Park's Pediatric Cardiology for Practitioners 6/e

Park’s Pediatric Cardiology for Practitioners is the essential medical reference book for the ever-changing field of
pediatric cardiology. Comprehensive in its content, it provides the practical guidance you need to diagnose and manage
children with congenital and acquired heart disease. From history and physical examination through preventative
treatment and the management of special problems, the fully revised 6th edition incorporates all of the latest concepts
in cardiology, distilled in a way that is understandable to pediatricians, family practitioners, NPs, and PAs alike.

Part I Basic Tools in Routine Evaluation of Cardiac Patients

Chapter 1

* History Taking * Gestational and Natal History * Postnatal History * Family History

Chapter 2

* Physical Examination * Growth Pattern * Inspection * Palpation * Blood Pressure Measurement * Auscultation * Some
Special Features of the Cardiac Examination of Neonates

Chapter 3

* Electrocardiography * What Is the Vectorial Approach? * Comparison of Pediatric and Adult Electrocardiograms * Basic
Measurements and Their Normal and Abnormal Values Necessary for Routine Interpretation of an Electrocardiogram *
Ventricular Hypertrophy * Ventricular Conduction Disturbances * ST-Segment and T-Wave Changes

Chapter 4

* Chest Roentgenography * Heart Size and Silhouette * Evaluation of Cardiac Chambers and Great Arteries * Pulmonary
Vascular Markings * Systematic Approach

Chapter 5

* Flow Diagrams

Part II Special Tools in Evaluation of Cardiac Patients

Chapter 6

* Noninvasive Techniques * Echocardiography * Stress Testing * Long-Term ECG Recording * Ambulatory Blood Pressure
Monitoring

Chapter 7

* Invasive Procedures * Cardiac Catheterization and Angiocardiography* Catheter Intervention Procedures

Part III Pathophysiology

Chapter 8

* Fetal and Perinatal Circulation * Fetal Circulation * Changes in Circulation after Birth * Premature Newborns

Chapter 9

* Pathophysiology of Left-to-Right Shunt Lesions * Atrial Septal Defect * Ventricular Septal Defect * Patent Ductus
Arteriosus * Endocardial Cushion Defect

Chapter 10

* Pathophysiology of Obstructive and Valvular Regurgitation Lesions * Obstruction to Ventricular Output * Stenosis of
Atrioventricular Valves * Valvular Regurgitant Lesions

Chapter 11

* Pathophysiology of Cyanotic Congenital Heart Defects * Clinical Cyanosis * Common Cyanotic Heart Defects

Part IV Specific Congenital Heart Defects

Chapter 12

* Left-to-Right Shunt Lesions * Atrial Septal Defect * Ventricular Septal Defect * Management * Patent Ductus
Arteriosus * Patent Ductus Arteriosus in Preterm Neonates * Complete Endocardial Cushion Defect * Partial Endocardial
Cushion Defect * Partial Anomalous Pulmonary Venous Return

Chapter 13

* Obstructive Lesions * Pulmonary Stenosis * Aortic Stenosis * Coarctation of the Aorta * Interrupted Aortic Arch

Chapter 14

* Cyanotic Congenital Heart Defects * Approach to a Cyanotic Neonate * Complete Transposition of the Great Arteries *
Congenitally Corrected Transposition of the Great Arteries * Tetralogy of Fallot * Tetralogy of Fallot with Pulmonary
Atresia (Pulmonary Atresia and Ventricular Septal Defect) * Tetralogy of Fallot with Absent Pulmonary Valve * Total
Anomalous Pulmonary Venous Return * Tricuspid Atresia * Pulmonary Atresia with Intact Ventricular Septum * Hypoplastic
Left Heart Syndrome * Ebstein's Anomaly * Persistent Truncus Arteriosus * Single Ventricle * Double-Outlet Right
Ventricle * Heterotaxia (Atrial Isomerism, Splenic Syndromes) * Persistent Pulmonary Hypertension of the Newborn

Chapter 15

* Vascular Ring * Prevalence * Pathology * Clinical Manifestations * Diagnosis * Management

Chapter 16

* Chamber Localization and Cardiac Malposition * Chamber Localization * Dextrocardia and Mesocardia

Chapter 17

* Miscellaneous Congenital Cardiac Conditions * Aneurysm of the Sinus of Valsalva * Anomalous Origin of the Left
Coronary Artery from the Pulmonary Artery (Bland-White-Garland Syndrome, ALCAPA Syndrome) * Aortopulmonary Septal
Defect * Arteriovenous Fistula, Coronary * Arteriovenous Fistula, Pulmonary * Arteriovenous Fistula, Systemic * Atrial
Septal Aneurysm * Cervical Aortic Arch * Common Atrium * Cor Triatriatum * DiGeorge Syndrome * Double-Chambered Right
Ventricle * Ectopia Cordis * Hemitruncus Arteriosus * Idiopathic Dilation of the Pulmonary Artery * Kartagener Syndrome
* Parachute Mitral Valve * Patent Foramen Ovale * Pericardial Defect, Congenital * Pseudocoarctation of the Aorta *
Pulmonary Artery Stenosis * Scimitar Syndrome * Systemic Venous Anomalies

Part V Acquired Heart Disease

Chapter 18

* Primary Myocardial Disease * Hypertrophic Cardiomyopathy * Infants of Diabetic Mothers * Transient Hypertrophic
Cardiomyopathy in Neonates * Dilated or Congestive Cardiomyopathy * Endocardial Fibroelastosis * Doxorubicin
Cardiomyopathy * Carnitine Deficiency * Restrictive Cardiomyopathy * Right Ventricular Dysplasia * Noncompaction
Cardiomyopathy

Chapter 19

* Cardiovascular Infections * Infective Endocarditis * Myocarditis * Pericarditis * Constrictive Pericarditis *
Kawasaki Disease * Lyme Carditis * Postpericardiotomy Syndrome * Postperfusion Syndrome * Human Immunodeficiency Virus
Infection

Chapter 20

* Acute Rheumatic Fever * Prevalence * Cause * Pathology * Clinical Manifestations Diagnosis * Differential Diagnosis *
Clinical Course * Management * Prognosis * Prevention

Chapter 21

* Valvular Heart Disease * Mitral Stenosis * Mitral Regurgitation * Aortic Regurgitation * Clinical Manifestations *
Mitral Valve Prolapse

Chapter 22

* Cardiac Tumors * Prevalence * Pathology * Clinical Manifestations * Management

Chapter 23

* Cardiovascular Involvement in Systemic Diseases * Mucopolysaccharidoses * Systemic Lupus Erythematosus * Rheumatoid
Arthritis * Friedreich's Ataxia * Muscular Dystrophy * Myotonic Dystrophy * Marfan Syndrome * Acute Glomerulonephritis
* Hyperthyroidism: Congenital and Acquired * Hypothyroidism: Congenital and Acquired * Sickle Cell Anemia

Part VI Arrhythmias and Atrioventricular Conduction Disturbances

Chapter 24

* Cardiac Arrhythmias * Rhythms Originating in the Sinus Node * Rhythms Originating in the Atrium * Rhythms Originating
in the Atrioventricular Node * Rhythms Originating in the Ventricle * Long QT Syndrome * Short QT Syndrome * Brugada
Syndrome

Chapter 25

* Disturbances of Atrioventricular Conduction * First-Degree Atrioventricular Block * Second-Degree Atrioventricular
Block * Third-Degree Atrioventricular Block * Atrioventricular Disassociation

Chapter 26

* Cardiac Pacemakers and Implantable Cardioverter-Defibrillators in Children * ECGs of Artificial Cardiac Pacemakers *
Pacemaker Therapy in Children * Implantable Cardioverter-Defibrillator Therapy

Part VII Special Problems

Chapter 27

* Congestive Heart Failure * Definition * Cause * Pathophysiology of Congestive Heart Failure * Diagnosis * Management

Chapter 28

* Systemic Hypertension * Definition * Normative Blood Pressure Standards * Cause * Diagnosis and Workup * Management *
Hypertensive Crisis

Chapter 29

* Pulmonary Hypertension * Definition * Cause * Physiology * Pathogenesis * Pathology * Pathophysiology * Clinical
Manifestations * Natural History * Diagnosis * Management * Bronchopulmonary Dysplasia * Diaphragmatic Hernia

Chapter 30

* Child with Chest Pain * Cause and Prevalence * Clinical Manifestations * Diagnostic Approach * Management

Chapter 31

* Syncope * Prevalence * Definition * Causes * Evaluation of a Child with Syncope * Treatment * Differential Diagnosis

Chapter 32

* Palpitation * Definition and Description * Causes * Evaluation * Management

Chapter 33

* Dyslipidemia and Other Cardiovascular Risk Factors * Childhood Onset of Coronary Artery Disease * Cardiovascular Risk
Factors and Metabolic Syndrome * Dyslipidemia * Other Risk Factors * Practice of Preventive Cardiology

Chapter 34

* Athletes with Cardiac Problems * Sudden Unexpected Death in Young Athletes * Preparticipation Screening *
Classification of Sports * Eligibility Determination for Athletes with Cardiovascular Diseases * Cardiac Arrhythmias
and Sports * Athletes with Systemic Hypertension

Chapter 35

* Cardiac Transplantation * Indications * Selection of the Recipient * Evaluation and Management of the Cardiac Donor *
Informed Consent from the Family and Recipient * Operative Technique * Early Postoperative Management * Late Post-
Transplantation Follow-up * Prognosis

Appendices

Appendix A Miscellaneous

Appendix B Blood Pressure Values

Appendix C Cardiovascular Risk Factors

Appendix D Normal Echocardiographic Values and Images

Appendix E Drugs Used in Pediatric Cardiology

Suggested Readings

Index





New to This Edition
Take advantage of the most recent diagnostic and therapeutic advances in pediatric cardiology. Every topic and chapter
has been revised and updated to reflect the latest medical and surgical treatments for all congenital and acquired
heart diseases. New surgical approaches, including hybrid procedures, have been updated. A special focus has been
placed on noninvasive imaging techniques, normative blood pressure standards, suggested approaches to pediatric
hypertension, detection and management of lipid abnormalities as recommended by the Expert Panel, pediatric arrhythmias
(including long QT syndrome), and much more.
Access the full text online at Expert Consult.
Key Features
Apply the latest knowledge and methods with coverage of surgical techniques in pediatric cardiology, the application of
interventional non-surgical techniques, blood pressure standards, and cardiac arrhythmia treatments.
Easily grasp the latest techniques with helpful line drawings throughout.
Select the best approaches for your patients with extensive coverage of special problems, including congestive heart
failure and syncope.


목차
Part I Basic Tools in Routine Evaluation of Cardiac Patients

Chapter 1

* History Taking * Gestational and Natal History * Postnatal History * Family History

Chapter 2

* Physical Examination * Growth Pattern * Inspection * Palpation * Blood Pressure Measurement * Auscultation * Some
Special Features of the Cardiac Examination of Neonates

Chapter 3

* Electrocardiography * What Is the Vectorial Approach? * Comparison of Pediatric and Adult Electrocardiograms * Basic
Measurements and Their Normal and Abnormal Values Necessary for Routine Interpretation of an Electrocardiogram *
Ventricular Hypertrophy * Ventricular Conduction Disturbances * ST-Segment and T-Wave Changes

Chapter 4

* Chest Roentgenography * Heart Size and Silhouette * Evaluation of Cardiac Chambers and Great Arteries * Pulmonary
Vascular Markings * Systematic Approach

Chapter 5

* Flow Diagrams

Part II Special Tools in Evaluation of Cardiac Patients

Chapter 6

* Noninvasive Techniques * Echocardiography * Stress Testing * Long-Term ECG Recording * Ambulatory Blood Pressure
Monitoring

Chapter 7

* Invasive Procedures * Cardiac Catheterization and Angiocardiography* Catheter Intervention Procedures

Part III Pathophysiology

Chapter 8

* Fetal and Perinatal Circulation * Fetal Circulation * Changes in Circulation after Birth * Premature Newborns

Chapter 9

* Pathophysiology of Left-to-Right Shunt Lesions * Atrial Septal Defect * Ventricular Septal Defect * Patent Ductus
Arteriosus * Endocardial Cushion Defect

Chapter 10

* Pathophysiology of Obstructive and Valvular Regurgitation Lesions * Obstruction to Ventricular Output * Stenosis of
Atrioventricular Valves * Valvular Regurgitant Lesions

Chapter 11

* Pathophysiology of Cyanotic Congenital Heart Defects * Clinical Cyanosis * Common Cyanotic Heart Defects

Part IV Specific Congenital Heart Defects

Chapter 12

* Left-to-Right Shunt Lesions * Atrial Septal Defect * Ventricular Septal Defect * Management * Patent Ductus
Arteriosus * Patent Ductus Arteriosus in Preterm Neonates * Complete Endocardial Cushion Defect * Partial Endocardial
Cushion Defect * Partial Anomalous Pulmonary Venous Return

Chapter 13

* Obstructive Lesions * Pulmonary Stenosis * Aortic Stenosis * Coarctation of the Aorta * Interrupted Aortic Arch

Chapter 14

* Cyanotic Congenital Heart Defects * Approach to a Cyanotic Neonate * Complete Transposition of the Great Arteries *
Congenitally Corrected Transposition of the Great Arteries * Tetralogy of Fallot * Tetralogy of Fallot with Pulmonary
Atresia (Pulmonary Atresia and Ventricular Septal Defect) * Tetralogy of Fallot with Absent Pulmonary Valve * Total
Anomalous Pulmonary Venous Return * Tricuspid Atresia * Pulmonary Atresia with Intact Ventricular Septum * Hypoplastic
Left Heart Syndrome * Ebstein's Anomaly * Persistent Truncus Arteriosus * Single Ventricle * Double-Outlet Right
Ventricle * Heterotaxia (Atrial Isomerism, Splenic Syndromes) * Persistent Pulmonary Hypertension of the Newborn

Chapter 15

* Vascular Ring * Prevalence * Pathology * Clinical Manifestations * Diagnosis * Management

Chapter 16

* Chamber Localization and Cardiac Malposition * Chamber Localization * Dextrocardia and Mesocardia

Chapter 17

* Miscellaneous Congenital Cardiac Conditions * Aneurysm of the Sinus of Valsalva * Anomalous Origin of the Left
Coronary Artery from the Pulmonary Artery (Bland-White-Garland Syndrome, ALCAPA Syndrome) * Aortopulmonary Septal
Defect * Arteriovenous Fistula, Coronary * Arteriovenous Fistula, Pulmonary * Arteriovenous Fistula, Systemic * Atrial
Septal Aneurysm * Cervical Aortic Arch * Common Atrium * Cor Triatriatum * DiGeorge Syndrome * Double-Chambered Right
Ventricle * Ectopia Cordis * Hemitruncus Arteriosus * Idiopathic Dilation of the Pulmonary Artery * Kartagener Syndrome
* Parachute Mitral Valve * Patent Foramen Ovale * Pericardial Defect, Congenital * Pseudocoarctation of the Aorta *
Pulmonary Artery Stenosis * Scimitar Syndrome * Systemic Venous Anomalies

Part V Acquired Heart Disease

Chapter 18

* Primary Myocardial Disease * Hypertrophic Cardiomyopathy * Infants of Diabetic Mothers * Transient Hypertrophic
Cardiomyopathy in Neonates * Dilated or Congestive Cardiomyopathy * Endocardial Fibroelastosis * Doxorubicin
Cardiomyopathy * Carnitine Deficiency * Restrictive Cardiomyopathy * Right Ventricular Dysplasia * Noncompaction
Cardiomyopathy

Chapter 19

* Cardiovascular Infections * Infective Endocarditis * Myocarditis * Pericarditis * Constrictive Pericarditis *
Kawasaki Disease * Lyme Carditis * Postpericardiotomy Syndrome * Postperfusion Syndrome * Human Immunodeficiency Virus
Infection

Chapter 20

* Acute Rheumatic Fever * Prevalence * Cause * Pathology * Clinical Manifestations Diagnosis * Differential Diagnosis *
Clinical Course * Management * Prognosis * Prevention

Chapter 21

* Valvular Heart Disease * Mitral Stenosis * Mitral Regurgitation * Aortic Regurgitation * Clinical Manifestations *
Mitral Valve Prolapse

Chapter 22

* Cardiac Tumors * Prevalence * Pathology * Clinical Manifestations * Management

Chapter 23

* Cardiovascular Involvement in Systemic Diseases * Mucopolysaccharidoses * Systemic Lupus Erythematosus * Rheumatoid
Arthritis * Friedreich's Ataxia * Muscular Dystrophy * Myotonic Dystrophy * Marfan Syndrome * Acute Glomerulonephritis
* Hyperthyroidism: Congenital and Acquired * Hypothyroidism: Congenital and Acquired * Sickle Cell Anemia

Part VI Arrhythmias and Atrioventricular Conduction Disturbances

Chapter 24

* Cardiac Arrhythmias * Rhythms Originating in the Sinus Node * Rhythms Originating in the Atrium * Rhythms Originating
in the Atrioventricular Node * Rhythms Originating in the Ventricle * Long QT Syndrome * Short QT Syndrome * Brugada
Syndrome

Chapter 25

* Disturbances of Atrioventricular Conduction * First-Degree Atrioventricular Block * Second-Degree Atrioventricular
Block * Third-Degree Atrioventricular Block * Atrioventricular Disassociation

Chapter 26

* Cardiac Pacemakers and Implantable Cardioverter-Defibrillators in Children * ECGs of Artificial Cardiac Pacemakers *
Pacemaker Therapy in Children * Implantable Cardioverter-Defibrillator Therapy

Part VII Special Problems

Chapter 27

* Congestive Heart Failure * Definition * Cause * Pathophysiology of Congestive Heart Failure * Diagnosis * Management

Chapter 28

* Systemic Hypertension * Definition * Normative Blood Pressure Standards * Cause * Diagnosis and Workup * Management *
Hypertensive Crisis

Chapter 29

* Pulmonary Hypertension * Definition * Cause * Physiology * Pathogenesis * Pathology * Pathophysiology * Clinical
Manifestations * Natural History * Diagnosis * Management * Bronchopulmonary Dysplasia * Diaphragmatic Hernia

Chapter 30

* Child with Chest Pain * Cause and Prevalence * Clinical Manifestations * Diagnostic Approach * Management

Chapter 31

* Syncope * Prevalence * Definition * Causes * Evaluation of a Child with Syncope * Treatment * Differential Diagnosis

Chapter 32

* Palpitation * Definition and Description * Causes * Evaluation * Management

Chapter 33

* Dyslipidemia and Other Cardiovascular Risk Factors * Childhood Onset of Coronary Artery Disease * Cardiovascular Risk
Factors and Metabolic Syndrome * Dyslipidemia * Other Risk Factors * Practice of Preventive Cardiology

Chapter 34

* Athletes with Cardiac Problems * Sudden Unexpected Death in Young Athletes * Preparticipation Screening *
Classification of Sports * Eligibility Determination for Athletes with Cardiovascular Diseases * Cardiac Arrhythmias
and Sports * Athletes with Systemic Hypertension

Chapter 35

* Cardiac Transplantation * Indications * Selection of the Recipient * Evaluation and Management of the Cardiac Donor *
Informed Consent from the Family and Recipient * Operative Technique * Early Postoperative Management * Late Post-
Transplantation Follow-up * Prognosis

Appendices

Appendix A Miscellaneous

Appendix B Blood Pressure Values

Appendix C Cardiovascular Risk Factors

Appendix D Normal Echocardiographic Values and Images

Appendix E Drugs Used in Pediatric Cardiology

Suggested Readings

Index