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Related Experiment Videos

When to consult a pediatric cardiologist: 2002.

Ruth L Collins-Nakai1

  • 14C2 Walter Mackenzie Centre, University of Alberta, Edmonton, Canada. rcnakai@telusplanet.net

Indian Journal of Pediatrics
|May 22, 2002
PubMed
Summary

Congenital heart defects (CHD) are a major cause of pediatric mortality. Early diagnosis and intervention are crucial for critically ill infants, while older children may require referral for acquired or genetic conditions.

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Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease Research

Background:

  • Congenital heart defects (CHD) are a leading cause of death in children, with unknown etiology.
  • A significant proportion of infants with CHD experience critical illness within the first year of life, particularly the first month.

Purpose of the Study:

  • To outline the varying reasons and urgency for pediatric cardiology referrals across different age groups.
  • To emphasize the importance of timely diagnosis and life-saving interventions for infants with critical CHD symptoms.
  • To highlight the considerations for referral in older children with acquired or genetic conditions affecting the heart.

Main Methods:

  • Review of clinical presentations necessitating pediatric cardiology consultation.
  • Assessment of diagnostic and therapeutic pathways for congenital heart defects.
  • Consideration of factors influencing referral decisions, including healthcare resources and family perspectives.

Main Results:

  • Urgent referral is indicated for infants presenting with cyanosis, congestive heart failure, shock, arrhythmias, or suspected genetic syndromes.
  • Referral in older children often relates to acquired diseases or genetic abnormalities with systemic and cardiac manifestations.
  • History and physical examination are key in determining the need for referral.

Conclusions:

  • Effective management of congenital heart defects requires understanding referral triggers across pediatric age groups.
  • Prioritizing referral based on clinical urgency and available resources optimizes patient outcomes.
  • Family-centered care, including their perspective on aggressive therapy, is essential when planning interventions for CHD.

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