Pediatrics - Cardiology
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Sometimes children are born with, or develop, problems with their hearts, called cardiac disease. For children with cardiac disease, the pediatric cardiology team at Boston Medical Center provides non-invasive cardiac care, and collaborates with Boston Children’s Hospital if an intervention is needed.
The pediatric cardiology team not only provides inpatient and outpatient care, they work closely with many other medical specialties at BMC, especially pediatric primary care, neonatology, obstetrics, and adult cardiology to provide care for children with:
- Congenital heart disease
- Acquired heart disease
- Kawasaki disease
- Rheumatic fever
- Heart murmurs
- Chest pain
- Syncope (fainting)
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Condiciones que Tratamos
A congenital heart disease means that a problem with the heart is present when a baby is born. About 1 in 9 babies are born in the United States with some form of heart defect, making it the most common birth defect.
Acquired heart disease are problems with the heart that develop after birth.
Hypertension, or high blood pressure, is a chronic condition where pressure in the arteries that carry blood is elevated. Sustained high blood pressure can cause damage to the body over time and be a major risk factor for heart disease, stroke, kidney disease and more. The condition is diagnosed when measured blood pressure is consistently higher than the norm; lifestyle changes, diet and in serious cases, medication are helpful in controlling it.
Hyperlipidemia is basically excess fat in the blood, which can cause different conditions like pancreatitis and can increase the risk of heart disease. There are different classifications of hyperlipidemia under two categories – primary, which is genetic (passed down in families), and secondary, which can be caused by various conditions like diabetes.
Diagnósticos y Pruebas
Echocardiography, also called a cardiac echo or echo, is a sonogram of the heart. Echocardiography uses two-dimensional, three-dimensional, and Doppler ultrasound to create images of the heart.
Fetal echocardiography is an ultrasound test done during pregnancy to evaluate the heart of an unborn baby.
An EKG is a simple, painless test that checks for problems with the electrical activity of the heart. It shows how fast the heart is beating and the strength and timing of electrical signals as they pass through parts of the heart.
A Holter monitor is a battery-operated device about the size of a small camera. It has wires with electrodes that attach to the skin, and then measure and record the heart's activity (ECG) continuously for 24 to 48 hours.
An event monitor is a battery-operated device about the size of a small camera. It has wires with electrodes that attach to the skin, and then measure and record the heart's activity (ECG) at certain times over the course of 24 to 48 hours.
Ambulatory Blood Pressure Monitoring
Ambulatory blood pressure monitoring (ABPM) is a non-invasive method of obtaining a patients’ blood pressure readings over a 24-hour period, whilst they are in their own environment, representing a true reflection of their blood pressure.
A stress test is used to gain more information about how your heart functions during exercise. Your physician will monitor your heartbeat and blood flow as you walk on a treadmill, and will then be able to diagnose any problems as well as plan treatment.
Clinical Care and Specialty Care, Clinical Associate Professor, Boston University School of Medicine, Boston MA