Pediatric Cardiology for Practitioners / Edition 5

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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.

• 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 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.

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher
"This is a wonderful and extremely useful teaching guide and clinical tool...surpasses all other books on this topic in its goal of providing practical information to primary care practitioners. The new edition is justified for many reasons. Surgical techniques have changed since the last edition, and Dr. Park has updated this section extensively. The treatment of heart failure and pulmonary hypertension has also been updated nicely. The new chapters on palpitations and athletes with cardiac problems are also extremely useful. The updates, as well as Dr. Park's personal and logical advice on topics such as hypertension and hyperlipidemia, make this book the logical resource for primary care clinicians." - Doody's, ***
Doody's Review Service
Reviewer: Roberta G. Williams, MD (University of North Carolina-Chapel Hill School of Medicine)
Description: This is the third edition of a text written primarily for generalists and trainees. There have been extensive updates since the previous edition in 1988.
Purpose: The purpose is to provide an understandable framework on which to build the concepts of diagnosis and management of congenital and acquired diseases encountered in childhood. This goal is particularly important because of the increasing need for primary care providers to guide resource utilization in the care of children with suspected or known heart disease.
Audience: The book succeeds in being easily understood and is organized in a manner to be useful for the noncardiologist. The author is a respected pediatric cardiologist who served as a family practitioner as well as a subspecialist and therefore is extremely well qualified to communicate with the target audience at their level of concern.
Features: Unfortunately, this complex and diverse subject cannot be reduced to simple blanket description without omitting some areas of legitimate controversy. Because there is such variation in management among centers of excellence, this book offers a oversimplified view of some of the subjects. Statements are made without any reference to the literature which adds to the impression that the book expresses a knowledgeable but isolated viewpoint. It is important to note that there is a serious typographical error on page 384 in which the dosages of dopamine and dobutamine are incorrectly described in units of milligrams per kilogram instead of micrograms per kilogram. Also, potassium and lidocaine dosages are described in a nontraditional and confusing manner. Finally, the book does not describe the newer methods of conscious sedation.
Assessment: Unfortunately, these serious flaws nullify many of the useful aspects of this book, especially because the target audience is not in a position to distinguish between established fact and rapidly changing information in this dynamic field.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780323046367
  • Publisher: Elsevier Health Sciences
  • Publication date: 8/15/2007
  • Edition description: REV
  • Edition number: 5
  • Pages: 704
  • Product dimensions: 7.50 (w) x 10.40 (h) x 1.30 (d)

Table of 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


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


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