Pediatric Cardiology Society Research Articles

Overcoming Underpowering in the Outcome Analysis of Repaired-Tetralogy of Fallot: A Multicenter Database from the CMR/CT Working Group of the Italian Pediatric Cardiology Society (SICPed).

Background: Managing repaired tetralogy of Fallot (TOF) patients is still challenging despite the fact that published studies identified prognostic clinical or imaging data with rather good negative predictive accuracy but weak positive predictive accuracy. Heterogeneity of the initial anatomy, the surgical approach, and the complexity of the mechanism leading to dilation and ventricular dysfunction explain the challenge of predicting the adverse event in this population. Therefore, risk stratification and management of this population remain poorly standardized. Design: The CMR/CT WG of the Italian Pediatric Cardiology Society set up a multicenter observational clinical database of repaired TOF evaluations. This registry will enroll patients retrospectively and prospectively assessed by CMR for clinical indication in many congenital heart diseases (CHD) Italian centers. Data collection in a dedicated platform will include surgical history, clinical data, imaging data, and adverse cardiac events at 6 years of follow-up. Summary: The multicenter repaired TOF clinical database will collect data on patients evaluated by CMR in many CHD centers in Italy. The registry has been set up to allow future research studies in this population to improve clinical/surgical management and risk stratification of this population.

Global leadership in paediatric and congenital cardiac care: education and empowerment to improve outcomes in low- and middle-income countries - an interview with Krishna Kumar, MD, DM FAHA.

Dr Krishna Kumar is the focus of our sixth in a series of interviews in Cardiology in the Young entitled, "Global Leadership in Paediatric and Congenital Cardiac Care." Dr Kumar was born in Raurkela, India. He attended medical school at Maulana Azad Medical College in New Delhi, graduating in 1984. Dr Kumar then went on to complete internal medicine, emergency medicine, and adult cardiology training at All India Institute of Medical Sciences in 1988, 1989, and 1990, respectively. He then pursued paediatric cardiology training at Harvard Medical School in Boston, MA, USA. Dr Kumar began his clinical position as a paediatric cardiologist at Amrita Institute of Medical Sciences in Kochi, Kerala, India.During his impressive career, Dr Kumar has made significant contributions to educational advancement, research and innovation, public health advocacy, and clinical care. Dr Kumar is credited for distinguishing paediatric cardiology as a distinct subspecialty in India. He was a founding member of the Pediatric Cardiology Society of India and the original editor of the society's academic journal. Recognising the deficit of paediatric cardiology-trained physicians in low- and middle-income countries, Dr Kumar helped establish formal structured training programmes for paediatric cardiology in India. More recently, he established the Children's HeartLink Fellowships in paediatric cardiac sciences at Amrita Institute of Medical Sciences in Kochi and Institut Jantung Negara in Malaysia. Through educational programmes, Dr Kumar has taught countless caregivers and paediatricians, in India and neighbouring countries, the early identification and management of children with CHD. Dr Kumar has established a premier paediatric heart programme at Amrita Institute of Medical Sciences. As department Chief, he emphasises the importance of teamwork, advocacy, and continuous quality improvement. He has developed numerous low-cost strategies for the management of CHD. He has established large community-based studies on rheumatic heart disease and CHD in South India. Dr Kumar's focus on advocacy and policy change in India has made a substantial impact on early identification and treatment of CHD in the subcontinent. He has made a global impact on the care of paediatric cardiology patients through his educational programmes, research and innovation, large-scale research registries, and advocacy for public health policy changes. He is an incredibly humble and generous leader, and his patients and community are the source of his unending motivation.

Activity Recommendations in Children After Cardiac Surgery

Purpose Clinicians, parents, and patients must decide which sorts of physical activity (recreational activities or sports participation) are most beneficial and safe for children who have had cardiac surgery and when these children should return to normal activities after cardiac surgery. Current recommendations are limited and tailored to the adolescent and young adult population. Methods We invited members of the Midwest Pediatric Cardiology Society to participate in an online survey of their current practice regarding physical activity recommendations in both the immediate post-surgical period and over the long term in patients …

2018 Chinese Pediatric Cardiology Society guideline interpretation for diagnosis and treatment of syncope in children and adolescents

2018 Chinese Pediatric Cardiology Society (CPCS) for the diagnosis and treatment of syncope in children and (referred as the new guideline ) was published in international journals.New in combination with the recent large number of clinical research in this field both at home and abroad, deve-loped by the experts of Pediatric Cardiology Society, Chinese Pediatric Society, Chinese Medical Association (CMA)/Committee on Pediatric Syncope, Pediatricians Branch, Chinese Medical Doctor Association (CMDA)/Committee on Pediatric Cardiology, Chinese College of Cardiovascular Physicians, Chinese Medical Doctor Association (CMDA)/Pe-diatric Cardiology Society, Beijing Pediatric Society, Beijing Medical Association (BMA), after repeated research and discussion.The guidelines effectively standardizes the diagnosis, differential diagnosis and prevention strategies of syncope diseases in children and adolescents.Based on the evidence evaluation of evidence-based medicine, the methodology of head-up tilt table test is partially updated, the precautions before the test are emphasized, and the characteristics and safety of children and adolescents are evaluated.In terms of prevention and treatment, the importance of healthy education is emphasized.The prognosis of postural tachycardia syndrome is added in the follow-up of efficacy. Key words: Child; Adolescent; Syncope; Diagnosis; Treatment; Guideline interpretation

2018 Chinese Pediatric Cardiology Society (CPCS) guideline for diagnosis and treatment of syncope in children and adolescents

Syncope belongs to the transient loss of consciousness (TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of emergency department visits.Recurrent syncope can seriously affect children's physical and mental health, learning ability and quality of life and sometimes cardiac syncope even poses a risk of sudden death. The present guideline for the diagnosis and treatment of syncope in children and adolescents was developed for guiding a better clinical management of pediatric syncope. Based on the globally recent development and the evidence-based data in China, 2018 Chinese Pediatric Cardiology Society (CPCS) guideline for diagnosis and treatment of syncope in children and adolescents was jointly prepared by the Pediatric Cardiology Society, Chinese Pediatric Society, Chinese Medical Association (CMA)/Committee on Pediatric Syncope, Pediatricians Branch, Chinese Medical Doctor Association (CMDA)/Committee on Pediatric Cardiology, Chinese College of Cardiovascular Physicians, Chinese Medical Doctor Association (CMDA)/Pediatric Cardiology Society, Beijing Pediatric Society, Beijing Medical Association (BMA). The present guideline includes the underlying diseases of syncope in children and adolescents, the diagnostic procedures, methodology and clinical significance of standing test and head-up tilt test, the clinical diagnosis vasovagal syncope, postural orthostatic tachycardia syndrome, orthostatic hypotension and orthostatic hypertension, and the treatment of syncope as well as follow-up.

A new guideline for diagnosis and treatment of syncope in children and adolescents that stimulates further thought and discussion

A new guideline for diagnosis and treatment of syncope in children and adolescents was published by Chinese Pediatric Cardiology Society (CPCS). This guideline admirably outlines a differential diagnosis of syncope in the Chinese population, placing appropriate emphasis on vasovagal syncope (VVS, simple faint), the most common cause. The authors appropriately discuss other more ominous causes of syncope such as cardiogenic syncope and neurogenic orthostatic hypotension. In particular, cardiogenic syncope can have lethal consequences if not promptly treated. The paper provides a useful algorithm for diagnostic evaluation of syncope patients placing primary emphasis on history, physical exam, and ECG, and further discussing testing procedures such as standing tests used in screening patients, and upright tilt table testing which remains the reference standard for orthostatic testing in younger patients. Indeed, most vasovagal and other forms of reflex or situational syncopes can be best diagnosed on clinical history. The authors further consider other forms of orthostatic intolerance such as orthostatic hypertension, postural tachycardia syndrome (POTS), and “initial orthostatic hypotension” experienced as transient lightheadedness upon rapid standing. The authors regard POTS as a cause of vasovagal syncope. This supposition is controversial and deserves further comment.

49th Annual Meeting of the Association for European Paediatric and Congenital Cardiology, AEPC with joint sessions with the Japanese Society of Pediatric Cardiology and Cardiac Surgery, Asia-Pacific Pediatric Cardiology Society, European Association for Cardio-Thoracic Surgery and Canadian Pediatric Cardiology Association, Prague, Czech Republic, 20–23 May 2015

Background: This prospective study focuses on factors associated with arterial damage in children with type 1 diabetes (T1D). Materials and Methods: Eighty children and adolescents with T1D (mean age 15, range: 8-20 yrs; mean diabetes duration 7, range: 0.5 to 19 years) were investigated twice, approximately 2 years apart, for carotid artery intima-media thickness (cIMT) and compliance (CAC), flow-mediated dilatation (FMD) of the brachial artery, and plasma levels of matrix metalloproteinase (MMP)-8. HLA genotypes were determined in dried spots of peripheral blood by polymerase chain reaction followed by hybridization assay. The number of respiratory tract infections (RTI) during the past year was obtained by a questionnaire in 56 patients. Results: cIMT progression (% change of cIMT from baseline) correlated inversely with the % changes of both CAC (p = 0.04, r=−0.3, n=62) and FMD (p=0.03, r=−0.3, n=67). RTI frequency correlated significantly with cIMT progression irre- spective of age, diabetes duration, BMI, and HbA1c (p=0.03, r=0.3, in multivariate analysis). When patients were divided in relation to DQ2/8 genotype and RTI, the association of DQ2/8 with cIMT progression remained significant in patients with over three infections/year (p = 0.04, r = 0.3). During follow-up, the group of DQ2/8 patients with CRP > 1 mg/l showed significantly higher levels of plasma MMP-8 than the non-DQ2/8 group. Conclusions: Diabetes-risk genotype DQ2/8 and inflammation con- tribute to vascular changes in children and adolescents with T1D. (Less)

Asia-Pacific pediatric cardiac society: My vision for the next decade

Recently, further expansion of patients with congenital heart disease (CHD) and adults with CHD (ACHD) and evolution of specialized care facilities for pediatric cardiology and ACHD can be anticipated in the Asia-Pacific countries. These patients have a lot of problems to be solved now and in next decade, and they include various medical issues including issues specific to oriental populations, psychosocial issues, establishment of CHD care facilities and so on. We now have two established societies namely, Asia-Pacific Pediatric Cardiology Society (APPCS) and Asia Pacific Society for Adult Congenital Heart Disease (APSACHD). Through these Societies, we should solve these problems by promoting international collaborative studies and support projects to facilitate the rapid progress that is desperately needed in the field in the Asia Pacific Region.

Highlights of the Annual Meeting of the Association for European Paediatric and Congenital Cardiology

The 47th annual meeting of the Association for European Paediatric and Congenital Cardiology was held on 22-25th May 2013 in London, UK. This is one of the largest scientific meetings in Europe within the field of congenital cardiac disease and was held in association with the Japanese Society of Pediatric Cardiology and Cardiac Surgery, and Asia Pacific Pediatric Cardiology Society. There were 900 submitted abstracts and over 1000 delegates from 57 countries attended. We have summarized some of the highlights of the meeting below.

The 40th Annual Southeast Pediatric Cardiology Society, New Orleans, Louisiana—September 13–15, 2007

The 40th Annual Southeast Pediatric Cardiology Society, New Orleans, Louisiana—September 13–15, 2007

39th South-east Pediatric Cardiology Society Meeting: September 27?28, Atlanta, Georgia

39th South-east Pediatric Cardiology Society Meeting: September 27?28, Atlanta, Georgia

Abstracts for Southeast Pediatric Cardiology Society, Mission Inn Resort, Florida, 8–11 September 2004

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Cardiologie fœtale

Syncope belongs to the transient loss of consciousness (TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of emergency department visits.Recurrent syncope can seriously affect children's physical and mental health, learning ability and quality of life and sometimes cardiac syncope even poses a risk of sudden death. The present guideline for the diagnosis and treatment of syncope in children and adolescents was developed for guiding a better clinical management of pediatric syncope. Based on the globally recent development and the evidence-based data in China, 2018 Chinese Pediatric Cardiology Society (CPCS) guideline for diagnosis and treatment of syncope in children and adolescents was jointly prepared by the Pediatric Cardiology Society, Chinese Pediatric Society, Chinese Medical Association (CMA)/Committee on Pediatric Syncope, Pediatricians Branch, Chinese Medical Doctor Association (CMDA)/Committee on Pediatric Cardiology, Chinese College of Cardiovascular Physicians, Chinese Medical Doctor Association (CMDA)/Pediatric Cardiology Society, Beijing Pediatric Society, Beijing Medical Association (BMA). The present guideline includes the underlying diseases of syncope in children and adolescents, the diagnostic procedures, methodology and clinical significance of standing test and head-up tilt test, the clinical diagnosis vasovagal syncope, postural orthostatic tachycardia syndrome, orthostatic hypotension and orthostatic hypertension, and the treatment of syncope as well as follow-up.

Abstracts of the Annual Meeting of the Southeastern Pediatric Cardiology Society, Braselton, Georgia, USA, 5–7 September 1996

Abstracts of the Annual Meeting of the Southeastern Pediatric Cardiology Society, Braselton, Georgia, USA, 5–7 September 1996

Southeastern Pediatric Cardiology Society—25th Annual Meeting

Southeastern Pediatric Cardiology Society—25th Annual Meeting

Southeastern Pediatric Cardiology Society—26th Annual Meeting

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The Northeast Pediatric Cardiology Society—9th Annual Meeting

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Southeastern Pediatric Cardiology Society—24th Annual Meeting

Southeastern Pediatric Cardiology Society—24th Annual Meeting