Paediatric cardiology is a branch of medicine concerned with the diagnosis, treatment and prevention of heart and circulatory system diseases in children – from the foetal stage right through to adolescence. It covers, amongst other things, congenital and acquired heart defects, arrhythmias and vascular diseases.
Treatment and prevention in paediatric cardiology involve various therapeutic methods – ranging from observation, investigations and regular monitoring of detected abnormalities, through to drug therapy and minimally invasive procedures, right up to cardiac surgery.
Any abnormalities detected during antenatal screening may indicate a congenital heart defect, which requires further diagnosis and the planning of care.
Worrying symptoms or abnormal test results may suggest a heart defect, which affects the development and function of the heart and makes it difficult for the child to carry out everyday activities.
They increase the risk of the condition developing in a child and are an indication for preventive cardiological assessment.
They may indicate reduced cardiovascular function, which can significantly hinder a child’s daily activities and normal development.
Recurring or worsening pain may be linked to the heart. It should be investigated.
It may be a symptom of, amongst other things, impaired blood oxygenation, which may indicate more serious abnormalities in the functioning of the heart or the circulatory system.
Foetal echocardiogram
A baby’s heart echo
The cardiologist discusses the young patient’s health, their development to date, any symptoms observed, and the course of the pregnancy and delivery with the child’s parents or carers. The specialist asks about specific symptoms, including shortness of breath, the child tiring easily, fainting, chest pain, palpitations or cyanosis. They then carry out a physical examination and, if necessary, order or perform diagnostic tests such as an ECG or an echocardiogram.
A standard paediatric cardiology consultation usually lasts around 20–30 minutes. It includes a medical history, a physical examination and, depending on the circumstances, tests and/or a discussion of the results. In the case of more complex cardiac problems, the appointment may take longer.
It is advisable to see a paediatric cardiologist if your child is experiencing symptoms such as heart murmurs, fainting, shortness of breath, rapid fatigue, chest pain, heart rhythm disorders or delayed physical development. A consultation is also recommended in the event of abnormal test results, if heart defects have been detected, if there is a family history of heart conditions, or before starting intensive sporting activity.
At INVICTA Clinics, we ensure our young patients’ comfort at every appointment. We know how important it is to minimise stress and ensure a sense of security for both children and their parents. The tests carried out are safe and non-invasive, and every specialist ensures a calm atmosphere.
Yes, paediatric cardiology consultations always take place in the presence of the young patient’s parents or carers. Their presence is essential both during the medical history-taking stage and when discussing test results, recommendations and further diagnostic or therapeutic management.
A child’s cardiological care often comes to an end once a specific problem has been ruled out or treated. However, in the case of congenital defects or chronic conditions, long-term monitoring may be necessary. The decision to discontinue specialist follow-up is always made after considering the patient’s individual circumstances.
Regular cardiological check-ups are recommended for children with diagnosed heart conditions, congenital heart defects or a family history of heart disease. These check-ups enable the early detection of abnormalities and allow the development of the cardiovascular system to be monitored, thereby ensuring the young patient’s safe and healthy development.
