for the child as well as adolescent/young adult with cardiovascular dilemmas and disorders. In view of this shortage and the rapidly increasing knowledge in pediatric cardiology as well as understanding indications for referral to pediatric cardiologists in the 21st century, au courant assiduous information aimed at primary care clinicians in these areas becomes increasingly important. Chapters in this book cover cardiologic problems in different pediatric ages from newborns to young adults. We begin with a history of medical knowledge regarding the heart starting when writing began in ancient Mesopotamia to our current understanding that is subject to further change with ongoing insight and research from current as well as future scholars.

As a leading reference on pediatric cardiology and congenital heart disease, Anderson's Pediatric Cardiology provides exhaustive coverage of potential pediatric cardiovascular anomalies, potential sequelae related to these anomalies, comorbidities and neurodevelopmental problems, and current methods for management and treatment. The fully revised 4th Edition addresses significant and ongoing changes in practice, including recent developments in fetal, neonatal, and adult congenital heart conditions as well as expanded content on intensive care, nursing issues, and societal implications. The outstanding illustration program provides superb visual guidance, and is now supplemented with a remarkable collection of more than 200 professionally curated, author-narrated videos. - Offers authoritative, long-term coverage of a broad spectrum of cardiology conditions, including congenital heart disease, adult congenital heart disease (ACHD), acquired heart disease, cardiomyopathies, and rhythm disturbances. - Features exquisite specimen images by Dr. Robert Anderson and Diane Spicer dissected in easily recognizable analogous imaging planes. These are included in the over 850 anatomic, photographic, imaging, and algorithmic figures, and incorporate new images using virtual dissections of 3D datasets obtained in living patients. - An extensive new section describing the non-cardiac consequences of congenital cardiac disease and other related issues Outside the Heart, including new chapters on quality improvement in congenital cardiac disease, models of care delivery, neurocognitive assessment and outcomes, psychosocial issues for patients and families, ethics, nursing implications, acute and chronic renal complications, and telemedicine. - Three entirely new, expanded sections on the Functionally Univentricular Heart, Fetal Congenital Cardiac Disease, and Heart Failure and Transplantation. - Provides a new focus on patient and family-centered care with expert advice on how to communicate difficult diagnoses to patients and families. - Features new integration of nursing content into all disease-specific chapters, as well as updated content on genetics, congenital heart disease and follow-up, and new imaging modalities. - Contains chapters on new and emerging topics such as MRI and Quantifying the Fetal Circulation in Congenital Cardiac Disease; Congenital Anomalies of the Coronary Arteries; and The Global Burden of Pediatric Heart Disease and Pediatric Cardiac Care in Low- and Middle-Income Countries - Shares the experience and knowledge of an international team of multidisciplinary experts in medicine and advanced practice nursing. - Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, tables and figures from the book on a variety of devices.

Con el objetivo de aportar a la educación médica continuada de la región, la Universidad Pontificia Bolivariana y la Clínica Cardio VID han decidido publicar el primer libro sobre cardiología y enfermedades cardiovasculares para abordar problemas de actualidad con la más alta calidad científica, en el que además se pueda compartir la experiencia de uno de los centros de atención cardiovascular y de los posgrados en esta área más tradicionales de la región y Colombia. Este libro es una obra escrita por médidcos cardiólogos clínicos y subespecialistas, cirujanos cardiovasculares, residentes de cardiología clínica, cardiología pediátrica, ecocardiografía, anestesiología cardiovascular, cirugía cardiovascular y medicina interna, que aborda problemas clínicos cotidianos de patologías cardiovasculares que permitirá que los lectores profundicen en ellos.

This extensively revised new edition comprehensively reviews the medical and surgical management of the acutely-ill child with congenital and acquired cardiac disease. It enables the reader to gain a thorough understanding of basic and practical concepts of anatomy, pathophysiology, surgical techniques and peri-operative management in this group of patients. Extensively revised chapters cover the management of cardiac patients on extracorporeal membrane oxygenation, hemofiltration, and plasma exchange. New topics covered include the use of pharmaceuticals in cardiac intensive care, the implications of interventional cardiology in pediatric intensive care and ventricular assist devices. Practically relevant guidelines are also included for cardiovascular nurses. Critical Care of Children with Heart Disease presents a thorough review of the practical concepts, available treatment techniques, and the challenges associated with managing these patients in the critical care unit. It represents a timely and valuable textbook reference for students and practising healthcare professionals alike seeking to learn or further their understanding of the latest advances in this discipline.

This book combines valid physiology and treatment strategies with the institutional experience of one of the leading German pediatric heart centers. It is intended as a pragmatic guide, focusing on daily practice and bedside medicine: straightforward, easy to implement, and results-oriented. It offers readers a profound understanding of intensive care, with a specific focus on organ systems, their interactions, and the effect of life support technologies, pursuing a comprehensive approach to congenital heart defects and therapies, including pitfalls and solutions. The target group is extended towards pediatric cardiologists and anesthesiologists by integrating chapters on the systematic analysis of hemodynamics and anatomy, diagnostics and treatment of congenital heart defects, plus a chapter on modern anesthesiology during heart operations with a focus on early extubation that minimizes on-pump and medication trauma. As such, the book offers a pragmatic and clinically oriented guide for physicians with advanced experience and expertise in (cardiac) intensive and intermediate care, as well as beginners and junior physicians.

Learn from leading experts the latest information on cardiac issues seen most often in a pediatric office. The scope of focus includes signs and symptoms, management of patients with acquired or congenital heart disease, cardiac implications of common infectious diseases, preventive cardiology strategies, and other issues that are frequently managed or evaluated by the primary care clinician. Topics include:Evaluation of the PatientCommon Signs and SymptomsCongenital Heart DiseaseCardiomyopathies and ChannelopathiesAcquired Cardiac DiseasesInfectious DiseasesPreventive Cardiology StrategiesGeneral Issues in Primary Cardiac CareMore than 130 full color photos and illustrations enhance disease recognition and clinical decision-making. In addition, the resource features information on preventive cardiology strategies, patient evaluation, and more issues in primary cardiac care.

Heart disease in children has a number of diagnostic traps for the unwary, and all of us involved in the specialty have been caught at one time or another. For example, it is sometimes very difficult to differentiate between respiratory and cardiac disease in infants and between neurological and cardiac conditions in older children, and the consequences of taking the wrong path can be significant. This book is a collection of cases highlighting situations which can ensnare even the best cardiologist. Although they illustrate the importance of taking a good history and performing a thorough examination, the most important lesson is learning to keep an open mind and develop the ability to think laterally. As clinicians we need to have the confidence to make a decision for our patients but also the humility to be able to acknowledge that we don't always get it right first time, and it is imperative that we learn from the experience. We hope the reader will find these short chapters interesting and while they are not evidence-based medicine in the true sense, they do represent a wide range of clinical experience from which we can all learn. ​

The 9th edition of the gold standard in pediatric cardiology offers up-to-date, comprehensive coverage of this challenging and rapidly changing field. New chapters based on reader requests, two new associate editors, new contributing authors, and an enhanced digital version of the text make Moss and Adams'Heart Disease in Infants, Children, and Adolescents the reference you'll turn to when caring for patients. From cover to cover, this award-winning two-volume resource provides the authoritative, state-of-the-art information you need when caring for young patients with heart disease. New, reader-requested chapters cover Development of Myocardial Structure and Function, Global Challenge of Heart Disease, Impact of Congenital Heart Disease on Other Organ Systems, Non-Compaction Cardiomyopathy, Beyond the Cardiac Device, and Transition to Adult Care. All chapters have been updated and revised, including vital new information on genetics and embryo development. Two new associate editors, Drs. Daniel J. Penny and Frank Cetta, offer fresh perspectives in their areas of expertise. Enhanced digital access includes the full text; bonus question and answer sections similar to those on the pediatric cardiology board examination; videos of echoes, angiograms, aortic arch anomalies, open-heart operations, and more; and phonocardiograms with accompanying audio of various heart sounds and murmurs.

The current and future shortage of pediatric cardiologists necessitates information on the pediatric heart for primary care clinicians, as they care for the child and adolescent with cardiovascular dilemmas and disorders. In view of this shortage and the rapidly increasing knowledge in pediatric cardiology, as well as understanding indications for referral to pediatric cardiologists in the 21st century, au courant assiduous information aimed at primary care clinicians in these areas becomes increasingly important. The heart does not exist in isolation, but is involved in other aspects of the body; thus, hypertension that may involve renal pathophysiology and hyperlipidemia that involves various organ systems is also an important topic. Behavioral aspects of chronic disease, including renal disorders, should also be considered because of the importance and impact that renal (and chronic) disease has on children and adolescents. Certainly, seeking to stay current on basic principles of pediatric cardiology is important; these include fluid and electrolyte physiology, management of pediatric hypertension, and hyperlipidemia. In view of the importance of hypertension in children and adolescents concerning complications in all stages of life (i.e. renal disease, cardiovascular disease, and others), periodic ambulatory blood pressure monitoring by the primary care clinician (PCP) is an extremely important task. The current epidemic of obesity also heightens the importance of hypertension screening in the 21st century.

This book elucidates the process of reading electrocardiograms (ECGs) in children. It provides a structured, step-by-step guide for interpreting ECGS using algorithms, which allow clinicians to decipher the data within these tracings and establish differential diagnoses. The book also presents actual high-definition ECG tracings, which are annotated and highlighted to demonstrate the issues discussed. Topics include cellular electrophysiology changes and electrocardiography and disorders such as axis abnormalities, heart rate and rhythm disturbances, hypertrophy, conduction abnormalities, and fetal arrhythmias. Clinical scenarios with answers provide real-life examples of how pediatric patients present, their ECGs, and treatment methodology. Pediatric Electrocardiography: An Algorithmic Approach is a valuable resource for pediatricians, family medicine physicians, cardiologists, and medical students.

- Obra de referencia para todos los profesionales que desempeñan su labor dentro del ámbito de la cardiología pediátrica. Presenta toda la información necesaria para realizar un diagnóstico correcto y manejar a pacientes pediátricos que presentan patologías cardíacas tanto congénitas como adquiridas. - Desde la historia clínica hasta el examen físico, pasando por el tratamiento y el abordaje de problemas y situaciones especiales, la 6ª edición se presenta con un contenido completamente revisado e incorpora todos los últimos avances y novedades que se han producido en el área de la cardiología pediátrica. - Aunque todos los temas y capítulos se han revisado, algunos se han sometido a una revisión más extensa como el caso de las cardiopatías congénitas, la endocarditis infecciosa, las miocardiopatías, las arritmias cardiacas y el síndrome del QT largo. Se introducen nuevos abordajes quirúrgicos, siendo ésta una de las áreas en la que más avances se registran, y se hace especial hincapié en otras cuestiones de interés como son las técnicas no invasivas de imagen, los estándares de presión sanguínea y lípidos en población pediátrica, arritmias, etc. - Una de las grandes ventajas de esta obra es que no sólo está dirigida a cardiólogos, sino que por su enfoque es perfectamente válida para pediatras, residentes, médicos de familia o cualquier otro profesional interesado en esta temática. Nueva edición de la obra de referencia en cardiología pediátrica, que ofrece toda la información necesaria para realizar un diagnóstico correcto y manejar a pacientes pediátricos que presentan patologías cardíacas tanto congénitas como adquiridas. Un abordaje completo de este complejo y delicado campo desde la historia clínica hasta el examen físico, pasando por el tratamiento y el abordaje de problemas y situaciones especiales, presenta un contenido completamente revisado e incorpora los últimos avances y novedades en ese ámbito. Debido a la magnitud de los avances, revisa especialmente algunos capítulos, caso de las cardiopatías congénitas, la endocarditis infecciosa, las miocardiopatías, las arritmias cardiacas y el síndrome del QT largo e introduce nuevos abordajes quirúrgicos, y hace especial hincapié en cuestiones como las técnicas no invasivas de imagen los estándares de presión sanguínea y lípidos en población pediátrica, arritmias, etc.

This comprehensive textbook on the echocardiographic assessment of pediatric and congenital heart disease has been updated for a second edition with an emphasis on new technologies. This highly-illustrated full-color reference contains over 1200 figures, and offers over 600 video clips on a companion website. Fully updated, with new chapters on the assessment of the post-Fontan procedure patient and on pregnancy and heart disease Each lesion chapter includes new section highlighting the key elements of the echocardiogram(s) Written by experts from the leading centers around the world, with numerous new authors Revision emphasizes new technologies and quality of images Comprehensive content contains overview of ultrasound physics, discussion of laboratory set-up, protocol for a standard pediatric echocardiogram and quantitative methods of echocardiographic evaluation, including assessment of diastolic function Also includes special techniques and topics including 3D echocardiography, intraoperative echocardiography, and fetal echocardiography

This book focuses on the practical aspects of clinical electrophysiology of cardiac arrhythmias in the young. It represents a compilation of the clinical course, electrophysiologic studies, pharmacological management, and transcatheter ablation therapy in patients from infancy through young adulthood. Topics include the mechanism, ECG characteristics, electrophysiologic findings, treatment, and prognosis of tachyarrhythmias and bradyarrhythmias; specialized subjects including syncope, cardiac pacemakers, and implantable cardiac defibrillators; pharmacology of antiarrhythmic agents; and the roles of allied healthcare professionals in the management of arrhythmias in the young. This revised edition includes new or expanded chapters on the molecular biology mechanisms that underlie the structure and function of the cardiac conduction system; new navigation technologies for detecting cardiac arrhythmias while minimizing radiation exposure; genetic disorders of the cardiac impulse; andsudden cardiac death in the young, particularly athletes. Featuring contributions from practicing clinical cardiac electrophysiologists affiliated with the Michigan Congenital Heart Center at the University of Michigan, Clinical Cardiac Electrophysiology in the Young, Second Edition, is a premier reference for cardiologists, residents, and medical students.

The raison d'etre for a new atlas of congenital heart surgery is based on the reality that the specialty has undergone numerous changes in the last few years resulting in improved techniques and new operations. The sheer number of new procedures and the required attendant technical skills to successfully complete an operation has become a challenge to master, especially for residents who are pursuing a career in congenital heart surgery. While the techniques that we are espousing are mostly our own, there is a great deal of similarity amongst international centers owing to the influence of video presentations, manuscript publications, and chapter reviews. We therefore believe that the techniques that are illustrated in this atlas are likely to be similar to the techniques that are taught worldwide to residents and fellows. The atlas is organized generally by diseases and procedures pertaining thereto. Two general sections involve cannulation techniques and palliative procedures, respectively. A special section depicts difficult problems in the form of clinical vignettes that may arise during cardiopulmonary bypass such as: decreased venous return, undiagnosed patent ductus arteriosus, and technical errors leading to hemodynamic complications. The reader is instructed to apply measures that will lead to resolution of these problems. We have chosen procedures, which cover the breadth of congenital heart surgery. While perhaps not totally inclusive, the reader will find the greater majority of congenital heart procedures illustrated and explained in this text.​

A practice-oriented overview of pediatric cardiologyEnriched with the extensive experience of leading experts in this constantly evolving field, Pediatric Cardiology is a comprehensive reference that helps cardiologists stay up-to-date on important developments in the specialty. It includes basic principles, diagnostic strategies for specific diseases, and the newest interventional catheterization techniques, giving readers the tools to successfully manage all types of pediatric heart disease. Key Features:High-quality instructive graphs as well as over 400 color illustrations and 100 tables clarify concepts in the textUser-friendly organization facilitates the decision making processOnline access to more than 100 video clips on catheterization, EKG, and normal vs. diseased heart comparisons on the Thieme MediaCenterGuidelines for treating neonates with cardiac disordersClearly explains echocardiography, including anatomical landmarks and typical findingsFrom the fundamentals to the latest advances in pediatric cardiology, this book provides the core information needed by cardiac surgeons and pediatric cardiologists treating patients with congenital as well as acquired heart disease. It is also essential for interventional cardiologists, cardiology fellows, and interventional radiologists who want to increase their knowledge and skills and offer optimal care to their patients.

Often, information in review books can raise as many questions as it answers. This interferes with the study process, because the learner must either look up additional information or skip ahead without truly comprehending what he or she has read. As an alternative, Pediatric Cardiology and Pulmonology: A Practically Painless Review presents bite-size chunks of information that can be read and processed rapidly, helping learners to stay active while studying and to pick up new information the first time they read it. This book's question and answer format allows for self-testing or study with a partner or a group. The format also facilitates dipping into the book during a few minutes of downtime at the hospital or office. Pediatric Cardiology and Pulmonology: A Practically Painless Review is a quick and easy way to master these tricky topics and is suitable for those studying for the pediatric board exam, practicing physicians brushing up their skills, and any busy clinician who wants to learn more about these topics while on the go.

Take advantage of the most recent diagnostic and therapeutic advances in pediatric cardiology. Every topic and chapter has been revised and updated to reflect the latest medical and surgical treatments for all congenital and acquired heart diseases. New surgical approaches, including hybrid procedures, have been updated. A special focus has been placed on noninvasive imaging techniques, normative blood pressure standards, suggested approaches to pediatric hypertension, detection and management of lipid abnormalities as recommended by the Expert Panel, pediatric arrhythmias (including long QT syndrome), and much more.

Nutrition in Pediatric Pulmonary Disease is a much needed resource for practitioners that provides a basic understanding of nutrition and nutritional supplements; their impact on physiologic function and how this can be applied for general health maintenance as well as a supplemental treatment for pulmonary diseases. This book provides information on (1) basics of nutrition, supplements and herbs and how they influence physiology (2) their application and potential use for various pulmonary diseases along with evidence regarding efficacy and safety. Also examined are (3) how diet, dietary supplements and herbs are integrated together for treatment and prevention of pulmonary disease. Finally (4) several health promoting diets and their potential benefits to patients with pulmonary diseases will be discussed. Nutrition in Pediatric Pulmonary Disease is an excellent new resource for practicing physicians who are interested in incorporating more nutritional approaches to treating their patients. ​

Most physicians entering the field of pediatric cardiology are drawn to it by an interest in the wide variety of congenital heart defects which present at various ages. Most congenital heart disease will be evident in early life, presenting with cyanosis, heart murmur, congestive heart failure or shock. Textbooks in pediatric cardiology are filled overwhelmingly with chapters on the various congenital heart lesions which are encountered, both rare and common. However, practicing pediatric cardiologists will be quick to point out that a significant number of referrals to any practice do not involve congenital heart problems. Reviewing our own statistics at the Children's Hospital of Michigan Cardiology Center for the past two years (2010-2012) reveals that outpatient visits for new patient consultations examined by age groups are: less than 1 year of age – 11%; 1-5 years – 23%; 6-10 years – 21%; 11-18 years – 45%. Retrospective data collected from billing codes, as in this brief survey, may imprecise. However, it does provide a snapshot of the usual referral problems encountered by pediatric cardiologists. In our practice, the most common overall reason for referral in all ages was'heart murmur', constituting 26% of total referrals. Second were rhythm and rhythm related problems (inclusive of palpitations, abnormal ECG and diagnosed premature beats) constituted 19% of the total. In the age group of interest for this book of 11-18 years, the most common presenting issues were rhythm related (23%) and chest pain (23%), followed by syncope or dizziness (19%) and heart murmur (12%). Congenital heart disease diagnoses encountered in the 11 to 18 year age group comprised only 6.5% of referrals within that age group. It is likely that many of these were not new diagnoses (with a few exceptions), but rather represented transfers to our practice. Our own outpatient clinical experience reveals that the majority of outpatients referred by pediatricians for pediatric cardiology evaluation are between the ages of 11 and 18. The majority of these new referrals are not for congenital heart disease. Our intent for this edition of Pediatric Clinics of North America is to describe the types of problems which seem to be of concern to the pediatric community within this age group and to describe strategies for evaluation.

Pediatric cardiac surgery is a dynamic, fast-moving field. Busy practitioners, like you, need clear and comprehensive guidance you can rely on to ensure optimal patient care. For over 25 years Pediatric Cardiac Surgery has been the gold-standard reference for pediatric and adult congenital heart surgeons, pediatric and congenital cardiologists, intensivists, anesthesiologists, residents and nurses. Now, in this thoroughly revised fourth edition, you again get trusted, complete coverage of the field with timely new features and expert reviews of critical topics including heart transplantation, emerging modalities for diagnosing congenital heart and tracheal defects, the surgical technique of Fontan conversion with arrhythmia surgery, the medical challenges of managing adult CHD patients, and more. This new edition includes: Contributions from over 65 world-renowned experts More beautiful illustrations, by renowned medical illustrator Rachid Idriss, which have brought acclaim to previous editions Reviews of the embryology, physical findings, diagnostic criteria, and therapeutic choices for each disease entity and describes the latest in surgical techniques in each chapter All-new chapters that guide readers through new treatment options and other key developments since the publication of the third edition highlighting recent advances in congenital heart surgery. All-new new chapters that review advances in right ventricular to pulmonary artery conduits, arrhythmia surgery, double outlet ventricles, and adult congenital heart disease, among other key topics.

The first edition of this text, edited by two of the world's most respected pediatric cardiologists, set the standard for a single-volume, clinically focused textbook on this subject. This new edition, revised and updated by contributors representing today's global thought leaders, offers increased coverage of the most important current topics, such as pediatric electrophysiology, congenital heart disease, cardiovascular genetics/genomics, and the identification and management of risk factors in children, while maintaining the clinical focus. Published with a companion website that features additional images for download, self-assessment questions designed to aid readers who are preparing for examinations, and other features, Pediatric Cardiovascular Medicine, Second Edition, is the perfect reference for residents, fellows, pediatricians, as well as specialists in pediatric cardiology.

Hemodynamics and Cardiology, a volume in Dr. Polin's Neonatology: Questions and Controversies Series, offers expert authority on the toughest cardiovascular challenges you face in your practice. This medical reference book will help you provide better evidence-based care and improve patient outcomes with research on the latest advances.Reconsider how you handle difficult practice issues with coverage that addresses these topics head on and offers opinions from the leading experts in the field, supported by evidence whenever possible. Find information quickly and easily with a consistent chapter organization. Get the most authoritative advice available from world-class neonatologists who have the inside track on new trends and developments in neonatal care. Stay current in practice with coverage on issues such as the clinical implications of near-infrared spectroscopy in neonates, MRI imaging and neonatal hemodynamics, and hybrid management techniques for congenital heart disease.

A companion book to Adult Congenital Heart Disease that will concentrate on the practical management of children with heart conditions. This is aimed at general paediatricians and physicians who are responsible for ongoing management, rather than specialists concerned with acute or rare presentations. The book will be illustrated with relevant radiology scans, demonstrating which investigations are appropriate, and will provide the relevant information for the generalist on patient management for different lesions. A section on emergency management is also included. Authorship is international, with contributions from both sides of the Atlantic and from Japan.

- Elaborates pre- and postoperative guidelines in the intensive care of pediatric cardiac surgery patients. - An indispensable book for the cardiothoracic, pediatric and intensive care residents involved in the acute management of children with heart disease. - Addresses the need of a reference manual for general surgery and medicine residents while on rotation in the cardiac care unit. - Comprehensive chapters provide simple solutions and explanations to clinical problems rather than offering detailed physiological explanations. - Drugs and doses have been given in tables for easy reference at the point of care. - A practical book that can be read at leisure and referred to at the bedside.

A full-color guide to understanding, evaluating, and treating heart disease in fetuses and newborns Neonatal Cardiology is the trusted go-to guide for pediatricians and neonatologists needing concise, practical guidance on the evaluation and management of newborns with heart disease and other cardiac functional abnormalities. Focusing on physiology, mechanics, and presentation of congenital heart disease, this full-color resource provides a succinct, yet complete overview of neonatal cardiology. Neonatal Cardiology opens with discussions of basic aspects of embryology of the heart and a review of normal and abnormal muscle function. From there, you are led through the clinical assessment of patients with an array of cardiac abnormalities. Management and treatment follow, beginning with a basic chapter on the principles of medical management, followed by drug therapy and post-operative care. The book concludes with a chapter on Epidemiology, Etiology, and Genetics of Congenital Heart Disease. Features: Full-color presentation with new radiographic images and explanatory illustrations of normal and abnormal anatomy, blood flow patterns, and the effects of various treatment options Suggested readings appear at the end of each chapter for more in-depth study Includes coverage of: Excessive pulmonary blood flow, cyanosis, inadequate systemic perfusion, cardiomyopathies, and arrhythmias, Cardiovascular drug therapy, Neurology of congenital heart disease, and Perinatal Cardiovascular Physiology

L'ipertensione è per molti pediatri un campo ancora sconosciuto: la pressione sanguigna si misura raramente nei bambini, in particolar modo se normopeso e in assenza di sindromi particolari. Il libro ricorda al pediatra che l'ipertensione esiste anche nei bambini e gli fornisce uno strumento per la diagnosi e la terapia. Il volume è completato da un software per determinare, sulla base di età, sesso e altezza del bambino, la presenza e l'entità dell'ipertensione in età pediatrica, verificando la conseguente necessità di intraprendere una terapia comportamentale e farmacologica.

As patients live longer and need to be treated over the long term and the management of pediatric cardiology problems and congenital heart disease moves more into the mainstream, turn to Pediatric Cardiology for current clinical guidance. Trust Dr. Robert Anderson, godfather of cardiac morphology, to bring you coverage of potential cardiovascular anomalies, all potential diseases related to anomalies or developmental problems, and methods for management and treatment. New contributors from all over the world-including 70% new to this edition-present the latest challenges in the field and emphasize the adolescent and post-operative outcomes for management. Now, in full color, this leading reference offers you everything you need to treat and manage pediatric heart conditions. A comprehensive and exhaustive reference of fundamental and clinical aspects of heart disease in infancy and childhood.The contributors are well-known experts in the field and the editors are a world class group who have published extensively in the field.Emphasizes the treatment of corrected congenital heart disease for coverage of the clinical management of cardiac problems in the adolescent and young adult. Integrates development in chapters on lesions to make physiology clinically relevant for the specific cardiac lesions. Provides the latest clinical perspectives on neonate cardiac development management issues so you can offer the best long-term care. Presents the contributions of 70% new authors, from all over the world, in a consistent format to make referencing global perspectives quick and easy. Captures the nuances of the anatomical structure of lesions through full-color illustrations depicting morphologic, congenital, and surgically corrected examples for exceptional visual guidance.

Critical Care of Children with Heart Disease will summarize the comprehensive medical and surgical management of the acutely-ill patient with congenital and acquired cardiac disease. The aim of the book is to teach bedside physicians, nurses and other caregivers, basic and practical concepts of anatomy, pathophysiology, surgical techniques and peri-operative management of critically ill children and adults with congenital heart disease, allowing these professionals to anticipate, prevent or else treat such pathologies. The book will cover specific cardiac lesions, review their anatomy, pathophysiology, current preoperative, intraoperative and postoperative assessment and management; medical and surgical complications will be briefly described with each lesion further discussed in specific chapters. In addition, the book will have dedicated chapters to management of cardiac patients on extracorporeal membrane oxygenation, hemofiltration, hemo or peritoneal dialysis and plasma exchange. Practical guidelines for cardiovascular nursing care will be also included.

Echocardiography is essential in the practice of pediatric cardiology. A clinical pediatric cardiologist is expected to be adept at the non-invasive diagnosis of congenital heart disease and those who plan to specialize in echocardiography will need to have knowledge of advanced techniques. Echocardiography in Pediatric and Congenital Heart Disease addresses the needs of trainees and practitioners in this field, filling a void caused by the lack of material in this fast-growing area. This new title comprehensively covers the echocardiographic assessment of congenital heart disease, from the fetus to the adult, plus acquired heart disease in children. Topics covered include: ultrasound physics laboratory set-up a protocol for a standard pediatric echocardiogram quantitative methods of echocardiographic evaluation, including assessment of diastolic function in depth coverage of congenital cardiovascular malformations acquired pediatric heart disease topics of special interest, such as 3D echocardiography, transesophageal echocardiography, and fetal echocardiography The approach of this book is a major advancement for educational materials in the field of pediatric cardiology, and greatly enhances the experience for the reader. An accompanying DVD with moving images of the subjects covered in the textbook will further enhance the learning experience.

The development of pediatric cardiac surgical programs has had a profound effect on the s- cialty of pediatric critical care medicine, and as a result, the? eld of pediatric cardiac intensive care is rapidly emerging as a separate subspecialty of pediatric critical care medicine. The ability to provide care for the critically ill child with congenital heart disease clearly separates pediatric intensivists from our adult colleagues. A thorough understanding and knowledge of the unique physiology of the child with congenital heart disease are therefore absolutely crucial for anyone working in the pediatric intensive care unit. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pe- atric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley v Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU).

Up to one-third of American children have high cholesterol. Compared with their counterparts in many other countries, American children and adolescents also have higher blood cholesterol levels and higher intakes of saturated fatty acids and cholesterol. There is also evidence now that atherosclerosis, a build up of plaque in the arteries, starts in childhood. However, most of the risk factors that affect children can be controlled early in life, lowering the risk of heart disease later in life. This book examines new developments in the field. Included is a review on neurologic abnormalities associated with congenital heart disease (CHD), the diagnosis and management of a patent ductus arteriosus (PDA), one of the most common cardiovascular abnormalities in preterm neonates and an analysis of fetal cardiac rhythm. Also looked at are therapeutic options for children who suffer from congenital long QT syndrome (CLQTS) and myocarditis, which could be a cause of sudden death in infants, children and adolescents. This book also further explores necrotizing enterocolitis (NEC), the most common gastrointestinal disease in infancy and the correlation between children with Down syndrome and congenital heart disease.

From history and physical examination through electrocardiography and the management of special problems, this popular reference provides the practical guidance you need to diagnose and manage children with congenital and acquired heart disease. The fully revised 5th edition incorporates recent diagnostic and therapeutic advances in pediatric cardiac surgery, blood pressure standards, and cardiac arrhythmias.Practical guidance from a single author presents the knowledge you need in a cohesive, consistent manner. Extensive coverage of special problems, including congestive heart failure and syncope, helps you select the best approaches for your patients.A compact, portable size facilitates easy reference in the busy clinical setting.New coverage of surgical techniques in pediatric cardiology, the application of interventional non-surgical techniques, blood pressure standards, and cardiac arrhythmia treatments puts the most recent management approaches at your fingertips.New line drawings guide you through the latest techniques.

In Deutschland kommt etwa jedes 100. Neugeborene mit einem Herzfehler zur Welt. Die Prognose angeborener Herzfehler verbessert sich durch neue Technologien in Diagnostik und Therapie. Die Schwerpunkte des Buches sind - Einteilung und Systematik der Herzfehler - Klinische Untersuchung, incl. fetale Echokardiographie - alle Therapieverfahren - Erstversorgung kritischer kranker Neugeborener - Betreuung herzoperierter Kinder und Jugendlicher - Schwangerschaft bei angeborenen Herzfehlern. Die Autoren legen besonderen Wert auf eine gut verständliche Darstellung der komplexen Themenbereiche von Diagnose, konservativer, interventioneller sowie innovativer Techniken. Das Werk stellt eine strukturierte Darstellung für Kardiologen, Internisten und Pädiater bei der Betreuung von Kindern und jugendlicher Erwachsener dar.

Quinta edición de esta obra de referencia en la especialidad en la que, desde la realización de la anamnesis hasta el examen electrocardiográfico, se proporciona una guía práctica destinada al profesional para el correcto diagnóstico y tratamiento de los niños con patologías cardíacas tanto congénitas como adquiridas.La nueva edición totalmente revisada y actualizada, incorpora los últimos avances en los aspectos diagnósticos y terapéuticos de la cirugía pediátrica cardíaca, los standares de tensión arterial y las arritmias pediátricas. Trata asimismo, problemas específicos como el fallo cardíaco congestivo y el síncope, proporcionando los mejores abordajes por parte del especialista.En lo referente al capítulo sobre electrocardiografía se presentan nuevos datos normativos basados en la 4.ª edición revisada de How to Read Pediatric ECGs; el número de diagramas ecocardiográficos bidimensionales ha aumentado en gran medida y los apéndices incluyen valores normativos más detallados de la ecocardiografía en modo M y bidimensional. Igualmente, se presentan los datos normativos de la tensión arterial obtenidos en el San Antonio Children's Blood Pressure Study.Cabe destacar la inclusión de dos capítulos novedosos referentes a las'Palpitaciones'y a los'Atletas con problemas cardíacos'. El capítulo de dislipemia y factores de riesgo cardiovascular se trata con gran exhaustividad para subrayar la necesidad de que los profesionales presten atención a la cardiología preventiva.La obra se divide en 7 grandes partes, contabilizando un total de 35 capítulos. En la parte final del libro se encuentran varios apéndices en donde se presentan factores de riesgo cardiovascular, fármacos utilizados en cardiología pediátrica, etc.Como novedad, la presente edición hace un abordaje de las técnicas intervencionistas no quirúrgicas, acompañándolo siempre que se considera adecuado con los diagramas y esquemas más ilustrativos posible.Quinta edición de esta obra de referencia en la especialidad, totalmente revisada y actualizada y en la que, desde la realización de la anamnesis hasta el examen electrocardiográfico, se proporciona una guía práctica destinada al profesional para el correcto diagnóstico y tratamiento de los niños con patologías cardíacas, tanto congénitas como adquiridas.Como novedad, la presente edición hace un abordaje de las técnicas intervencionistas no quirúrgicas, acompañándolo siempre que se considera adecuado con los diagramas y esquemas más ilustrativos posibles.

• It explains about the uses of reduction of ultrasound techniques during cataract removal so as to protect delicate ocular structures particularly the corneal endothelium which allows a rapid return of vision following surgery • Chopping of the cataract mechanically is a time saving and energy conserving technique which is especially explained for the benefit of postgraduate students

日本胎児心臓病研究会の胎児心エコー検査ガイドラインに沿って，検査の手技とポイントをわかりやすく解説しています．胎児心エコーの症例も充実．800点を超える画像が，小児・胎児心疾患の診断を導き，治療方針を立てるための指針として役立ちます．

The treatment of pediatric patients with congenital or acquired cardiac disease remains an important challenge for physicians in charge of these often p- carious patients. It is well known that most of the drugs used in this field are either unlicensed or off-label. We have to face a very heterogeneous group of patients not only in pathologies but also in size, weight, and metabolism, p- ticularly when we face problems in premature or newborns. Not only have very few studies offered evidenced-based data for our pediatric patients, but even simple pharmacokinetics data are lacking. This is, to a great extent, caused by the difficulties of conducting research in pediatrics, particularly large-scale double-blinded randomized and controlled studies. This may change in the close future as authorities throughout the world have clearly stated that they will support this type of study. However, for the time being, we must rely on the available pharmacological knowledge, on the rare clinical trials and case series, and, most of all, on the international cumulative clinical experience. This comprehensive handbook on pediatric cardiovascular drugs offers a wide source of useful information for specialists in different fields, such as pediatricians, pediatric cardiologists, intensivists, neonatologists, anesthe- ologists, cardiac surgeons, nurses, and others involved in the management of cardiovascular disorders. It presents the updated knowledge and experience regarding the use of the currently available therapies for pediatric patients with primary or secondary cardiac and circulatory disorders.

This exciting new reference brings you information about the most controversial cardiovascular challenges you face in your practice. The book confidently tackles these subjects and gives seasoned advice on the latest diagnostic and treatment strategies using evidence-based medicine wherever possible. It gives you the latest information you need to keep pace with the fast-paced, dynamic environment of neonatology.Addresses controversial topics head on, so you can decide how to handle these difficult practice issues.Serves as the bridge between the latest cutting-edge research and its application to clinical practice. Assembles a world-class group of neonatologists, representing the true leaders of the specialty, to ensure the most authoritative content available.

Pediatric intensivists, cardiologists, cardiac surgeons, and anesthesiologists from the leading centers around the world present the collaborative perspectives, concepts, and state-of-the-art knowledge required to care for children with congenital and acquired heart disease in the ICU. Their multidisciplinary approach encompasses every aspect of the relevant basic scientific principles, medical and pharmacologic treatments, and surgical techniques and equipment. From the extracardiac Fontan procedure, and the Ross procedure through new pharmacologic agents and the treatment of pulmonary hypertension to mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization—all of the developments that are affecting this rapidly advancing field are covered in depth.Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access. Features chapters each written and reviewed by intensivists, surgeons, and cardiologists. Integrates the authors'extensive experiences with state-of-the-art knowledge from the literature.Offers four completely new chapters: Cardiac Trauma, Congenital Heart Disease in the Adult, Congenitally Corrected Transposition of the Great Arteries, and Outcome Evaluation. Describes the basic pharmacology and clinical applications of all of the new pharmacologic agents. Details important refinements and developments in surgical techniques, including the Ross pulmonary autograft replacement of the aortic valve, video-assisted fluoroscopy, and the extracardiac Fontan connection, and discusses their indications and potential complications. Explores the latest advances in the treatment of pulmonary hypertension, new developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Examines issues affecting adults with congenital heart disease.

It takes a certain hubris to come forth with a This book emerges from the clinical book entitled Clinical Cardiac Electrophys- practice and research of the pediatric cardiac iology in the Young. There are a number electrophysiology group in the Division of of excellent texts, monographs, and reviews Pediatric Cardiology at the C. S. Mott Ch- on cardiac arrhythmias in both adults and dren's Hospital, the University of Michigan children—Josephson's and also Zipes and in Ann Arbor, and the former pediatric elec- Jalife's comprehensive texts come to mind, as trophysiology fellows from Michigan, now well as a number of others, including Deal, established electrophysiologists in their own Wolff, and Gelband's, the several volumes right. It represents a compilation of the cli- from Gillette, and the recent text from Walsh, cal course, electrocardiograms, electrophysi- Saul, and Triedman, the latter three texts fo- ologic studies, pharmacological management, cusing on children. and transcatheter ablation therapy in patients Nonetheless the past three decades have from infancy through young adulthood seen in witnessed enormous advances in the under- Ann Arbor and at the current clinical sites of standing and management of human cardiac the former Michigan fellows. Thus, while the arrhythmias. This development represents the product may be idiosyncratic, it is not prov- fruits of both basic and clinical investigations cial. We are interested in “how it is done” but in cardiac impulse formation and propagation not to the exclusion of other approaches.

Because of an increased awareness for early diagnostic and management of congenital heart disease, pediatric echocardiography has progressed recently in a major way. This concise, step-by-step guide and the accompanying CD-ROM provide those just beginning to work in the echo lab with the basic information concerning the diagnostic interpretation of the echocardiograph, the hemodynamic status of the various chambers, and pressure gradients on the valves. Besides the cardiologist, this handy guide will also be of excellent assistance to all working in the pediatric echo lab.

Described by one surgeon as “soul-crushing, diamond-making stress,” surgery on congenital heart defects is arguably the most difficult of all surgical specialties. Drawing back the hospital curtain for a unique and captivating look at the extraordinary skill and dangerous politics of critical surgery in a pediatric heart center, Michael Ruhlman focuses on the world-renowned Cleveland Clinic, where a team of medical specialists—led by idiosyncratic virtuoso Dr. Roger Mee—work on the edge of disaster on a daily basis. Walk on Water offers a rare and dramatic glimpse into a world where the health of innocent children and the hopes of white-knuckled families rest in the hands of all-too-human doctors.