Pediatric Cardiology for Practitioners the good one among al best seller of the year
Pediatric Cardiology for Practitioners in 2008, important advances have been made not only in the diagnosis but also in the medical and surgical management of children with congenital and acquired heart diseases. These advances make it necessary to update this book. Extensive updating and revisions have been made throughout the book at the level that is appropriate for cardiology fellows, primary care physicians, residents, and medical students. This comprehensive book will also serve as a quick review for practicing cardiologists. Any health care provider who is interested in learning about pediatric cardiology topics will also find this book very informative. Despite extensive revision, the book maintains its original goal of providing practitioners with fundamental and practical information for the management of children with cardiac problems. Thus, the general layout of the book has been preserved to serve as a small reference book, avoiding excessive theoretical and sometimes controversial discussions or detailed surgical descriptions commonly found in subspecialty textbooks.
Although every topic and chapter has been updated, certain topics were given more extensive revision, including certain congenital heart defects, infective endocarditis, cardiomyopathies, cardiac arrhythmias, and long QT syndrome. A major expansion has been made in “Dyslipidemia and Other Cardiovascular Risk Factors” in order to emphasize the need for practitioners’ attention in preventive cardiology. In that chapter, the diagnosis and management of dyslipidemia, obesity, physical inactivity, and smoking are discussed. Recent recommendations by the Expert Panel convened by the National Heart, Lung, and Blood Institute (NHLBI) on screening and management of dysplidemia in children has been included in the revision.
In the area of cardiac surgery, new approaches such as hybrid procedures have been updated and the recommended timing of some procedures has been updaed. No major attempts were made to summarize surgical mortality rates, complications, or the results of long term follow-up, since such data are institution-dependent, continually changing, and easily accessible through electronic media. For the chapter on electrocardiography, new normative data are presented based on the recently revised edition of my book “How to Read Pediatric ECGs, 4 th edition.”
Pediatric concepts of complete and incomplete right bundle branch blocks have expanded. The number of two-dimensional echocardiographic diagrams has been increased, and detailed normative values of echocardiography have been included in the Appendix. Brief discussion of computed tomographic and magnetic resosnance imaging modalities has been added.
Sections dealing with blood pressure and systemic hypertension have been rewritten extensively because the normal blood pressure standards based on the age and height percentile published by the National High Blood Pressure Education Program are not only scientifically and logically unsound but also impractical for busy practioners to follow. This is an important issue because the consequences of the diagnosis and management of hypertension based on scientifically unsound BP standards are immense. As such, this important topic is discussed and normative blood pressure data obtained from the San Antonio Children’s Blood Pressure Study are pesented: the data by the High Blood Pressure Education Program are presented in the Appendix for the sake of completeness. In addition, often neglected basic knowledge of indirect blood pressure measurement in children has been reviewed.
I wish to acknowledge the contributions of the following individuals in the revision. My colleagues at the Driscoll Children’s Hospital provided constructive suggestions. Paula Scott, Ph.D., MLS, and Cindy Munoz, BA, librarians at the Driscoll Children’s Hospital, have helped me with literature search throughout the project. Linda Lopez, a cardiac sonographer (and the manager of Driscoll’s McAllen Cardiology Clinic) has provided me with helpful suggestions on the echocardiographic illustrations. Dr. Mario Ruiz, MD, DABR, of San Antonio, Texas, a pediatric radiologist, has provided me with helpful suggestions for the section of CT and MRI imaging modalities. Most of all, I thank my wife for her understanding during my long period of preoccupation with this project.