Pediatric Cardiology for Practitioners

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.

Key Features

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 to this Edition

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.

Related Titles

Pediatric Clinical Advisor, 2nd Edition : Instant Diagnosis and Treatment, Texbook, Website & PocketConsult Handheld
Atlas of Pediatric Physical Diagnosis, 5th Edition : Text with Online Access
Nelson Textbook of Pediatrics, 18th Edition
Nelson Textbook of Pediatrics e-dition, 18th Edition : Text with Continually Updated Online Reference

Contents
Part I Basic Tools in Routine Evaluation of Cardiac Patients
Chapter 1


History Taking
Gestational and Natal History
Postnatal History
Family History
Chapter 2

Physical Examination
Growth Pattern
Inspection
Palpation
Blood Pressure Measurement
Auscultation
Some Special Features of the Cardiac Examination of Neonates
Chapter 3

Electrocardiography
What Is the Vectorial Approach?
Comparison of Pediatric and Adult Electrocardiograms
Basic Measurements and Their Normal and Abnormal Values Necessary for Routine Interpretation of an Electrocardiogram
Ventricular Hypertrophy
Ventricular Conduction Disturbances
ST-Segment and T-Wave Changes
Chapter 4

Chest Roentgenography
Heart Size and Silhouette
Evaluation of Cardiac Chambers and Great Arteries
Pulmonary Vascular Markings
Systematic Approach
Chapter 5

Flow Diagrams
Part II Special Tools in Evaluation of Cardiac Patients
Chapter 6

Noninvasive Techniques
Echocardiography
Stress Testing
Long-Term ECG Recording
Ambulatory Blood Pressure Monitoring
Chapter 7

Invasive Procedures
Cardiac Catheterization and Angiocardiography
Catheter Intervention Procedures
Part III Pathophysiology
Chapter 8

Fetal and Perinatal Circulation
Fetal Circulation
Changes in Circulation after Birth
Premature Newborns
Chapter 9

Pathophysiology of Left-to-Right Shunt Lesions
Atrial Septal Defect
Ventricular Septal Defect
Patent Ductus Arteriosus
Endocardial Cushion Defect
Chapter 10

Pathophysiology of Obstructive and Valvular Regurgitation Lesions
Obstruction to Ventricular Output
Stenosis of Atrioventricular Valves
Valvular Regurgitant Lesions
Chapter 11

Pathophysiology of Cyanotic Congenital Heart Defects
Clinical Cyanosis
Common Cyanotic Heart Defects
Part IV Specific Congenital Heart Defects
Chapter 12

Left-to-Right Shunt Lesions
Atrial Septal Defect
Ventricular Septal Defect
Management
Patent Ductus Arteriosus
Patent Ductus Arteriosus in Preterm Neonates
Complete Endocardial Cushion Defect
Partial Endocardial Cushion Defect
Partial Anomalous Pulmonary Venous Return
Chapter 13

Obstructive Lesions
Pulmonary Stenosis
Aortic Stenosis
Coarctation of the Aorta
Interrupted Aortic Arch
Chapter 14

Cyanotic Congenital Heart Defects
Approach to a Cyanotic Neonate
Complete Transposition of the Great Arteries
Congenitally Corrected Transposition of the Great Arteries
Tetralogy of Fallot
Tetralogy of Fallot with Pulmonary Atresia (Pulmonary Atresia and Ventricular Septal Defect)
Tetralogy of Fallot with Absent Pulmonary Valve
Total Anomalous Pulmonary Venous Return
Tricuspid Atresia
Pulmonary Atresia with Intact Ventricular Septum
Hypoplastic Left Heart Syndrome
Ebstein's Anomaly
Persistent Truncus Arteriosus
Single Ventricle
Double-Outlet Right Ventricle
Heterotaxia (Atrial Isomerism, Splenic Syndromes)
Persistent Pulmonary Hypertension of the Newborn
Chapter 15

Vascular Ring
Prevalence
Pathology
Clinical Manifestations
Diagnosis
Management
Chapter 16

Chamber Localization and Cardiac Malposition
Chamber Localization
Dextrocardia and Mesocardia
Chapter 17

Miscellaneous Congenital Cardiac Conditions
Aneurysm of the Sinus of Valsalva
Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (Bland-White-Garland Syndrome, ALCAPA Syndrome)
Aortopulmonary Septal Defect
Arteriovenous Fistula, Coronary
Arteriovenous Fistula, Pulmonary
Arteriovenous Fistula, Systemic
Atrial Septal Aneurysm
Cervical Aortic Arch
Common Atrium
Cor Triatriatum
DiGeorge Syndrome
Double-Chambered Right Ventricle
Ectopia Cordis
Hemitruncus Arteriosus
Idiopathic Dilation of the Pulmonary Artery
Kartagener Syndrome
Parachute Mitral Valve
Patent Foramen Ovale
Pericardial Defect, Congenital
Pseudocoarctation of the Aorta
Pulmonary Artery Stenosis
Scimitar Syndrome
Systemic Venous Anomalies
Part V Acquired Heart Disease
Chapter 18

Primary Myocardial Disease
Hypertrophic Cardiomyopathy
Infants of Diabetic Mothers
Transient Hypertrophic Cardiomyopathy in Neonates
Dilated or Congestive Cardiomyopathy
Endocardial Fibroelastosis
Doxorubicin Cardiomyopathy
Carnitine Deficiency
Restrictive Cardiomyopathy
Right Ventricular Dysplasia
Noncompaction Cardiomyopathy
Chapter 19

Cardiovascular Infections
Infective Endocarditis
Myocarditis
Pericarditis
Constrictive Pericarditis
Kawasaki Disease
Lyme Carditis
Postpericardiotomy Syndrome
Postperfusion Syndrome
Human Immunodeficiency Virus Infection
Chapter 20

Acute Rheumatic Fever
Prevalence
Cause
Pathology
Clinical Manifestations Diagnosis
Differential Diagnosis
Clinical Course
Management
Prognosis
Prevention
Chapter 21

Valvular Heart Disease
Mitral Stenosis
Mitral Regurgitation
Aortic Regurgitation
Clinical Manifestations
Mitral Valve Prolapse
Chapter 22

Cardiac Tumors
Prevalence
Pathology
Clinical Manifestations
Management
Chapter 23

Cardiovascular Involvement in Systemic Diseases
Mucopolysaccharidoses
Systemic Lupus Erythematosus
Rheumatoid Arthritis
Friedreich's Ataxia
Muscular Dystrophy
Myotonic Dystrophy
Marfan Syndrome
Acute Glomerulonephritis
Hyperthyroidism: Congenital and Acquired
Hypothyroidism: Congenital and Acquired
Sickle Cell Anemia
Part VI Arrhythmias and Atrioventricular Conduction Disturbances
Chapter 24

Cardiac Arrhythmias
Rhythms Originating in the Sinus Node
Rhythms Originating in the Atrium
Rhythms Originating in the Atrioventricular Node
Rhythms Originating in the Ventricle
Long QT Syndrome
Short QT Syndrome
Brugada Syndrome
Chapter 25

Disturbances of Atrioventricular Conduction
First-Degree Atrioventricular Block
Second-Degree Atrioventricular Block
Third-Degree Atrioventricular Block
Atrioventricular Disassociation
Chapter 26

Cardiac Pacemakers and Implantable Cardioverter-Defibrillators in Children
ECGs of Artificial Cardiac Pacemakers
Pacemaker Therapy in Children
Implantable Cardioverter-Defibrillator Therapy
Part VII Special Problems
Chapter 27

Congestive Heart Failure
Definition
Cause
Pathophysiology of Congestive Heart Failure
Diagnosis
Management
Chapter 28

Systemic Hypertension
Definition
Normative Blood Pressure Standards
Cause
Diagnosis and Workup
Management
Hypertensive Crisis
Chapter 29

Pulmonary Hypertension
Definition
Cause
Physiology
Pathogenesis
Pathology
Pathophysiology
Clinical Manifestations
Natural History
Diagnosis
Management
Bronchopulmonary Dysplasia
Diaphragmatic Hernia
Chapter 30

Child with Chest Pain
Cause and Prevalence
Clinical Manifestations
Diagnostic Approach
Management
Chapter 31

Syncope
Prevalence
Definition
Causes
Evaluation of a Child with Syncope
Treatment
Differential Diagnosis
Chapter 32

Palpitation
Definition and Description
Causes
Evaluation
Management
Chapter 33

Dyslipidemia and Other Cardiovascular Risk Factors
Childhood Onset of Coronary Artery Disease
Cardiovascular Risk Factors and Metabolic Syndrome
Dyslipidemia
Other Risk Factors
Practice of Preventive Cardiology
Chapter 34

Athletes with Cardiac Problems
Sudden Unexpected Death in Young Athletes
Preparticipation Screening
Classification of Sports
Eligibility Determination for Athletes with Cardiovascular Diseases
Cardiac Arrhythmias and Sports
Athletes with Systemic Hypertension
Chapter 35

Cardiac Transplantation
Indications
Selection of the Recipient
Evaluation and Management of the Cardiac Donor
Informed Consent from the Family and Recipient
Operative Technique
Early Postoperative Management
Late Post-Transplantation Follow-up
Prognosis
Appendices
Appendix A Miscellaneous
Appendix B Blood Pressure Values
Appendix C Cardiovascular Risk Factors
Appendix D Normal Echocardiographic Values and Images
Appendix E Drugs Used in Pediatric Cardiology
Suggested Readings
Index.


Author Information
By Myung K. Park, MD, FAAP, FACC, Professor of Pediatrics (Cardiology), University of Texas Health Science Center at San Antonio, San Antonio, TX