As a cardiologist diagnostsiruet heart disease
As a rule, severe CHD diagnosed earlychildhood. But significant defects can be detected and later. In some cases, defects go undetected until adolescence or even adulthood.
If the heart has major difficulties. Your doctor may wish to consult a specialist in the diagnosis and treatment of heart disease in infants, children and adolescents. Children's cardiologist has appropriate qualifications and equipment to conduct, if necessary, regular check-ups and medical or surgical treatment surveys.
The first thing that usually makes a pediatric cardiologist -It collects information to create a medical history and conduct an external inspection. Also, the doctor may suggest your child to do X-ray, electrocardiogram (ECG), Doppler echocardiography (Doppler / echo), blood tests.
Sometimes children need to be assured that will not cause an electrocardiogramthem harm. This unit does not pass a current through the body. It only detects a very weak electrical impulses from the beating heart and records them in a zigzag curve on a moving strip of paper. This is a graphical representation of the heart beats and is called an electrocardiogram.
X-ray analysis provides information onthe lungs of your child, as well as the size and shape of his heart. It may not cause any long-term side effects. The amount of radiation emitted by the X-ray machine, is negligible.
Echocardiography - a painless studywithout the use of needles. This sensor is used that emits high frequency sound waves to show a picture of the internal parts of the heart. Doppler test uses sound waves to measure various blood flow parameters (velocity, direction, etc.). With the help of these studies, the doctor learns about the structure and work of the heart.
Cardiology staff will talk with yourchild to prepare him for each of these procedures. In this case, the child will not be frightened by strange unfamiliar instruments. You should be aware of these proceedings, to answer your child's questions. Do not hesitate to ask a cardiologist or pediatrician.
After research and analysis your childrencardiologist will describe to you the state of the child's heart. He will also discuss with you and your child's doctor all relevant treatment program, which includes testing, medications and any diet restrictions or physical activity.
In some cases the first study did not givesufficient grounds for the diagnosis. In this case, cardiologists can offer you through special studies in the hospital for a final conclusion. These are complex procedures and should be performed in well-equipped cardiac center with a staff of highly qualified specialists in the treatment of infants and children with heart disease.
If special studies is not possible, your cardiologist, pediatrician or family doctor can arrange for them to hold your child in another center in nearby hospitals.
Important for you to understand what a heart catheterizationand why it is needed. Then you will be able to prepare the child to conduct this study. If you have any questions, ask your pediatric cardiologist before they will talk about this study with the child.
We must truthfully tell the children what will happen and how they can help. Explain that this procedure will identify the type and severity of heart disease.
In most cases, children are placed in hospitalfor a day or more before catheterization. Your child will examine several doctors and other professionals, he will need to undergo electrocardiography, X-rays, Doppler zhokardiografiyu to do blood and urine tests. One of cardiologists will explain the details of catheterization and will ask for your consent to this procedure.
Within a few hours before catheterizationYour child should not be, give anything to eat or drink. Chances are, he or she will give a soothing, after which the child falls asleep and relax before the test. In one of the veins can be installed dropper.
During the study, will be with your childdeal with nurses, doctors and technicians. You can not watch the child at this time. Everything will be done to prevent the anxiety your child and give him a sense of comfort.
Typically, this procedure causes a little discomfort in the place where the catheter (a thin plastic tube) is inserted. Most patients sleep throughout the survey.
During the procedure, a catheter is introduced into the vein orartery. While looking at the screen cardiologist special X-ray apparatus, the catheter is slowly moving to the heart, cardiologist can obtain information about vice by examining blood samples and blood pressure measurements using the catheter.
During catheterization special liquid(Radiopaque material, or colorant) may be introduced into a blood vessel or cardiac chamber using a catheter. Occurs in this case-moving X-ray image is recorded on film. This procedure is called "angiocardiography" and allows to characterize the defects of the heart, sometimes heart defects in children can be treated in the catheterization. Methods such treatment vary for each child, and it will tell you in advance cardiologist.
After catheterization, the child will return to the Houseand a few hours of going to sleep. A slight fever or upset stomach after catheterization - a common phenomenon, taking place within a few hours. After catheterization, the doctor will tell you about the results. If the child's stay in the hospital is no longer required, it can be discharged later the same day or the next day.
After considering all of the survey resultscardiologist gives advice on child care. If you need surgery, your cardiologist and pediatric cardiac surgery will answer all your questions about the operation.