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Pediatric Cardiology (pediatric + cardiology)
Selected AbstractsDental caries experience in children with congenital heart disease: a case-control studyINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 2 2004C. Stecksén-Blicks Summary. Objectives., To compare the dental health of a group of children with complex congenital heart disease with that of age and gender matched healthy controls. Design., Case-control study. Setting., Faculty of Medicine and Odontology/Pediatric cardiology and Pedodontics, Umeĺ University, Sweden. Sample and Methods., All the cases and their controls lived in the county of Västerbotten in northern Sweden. Each group comprised 41 children with a mean age of 6·5 years. Data were collected from medical and dental records while all bitewing radiographs were read separately by one of the authors. Results., Children with congenital heart disease had significantly more caries in their primary teeth than the control group. The mean dmfs-value was 5·2 ± 7·0 in the cardiac group compared to 2·2 ± 3·5 in the control group (P < 0·05). Twenty-six of the children had all four 6-year-molars, and their mean DMFS-values were 0·9 ± 1·9 in the cardiac group compared to 0·3 ± 0·6 in the control group (P > 0·05). The children with congenital heart disease had received more caries prevention based on the use of fluorides than the control group. There was a significant correlation between the number of fluoride varnish treatments and the dmfs value of the child (r = 0·411, P < 0·01). Fifty-two per cent of the children in the cardiac group had been prescribed fluoride tablets on one or more occasions compared to 17% in the control group (P < 0·01). Number of months on digoxin medication and the dmfs-value had a significant correlation (r = 0·368, P < 0·05). Ten of the children had been on digoxin medication between 6 and 87 months; this subgroup had a mean dmfs-value of 10·1 ± 8·5. Conclusion., Swedish children with complex congenital heart disease have poorer dental health than healthy age and gender matched controls in spite of intensive preventive efforts. In many cases, intervention had been given when caries were present. A closer cooperation between paediatric cardiology and paediatric dentistry is needed. [source] Abstracts: 43rd Annual Meeting of the Association of European Pediatric Cardiology,Venice, Italy, May 21,24, 2008CONGENITAL HEART DISEASE, Issue 6 2008Christopher S. Snyder MD No abstract is available for this article. [source] Socrates, Epistemology, and Pediatric Cardiology, Or Should Doctors Think Like Lawyers?CONGENITAL HEART DISEASE, Issue 4 2007David Driscoll MD First page of article [source] Techniques and Applications of Transcatheter Embolization Procedures in Pediatric CardiologyJOURNAL OF INTERVENTIONAL CARDIOLOGY, Issue 5 2003JAMES Y. SIM M.D. Transcatheter embolization of congenital or acquired superfluous vascular structure has become routine procedures performed by interventional pediatric cardiologists. Embolization procedure is often part of a collaborative effort with cardiac surgeons to palliate complex congenital heart defect, such as in embolizing aortopulmonary collateral arteries in patient with single ventricle physiology. In other cases, the procedure is the definitive treatment as in embolizing coronary artery fistula. Pediatric cardiologists performing embolization procedures should be familiar with available technologies as well as understand the underlying cardiac anatomy and pathophysiology. This article provides a comprehensive review of presently available embolization agents and technologies. Some of the technologies are used only by interventional radiologists but may be useful to pediatric cardiologists. Specific clinical applications in pediatric cardiology are also discussed with summary of current literature. With continue advancement in transcatheter technology and operator expertise, all unwanted vascular communication should be amenable to transcatheter embolization. (J Interven Cardiol 2003;16:425,448) [source] | ||||||||||