When to consult a pediatric cardiologist: 2002

Ruth L Collins-Nakai
Indian Journal of Pediatrics 2002, 69 (4): 315-9
Congenital heart defects (CHD) remain a significant cause of death in children, though the etiology remains unknown. One third of all patients born with CHD become critically ill during the first year of life, often within the first month. The reason for consulting a pediatric cardiologist may be urgent or elective and varies with different age groups, and on availability of health care resources. Referral to a pediatric cardiologist is urgently required in those infants with cyanosis, congestive heart failure, shock or arrhythmias, or those dysmorphic infants in whom a syndrome which may involve the heart is suspected. In these cases, referral is for the purpose of specific diagnosis and for life-saving intervention. In the older child, referral is more likely to be related to acquired disease or genetic abnormalities resulting in systemic and cardiac manifestations. A careful history and physical examination will often determine the need for referral. Because many defects can now be successfully treated surgically, it is important to determine prior to referral what resources are locally or regionally available, and what the family's perspective on aggressive therapy is.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Available on the App Store

Available on the Play Store
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"