Adolescent Cardiac Issues, An Issue of Pediatric Clinics,

Adolescent Cardiac Issues, An Issue of Pediatric Clinics,
NB_QAgAAQBAJ
624
By:"Richard Humes"
"Medical"
Published on 2014-02-07 by Elsevier Health Sciences

However, in patients with chest pain that occurs with exertion, palpitations, \u003cbr\u003e\nexertional syncope, or in those with known cardiac disease, the chest pain \u003cbr\u003e\nepisodes should be evaluated by a \u003cb\u003epediatric cardiologist\u003c/b\u003e. Key message Most \u003cbr\u003e\nadolescents ...

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Most physicians entering the field of pediatric cardiology are drawn to it by an interest in the wide variety of congenital heart defects which present at various ages. Most congenital heart disease will be evident in early life, presenting with cyanosis, heart murmur, congestive heart failure or shock. Textbooks in pediatric cardiology are filled overwhelmingly with chapters on the various congenital heart lesions which are encountered, both rare and common. However, practicing pediatric cardiologists will be quick to point out that a significant number of referrals to any practice do not involve congenital heart problems. Reviewing our own statistics at the Children’s Hospital of Michigan Cardiology Center for the past two years (2010-2012) reveals that outpatient visits for new patient consultations examined by age groups are: less than 1 year of age – 11%; 1-5 years – 23%; 6-10 years – 21%; 11-18 years – 45%. Retrospective data collected from billing codes, as in this brief survey, may imprecise. However, it does provide a snapshot of the usual referral problems encountered by pediatric cardiologists. In our practice, the most common overall reason for referral in all ages was \

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