Sub Specilities

Pediatric Cardiology

Pediatric Cardiology

What is pediatric cardiology?

This is a subspecialty of cardiology that focuses on diseases and conditions of the heart and circulatory system which affect infants, children, and adolescents. Medical doctors who specialize in this specialty are known as pediatric cardiologists.

 

What conditions are treated?

Congenital heart defects Valvular heart disease, Heart failure, Coronary Sinus Atrial Septal Defects, Aortopulmonary Septal Defect, Electrophysiology, Coronary artery disease, Acquired Mitral Stenosis, Myocardial Infarction in Childhood, Patent Ductus Arteriosus (PDA)Ostium Secundum Atrial Septal Defects, Atrioventricular Node Reentry Supraventricular Tachycardia, Commotio Cordis, Bicuspid Aortic Valve, Anomalous Left Coronary Artery From the Pulmonary Artery, Coarctation of the AortaInterrupted Aortic Arch, Double-Chambered Right Ventricle, Congenital Mitral Stenosis, Partial Anomalous Pulmonary Venous Connection, Coronary Artery Fistula, Double Orifice Mitral Valve, Valvar Pulmonary Stenosis, Double Outlet Right Ventricle With Normally Related Great Arteries, Velocardiofacial Syndrome, Double Aortic Arch, Coronary Artery Anomalies, Double Outlet Right Ventricle With Transposition, Endocardial Fibroelastosis, Heterotaxy Syndrome and Primary Ciliary Dyskinesia, High Altitude Pulmonary HypertensionInfundibular Pulmonary Stenosis, Williams Syndrome, Junctional Ectopic Tachycardia, Muscular Ventricular Septal Defect, Ostium Primum Atrial Septal Defects, Pediatric Atrial Ectopic Tachycardia, Pediatric Atrial Flutter, Truncus Arteriosus, Ventricular Inversion, Pediatric Aortic Valve Insufficiency, Ventricular Septal Defects.

 

Devices used in pediatric cardiology

Stethoscope: This is an acoustic device which the pediatric cardiologist uses to listen to the internal sounds such as heart sounds. It can also be used to listen for bowel sounds, lung sounds and bruits (renal and carotid).

EKG calipers: This is a device used to measure intervals and also compare intervals on EKGs.

Pacemaker: This is an electrical device which is implanted to replace the natural pacemaker of the heart.

Defibrillator: This is an electrical device which alters the heart’s rhythm using electrical energy. It is used to top fibrillation of the heart.

 

Diagnostic tests and procedures

Echocardiogram: – a sound wave picture to check the structure and function of the heart.Ambulatory 

ECG: This is a test, which is done during activity to look for any abnormal heart rhythms.

Exercise test: This is a test to measure if the heart is functioning well. 

Cardiac Catheterization: This test involves placing a small tube (catheter) in or near the heart for closer observation. It can also e used to relieve the blockage.

Blood tests: This includes testing the levels of cholesterol, Creatine kinase, and Troponin .

Echocardiography (echo): This test inspects the heart’s chambers and blood flow.

Transthoracic echocardiogram (TTE): This is an echocardiogram of the heart via the thorax. It is a noninvasive procedure and takes a short time.

Transesophageal echocardiogram (TEE): This is an echocardiogram of the heart through the esophagus. It can require general anesthesia or sedation.

Cardiovascular magnetic resonance imaging (CMR): An MRI of the heart utilizes the ECG to observe specific mechanical functions of the heart.

Auscultation: This test involves listening to sounds such as heart sounds using a stethoscope.

Electrocardiography (ECG or EKG): This test measures the electrical activity of the heart using electrodes which are placed on the skin

DR. ANTONY JOSEPH THEKKINEDATH

Paediatrics / Neonatology

Introducing to myself

Dr. T. J. Antony, M.D., MRCP(Paediatrics), FRCPCH, is an acclaimed and renowned Neonatologist in the country. He is the Director and Head of the Department of Neonatology at Fortis Memorial Research Institute, Gurgaon. With a rich experience of 32 years to his credit, Dr. Antony has been associated with many prestigious organizations like Lady Hardinge Medical College, New Delhi, the Ministry of Health, Oman, St. Peter's Hospital, Chertsey, England and Mayday University Hospital, Croydon, England. He takes keen interest in educational activities and research. He has been involved in undergraduate and postgraduate medical training in India, Oman and the United Kingdon. He was also involved in training of doctors under various WHO Programmes for children. He is a national trainer for Neonatal Resuscitation Programme. He is also interested in research and has several publications in peer reviewed journals.

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DR. RAKESH K JAIN

Paediatrics / Paediatric Neurology

Introducing to myself

Dr. Rakesh Jain is a UK trained and experienced Paediatric Neurologist with over 19 years of experience. He has been working as Senior consultant Paediatric Neurologist at Fortis Hospital for the last 6 years. He has presented his work at many conferences like Pedicon, European Paediatric Neurology, British Paediatric Neurology and the Royal College of Paediatric & Child Health Conference, to name a few. He is an active member of various international neurology societies. He has been instrumental in initiating various courses on Paediatric Epilepsyand PaediatricEEG in India. Paediatric Epilepsy courses have been conducted across India to train paediatrician in collaboration with BPNA, UK.

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DR. K S IYER

Paediatric Cardiac Surgery

Introducing to myself

Dr. Krishna S Iyer is is Executive Director in Paediatric Cardiac Surgery and is one of India's most experienced pediatric cardiac surgeons, recognised for his clinical expertise and involvement with cardiac care for children in India and other developing nations.

After his medical training he joined the faculty of cardiac surgery department of AIIMS, New Delhi. He then trained in infant cardiac surgery in Australia and then established neonatal cardiac surgery at AIIMS.

Dr. Iyer began the first dedicated pediatric cardiac care program in North India at EHIRC ( now FEHI ) in 1995. Under his guidance, this pediatric cardiac program has become the benchmark for cardiac care for children in India and its South East Asian neighbours. Dr. Iyer has operated on more than 14,000 patients with congenital heart diseases from all parts of India and International patients from over 15 countries. He has performed the first successful rapid two stage arterial switch and double-switch operation in India.

He has more than hundred research publications in national and international journals and travels extensively to cities across India and abroad to deliver lectures.

He has been the Founder President of Asia-Pacific Pediatric Cardiac Society, Society of Pediatric and Congenital Heart Surgeons and President of Pediatric Cardiac Society of India.

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