Adolescent Cardiac Issues, An Issue of Pediatric Clinics, E-Book

Nonfiction, Health & Well Being, Medical, Specialties, Pediatrics
Cover of the book Adolescent Cardiac Issues, An Issue of Pediatric Clinics, E-Book by Richard Humes, MD, Elsevier Health Sciences
View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart
Author: Richard Humes, MD ISBN: 9780323266772
Publisher: Elsevier Health Sciences Publication: February 7, 2014
Imprint: Elsevier Language: English
Author: Richard Humes, MD
ISBN: 9780323266772
Publisher: Elsevier Health Sciences
Publication: February 7, 2014
Imprint: Elsevier
Language: English

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 "heart murmur", constituting 26% of total referrals. Second were rhythm and rhythm related problems (inclusive of palpitations, abnormal ECG and diagnosed premature beats) constituted 19% of the total. In the age group of interest for this book of 11-18 years, the most common presenting issues were rhythm related (23%) and chest pain (23%), followed by syncope or dizziness (19%) and heart murmur (12%). Congenital heart disease diagnoses encountered in the 11 to 18 year age group comprised only 6.5% of referrals within that age group. It is likely that many of these were not new diagnoses (with a few exceptions), but rather represented transfers to our practice. Our own outpatient clinical experience reveals that the majority of outpatients referred by pediatricians for pediatric cardiology evaluation are between the ages of 11 and 18. The majority of these new referrals are not for congenital heart disease. Our intent for this edition of Pediatric Clinics of North America is to describe the types of problems which seem to be of concern to the pediatric community within this age group and to describe strategies for evaluation.

View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart

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 "heart murmur", constituting 26% of total referrals. Second were rhythm and rhythm related problems (inclusive of palpitations, abnormal ECG and diagnosed premature beats) constituted 19% of the total. In the age group of interest for this book of 11-18 years, the most common presenting issues were rhythm related (23%) and chest pain (23%), followed by syncope or dizziness (19%) and heart murmur (12%). Congenital heart disease diagnoses encountered in the 11 to 18 year age group comprised only 6.5% of referrals within that age group. It is likely that many of these were not new diagnoses (with a few exceptions), but rather represented transfers to our practice. Our own outpatient clinical experience reveals that the majority of outpatients referred by pediatricians for pediatric cardiology evaluation are between the ages of 11 and 18. The majority of these new referrals are not for congenital heart disease. Our intent for this edition of Pediatric Clinics of North America is to describe the types of problems which seem to be of concern to the pediatric community within this age group and to describe strategies for evaluation.

More books from Elsevier Health Sciences

Cover of the book Current Management of Lesser Toe Deformities, An Issue of Foot and Ankle Clinics - E-Book by Richard Humes, MD
Cover of the book Glucose Regulation, An Issue of Nursing Clinics, E-Book by Richard Humes, MD
Cover of the book Systemic Lupus Erythematosus, An Issue of Rheumatic Disease Clinics - E-Book by Richard Humes, MD
Cover of the book Advanced Techniques in the Management of Foot and Ankle Trauma, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book by Richard Humes, MD
Cover of the book Stress in Health and Disease, An Issue of Psychiatric Clinics of North America, E-Book by Richard Humes, MD
Cover of the book Exotic Pet Behavior E-Book by Richard Humes, MD
Cover of the book Renal and Urologic Issues, An Issue of Clinics in Perinatology, E-Book by Richard Humes, MD
Cover of the book Advances in Anesthesia, E-Book 2012 by Richard Humes, MD
Cover of the book Obesity Medicine, An Issue of Medical Clinics of North America, E-Book by Richard Humes, MD
Cover of the book Dangerous Fever in the Emergency Department, An Issue of Emergency Medicine Clinics, E-Book by Richard Humes, MD
Cover of the book Translational Cancer Research for Surgeons, An Issue of Surgical Oncology Clinics, E-Book by Richard Humes, MD
Cover of the book Medically Complex Patients, An Issue of Anesthesiology Clinics, E-Book by Richard Humes, MD
Cover of the book Year Book of Obstetrics, Gynecology and Women's Health - E-Book by Richard Humes, MD
Cover of the book Physical Diagnosis Secrets E-Book by Richard Humes, MD
Cover of the book Understanding the Patellofemoral Joint: From Instability to Arthroplasty; An Issue of Clinics in Sports Medicine, by Richard Humes, MD
We use our own "cookies" and third party cookies to improve services and to see statistical information. By using this website, you agree to our Privacy Policy