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1DeVos Children's Hospital, Michigan 49503, USA. sjlacina@yahoo.com
Insights
Pediatric cardiology is rapidly evolving. This review covers new guidelines and trends in cardiovascular care for children, including attention deficit disorder monitoring and congenital heart disease follow-up.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Health
- Clinical Practice Guidelines
Background:
- The field of outpatient pediatric cardiology faces accelerating challenges and changes.
- General pediatricians and family physicians require updated knowledge on cardiovascular care trends.
Purpose of the Study:
- To inform general pediatricians and family physicians about new pediatric cardiology guidelines and practice trends.
- To contextualize recent publications and controversies in outpatient pediatric cardiology.
Main Methods:
- Review of recent publications in pediatric cardiology.
- Analysis of current guidelines and policy statements.
- Discussion of emerging practice trends and controversies.
Main Results:
- Discussion of guidelines for cardiovascular monitoring in children with attention deficit disorder.
- Review of subacute bacterial endocarditis prophylaxis and follow-up for adults with congenital heart disease.
- Examination of trends in echocardiogram use, Marfan syndrome drug therapy, complex coronary heart disease follow-up, and obesity treatment.
Conclusions:
- Awareness of these developments is crucial for practicing pediatricians.
- Incorporating new guidelines enhances patient care and physician ability to address family questions.
Purpose Of Review:
Nearing the end of the first decade of this new century, the challenges and changes in the field of outpatient pediatric cardiology continue to accelerate.
Recent Findings:
To help the general pediatrician and family practice physician become aware of several new care guidelines and practice trends as well as the controversies surrounding them this article reviews recent publications and places them in a larger context. Current guidelines and policy statements for cardiovascular monitoring for children with attention deficit disorder, subacute bacterial endocarditis prophylaxis and follow-up of adults with congenital heart disease are discussed. Trends regarding use of echocardiograms, changing drug therapy for Marfan syndrome, follow-up of infant with complex coronary heart disease, and treatment of obesity are reviewed.
Summary:
It is important for the practicing pediatrician to be aware of these developments, so they can be incorporated into current patient care and increase the physician's ability to answer patient and family questions about these guidelines.
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