Park’s The Pediatric Cardiology Handbook

503 Pages·2015·5.7 MB·English

by  Myung K. Park

FIFTH EDITION
PARK’S THE PEDIATRIC
CARDIOLOGY HANDBOOK
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FIFTH EDITION
PARK’S THE PEDIATRIC
CARDIOLOGY HANDBOOK
Myung K. Park, MD, FAAP, FACC
Professor Emeritus (Pediatrics)
Former Director of Pediatric Cardiology
Former Director of Preventive Cardiology
and Weight Management Clinics
University of Texas Health Science Center
San Antonio, Texas
With a contribution by
Mehrdad Salamat, MD, FAAP, FACC
Clinical Associate Professor of Pediatrics
College of Medicine, Texas A&M University
Health Science Center
College Station, Texas
Attending Cardiologist
Driscoll Children’s Hospital
Corpus Christi, Texas
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
PARK’S THE PEDIATRIC CARDIOLOGY HANDBOOK, FIFTH EDITION ISBN- 978-0-323-26210-1
Copyright © 2016 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Copyright © 2010, 2003, 1997, 1991 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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Notices
Knowledge and best practice in this field are constantly changing. As new research and
experience broaden our understanding, changes in research methods, professional practices,
or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein.
In using such information or methods they should be mindful of their own safety and the safety
of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check
the most current information provided (i) on procedures featured or (ii) by the manufacturer of
each product to be administered, to verify the recommended dose or formula, the method and
duration of administration, and contraindications. It is the responsibility of practitioners, relying on
their own experience and knowledge of their patients, to make diagnoses, to determine dosages
and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
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Library of Congress Cataloging-in-Publication Data
Park, Myung K. (Myung Kun), 1934-[Pediatric cardiology handbook]
Park’s the pediatric cardiology handbook / Myung K. Park. -- Fifth edition.
pages cm
Includes bibliographical references and index.
ISBN 978-0-323-26210-1 (pbk.)
1. Pediatric cardiology--Handbooks, manuals, etc. I. Title.
RJ421.P38 2016
618.92’12--dc23
2014025017
Senior Content Strategist: James Merritt
Content Development Specialist: Stacy Matusik
Publishing Services Manager: Hemamalini Rajendrababu
Senior Project Manager: Beula Christopher
Designer: Teresa McBryan
Illustrations Manager: Karen Giacomucci
Marketing Manager: Nyasha Kapenzi
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
DEDICATION
To my loving wife, Issun
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Preface to Fifth Edition
Since the publication of the fourth edition of The Pediatric Cardiology
Handbook, important advances have been made in both the diagnosis and
treatment of children with congenital and acquired heart diseases. These
advances make it necessary to update the handbook. Although extensive
updating and revisions have been made throughout the book, the hand-
book maintains its original goal of providing readers with fundamental and
practical information in the management of children with cardiac problems.
Although every topic and chapter has been updated, certain congenital
heart defects received more extensive revision, including infective endocarditis,
cardiomyopathies, cardiac arrhythmias, and long QT syndrome. A major revi-
sion has been made in dyslipidemias with inclusion of the new recommenda-
tions on lipid screening for children. Sections on blood pressure and systemic
hypertension have been extensively rewritten. Normative blood pressure stan-
dards for auscillometric and oscillometric methods obtained in the San Antonio
Children’s Blood Pressure Study are recommended because they are the only
standards obtained by the currently recommended methods. For the chapter
on electrocardiography, normative data used are from the recently revised
fourth edition of my book How to Read Pediatric ECGs. The two- dimensional
echocardiographic section has been expanded and detailed normative values
of echocardiography are included in Appendix D. In the area of cardiac sur-
gery, new approaches such as hybrid procedures have been updated and the
recommended timing of some procedures has been updated.
I wish to acknowledge the contributions of the following individuals in the
revision. Dr. Mehrdad Salamat, MD, Attending Cardiologist at the Driscoll
Children’s Hospital and Clinical Associate Professor of Pediatrics, Texas A&M
University Health Science Center, has updated two chapters in the “Cardiac
Surgical Patients” section. Dr. Salamat was also instrumental in updating
drug dosages with the addition of newer drugs that are used in the practice of
pediatric cardiology. Paula Scott, PhD, MLS, and Cindy Munoz, BA, librarians
at the Driscoll Children’s Hospital, helped me with literature search through-
out the project. Linda Lopez, a cardiac sonographer (and the manager of
Driscoll’s McAllen Cardiology Clinic) provided me with valuable suggestions on
the echocardiographic illustrations. Most of all, I thank my wife, Issun, for her
understanding during my long period of preoccupation with the project.
I believe this handbook will be an important companion to cardiology fel-
lows, pediatricians, family practitioners, house staff, and medical students.
This handbook will also serve well any health care providers who deal with
children, including physician assistants, nurse practioners, and nursing
students. This handbook may prove to be a very useful compendium even
for practicing cardiologists because it makes basic and advanced informa-
tion in the practice of cardiology available instantly.
Myung K. Park, MD, FAAP, FACC
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