{"id":945,"date":"2026-02-23T07:12:36","date_gmt":"2026-02-23T07:12:36","guid":{"rendered":"https:\/\/cansaran.com\/?p=945"},"modified":"2026-10-13T20:08:19","modified_gmt":"2026-10-13T20:08:19","slug":"what-is-pediatric-cardiology-which-diseases-does-it-treat","status":"publish","type":"post","link":"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/","title":{"rendered":"Pediatric Cardiology: Common Heart Diseases, Diagnostic Tests and Treatments"},"content":{"rendered":"<p>Pediatric cardiology is a special branch of medicine that undertakes the diagnosis, treatment, and follow-up of heart and vascular diseases in children from babies in the womb to 18 years of age. Specialists in this field deal with heart problems at every age, from the tiny heart of a newborn to the heart of adolescents.<\/p>\n<p>A child\u2019s heart, almost like a growing city, is in a state of constant development and change. The heart, which is approximately the size of a walnut at birth, reaches almost adult size by the end of adolescence. This dynamic process makes pediatric cardiology a unique and challenging field. Because treatment plans must take into account not only the current problem but also this growth process.<\/p>\n<p>This field, also known as pediatric cardiology, requires expertise across a wide range, from congenital heart defects to acquired heart diseases, from rhythm disorders to diseases affecting the heart muscle. In fact, today, thanks to fetal cardiology, babies\u2019 hearts can be evaluated before they are even born, and in some cases, postnatal treatment plans can be prepared.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#What_Is_Pediatric_Cardiology\" >What Is Pediatric Cardiology?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Difference_from_Adult_Cardiology\" >Difference from Adult Cardiology<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Specialization_Process\" >Specialization Process<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Which_Diseases_Does_Pediatric_Cardiology_Treat\" >Which Diseases Does Pediatric Cardiology Treat?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Congenital_Heart_Diseases\" >Congenital Heart Diseases<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Acquired_Heart_Diseases\" >Acquired Heart Diseases<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Rhythm_Disorders_in_Children\" >Rhythm Disorders in Children<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#What_Are_the_Symptoms_of_Heart_Disease_in_Children\" >What Are the Symptoms of Heart Disease in Children?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Bluish_Discoloration_Cyanosis\" >Bluish Discoloration (Cyanosis)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Getting_Tired_Quickly\" >Getting Tired Quickly<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Shortness_of_Breath\" >Shortness of Breath<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Palpitations\" >Palpitations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Fainting\" >Fainting<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Difficulty_Sucking_in_Babies\" >Difficulty Sucking in Babies<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#How_Is_a_Pediatric_Cardiology_Examination_Performed\" >How Is a Pediatric Cardiology Examination Performed?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Physical_Examination_and_Murmur_Evaluation\" >Physical Examination and Murmur Evaluation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#ECHO_Echocardiography\" >ECHO (Echocardiography)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#ECG_and_Holter\" >ECG and Holter<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Advanced_Examinations_MRI_Catheterization\" >Advanced Examinations (MRI, Catheterization)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#When_Should_a_Pediatric_Cardiologist_Be_Consulted\" >When Should a Pediatric Cardiologist Be Consulted?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#If_There_Is_Heart_Disease_in_the_Family\" >If There Is Heart Disease in the Family<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#Pre-Sports_Screening\" >Pre-Sports Screening<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#If_a_Murmur_Is_Detected\" >If a Murmur Is Detected<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/cansaran.com\/en\/what-is-pediatric-cardiology-which-diseases-does-it-treat\/#In_Case_of_Sudden_Fainting\" >In Case of Sudden Fainting<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Pediatric_Cardiology\"><\/span>What Is Pediatric Cardiology?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pediatric cardiology is the medical specialty that deals with the diagnosis, follow-up, and treatment of heart and circulatory system diseases from infancy to adolescence. Congenital heart diseases, rhythm disorders, <a href=\"https:\/\/cansaran.com\/en\/treatments\/heart-murmur-in-children-innocent-and-pathological-murmurs\/\">heart murmurs<\/a>, and acquired heart conditions are within the scope of this field. Pediatric cardiologists create an appropriate medical or interventional treatment plan by performing evaluations with echocardiography, ECG, and other advanced examination methods.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Difference_from_Adult_Cardiology\"><\/span>Difference from Adult Cardiology<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The difference between pediatric cardiology and adult cardiology covers not only the patient\u2019s age but also the disease spectrum, diagnostic methods, and treatment approaches. We can summarize these differences as follows:<\/p>\n<p>While the vast majority of heart problems in children (85-90%) are congenital, problems related to lifestyle and aging, such as coronary artery disease, are more prominent in adults. While a pediatric cardiologist deals with structural problems such as ASD (Atrial Septal Defect) or VSD (Ventricular Septal Defect), which can be noticed even at birth, an adult cardiologist more often encounters problems such as vascular occlusions and hypertension.<\/p>\n<p>The physiology of a child\u2019s heart is also completely different. For example, while the normal heart rate of a newborn baby is between 120-160 beats per minute, it is 70-110 in a school-age child and 60-100 in an adult. Therefore, even ECG evaluation requires different norms according to age.<\/p>\n<p>Symptoms also show major differences according to age. An adult may complain of chest pain while having a heart attack, but a problem of the same seriousness in a baby may present itself only as restlessness, bruising, or difficulty sucking. Being able to read these \u201csilent\u201d symptoms is one of the most critical aspects of pediatric cardiology.<\/p>\n<p>Treatment approaches are also specific. Drug doses are adjusted not only according to weight but also according to age, organ maturity, and metabolic rate. In surgical interventions, the long-term consequences of a procedure performed on a growing heart must be calculated. Could a valve placed in a 5-year-old child today become insufficient at the age of 15? Questions like these are what make pediatric cardiology unique.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Specialization_Process\"><\/span>Specialization Process<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Becoming a pediatric cardiology specialist requires one of the longest and most challenging training processes in the medical world. This journey begins after 6 years of medical school education and includes the following stages:<\/p>\n<p>First, 4 years of specialization training in child health and diseases (pediatrics) is completed. During this process, the physician develops general knowledge and skills related to pediatric patients.<\/p>\n<p>Then comes 3 years of pediatric cardiology subspecialty training. During this period, in-depth training is received in areas such as the diagnosis and treatment of congenital heart diseases, echocardiography, fetal echocardiography, cardiac catheterization, electrophysiology, and intensive care skills.<\/p>\n<p>After a total of 13 years of training, a physician becomes entitled to receive the title of pediatric cardiology specialist. However, the learning process never ends. Constantly developing technology and treatment methods make lifelong education mandatory.<\/p>\n<p>This long and challenging training process enables pediatric cardiologists to develop not only their medical knowledge and skills but also their ability to communicate with little patients and anxious families. Because in pediatric cardiology, it is not only a tiny heart that is treated, but an entire family. A pediatric cardiologist must both understand complex heart anatomy and be able to convey this information to an anxious mother in a way she can understand.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_Diseases_Does_Pediatric_Cardiology_Treat\"><\/span>Which Diseases Does Pediatric Cardiology Treat?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pediatric cardiology deals with a wide range of diseases affecting the heart and vascular system. We can examine these diseases under three main headings: congenital heart defects, acquired heart diseases, and rhythm disorders. Each includes different subgroups and treatment approaches within itself.<\/p>\n\n\t<section class=\"section\" id=\"section_449087010\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(198, 27, 1);border-width:3px 0px 3px 0px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1417596949\">\n\n\t<div id=\"col-84351313\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p class=\"lead shortcode-error text-center\">Sorry, no pages was found<\/p>\n  \n    <div class=\"row border-gorsel large-columns-2 medium-columns- small-columns-\" >\n  <\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_449087010 {\n  padding-top: 60px;\n  padding-bottom: 60px;\n  background-color: rgb(241, 241, 241);\n}\n<\/style>\n\t<\/section>\n\t\n<h3><span class=\"ez-toc-section\" id=\"Congenital_Heart_Diseases\"><\/span>Congenital Heart Diseases<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Congenital heart diseases occur as a result of deviations in the normal formation process of the heart during the baby\u2019s development in the womb. These anomalies, seen in approximately 0.8-1 of every 100 live births, are among the most common congenital defects.<\/p>\n<ul>\n<li>ASD, VSD (Atrial and Ventricular Septal Defects) &#8211; These conditions, popularly known as \u201ca hole in the heart,\u201d refer to the presence of openings in the walls between the chambers of the heart. ASD is a hole in the wall between the upper chambers of the heart (atria) and is generally better tolerated. VSD is a hole in the wall between the lower chambers (ventricles) and may show symptoms earlier. These holes increase the workload of the heart by causing the blood inside the heart to flow in the wrong directions. While small holes may close on their own, larger ones must be closed with surgery or catheter procedures.<\/li>\n<li>Tetralogy of Fallot &#8211; It is a complex anomaly in which four different heart defects occur together: pulmonary stenosis (narrowing of the pulmonary artery), VSD (hole between the ventricles), displacement of the aorta to the right, and right ventricular hypertrophy (thickening). Cyanosis (bluish discoloration) is typically seen in these babies; especially when they cry or exert themselves, their color becomes bluish-purple. This condition, also known as \u201cblue baby,\u201d usually requires surgical intervention in the first year of life.<\/li>\n<li>Major Vessel Anomalies &#8211; This group includes structural problems of the main vessels leaving the heart. Conditions such as aortic coarctation (narrowing of the aortic vessel), transposition of the great arteries (the aorta and pulmonary artery emerging from the wrong ventricles), and interrupted aortic arch are in this category. These anomalies generally require early diagnosis and intervention, while some are life-threatening conditions requiring emergency surgery.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Acquired_Heart_Diseases\"><\/span>Acquired Heart Diseases<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Heart diseases that may develop later in children whose hearts are normal at birth are also an important area of study in pediatric cardiology. These diseases usually occur as a result of infections, autoimmune processes, or metabolic disorders.<\/p>\n<ul>\n<li>Rheumatic Heart Disease &#8211; It is a complication of acute rheumatic fever that develops after a throat infection caused by group A beta-hemolytic streptococcus bacteria. The body\u2019s immune system also damages the heart valves with the antibodies it produces against the bacteria. It can lead to stenosis or insufficiency in the heart valves, especially the mitral valve. Although rare in developed countries, it is still an important public health problem in our country. Recurrence can be prevented with regular antibiotic prophylaxis.<\/li>\n<li>Myocarditis &#8211; It is inflammation of the heart muscle. This condition, mostly caused by viruses (especially Coxsackie B virus), may present with symptoms ranging from mild chest pain to heart failure. In children, it usually develops following an upper respiratory tract infection. While mild cases may heal on their own, severe cases may require intensive care support and, in some cases, may lead to permanent heart muscle damage.<\/li>\n<li>Cardiomyopathy &#8211; It is a group of diseases involving structural and functional disorders of the heart muscle. There are different types such as dilated cardiomyopathy (enlargement of the heart and decreased pumping power), hypertrophic cardiomyopathy (abnormal thickening of the heart muscle), and restrictive cardiomyopathy (the heart becoming stiff and unable to expand sufficiently). It may develop as a result of genetic factors, metabolic diseases, or previous myocarditis. Heart transplantation may be required in advanced cases.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Rhythm_Disorders_in_Children\"><\/span>Rhythm Disorders in Children<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Rhythm disorders that occur due to problems in the electrical system of the heart can also be seen in children. These conditions may sometimes be congenital and sometimes acquired, and they can cause symptoms such as palpitations, dizziness, or fainting.<\/p>\n<ul>\n<li>Tachycardia &#8211; It is a heart rate above normal values according to age. Supraventricular tachycardia (SVT) is the most common serious rhythm disorder in children. The heart rate may suddenly rise to 200-300 beats\/minute. Babies may become restless, pale, and unable to feed. Older children describe palpitations and a feeling of tightness in the chest. It may require emergency intervention, and in some cases, ablation treatment may be applied.<\/li>\n<li>Bradycardia &#8211; It is a heart rate below normal values according to age. It may be seen physiologically in athletic children, or it may occur due to congenital or acquired problems in the conduction system of the heart. Severe bradycardia can cause insufficient cardiac output and fainting, especially during exertion. In some cases, a pacemaker may need to be implanted.<\/li>\n<li>Wolff-Parkinson-White (WPW) Syndrome &#8211; It is the presence of an extra electrical connection (accessory pathway) between the atria and ventricles in addition to the normal conduction pathway in the heart. This condition may cause characteristic changes on the electrocardiogram (ECG) and sudden palpitation attacks. Rarely, especially during adolescence, it may lead to dangerous rhythm disorders. When diagnosed, risk assessment is performed, and catheter ablation (burning the accessory pathway) treatment may be applied in some patients.<\/li>\n<\/ul>\n<p>Each rhythm disorder has its own diagnostic methods and treatment approaches. Holter ECG (24-hour continuous ECG recording), exercise testing, and electrophysiological studies are important tools used in diagnosis. In treatment, medications, catheter ablation, or electronic devices (pacemaker, implantable defibrillator) may be used.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Symptoms_of_Heart_Disease_in_Children\"><\/span>What Are the Symptoms of Heart Disease in Children?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Symptoms of heart disease in children do not appear with clear expressions such as \u201cI have pain in my chest,\u201d as in adults. Especially since babies and young children cannot express their complaints, the observational ability of parents and physicians is of great importance. Symptoms vary according to age and may sometimes be very subtle. These symptoms must be investigated and interpreted correctly like a detective.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Bluish_Discoloration_Cyanosis\"><\/span><a href=\"https:\/\/cansaran.com\/en\/treatments\/congenital-heart-diseases-in-children-heart-defects-valve-stenosis-regurgitation-etc\/\">Bluish Discoloration (Cyanosis)<\/a><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Cyanosis is a bluish-purple color change indicating low oxygen levels in the blood. It is especially noticeable on the lips, tongue, inside of the mouth, and nail beds. Cyanosis seen in heart diseases generally has the following characteristics:<\/p>\n<ul>\n<li aria-level=\"1\">It becomes more pronounced during feeding, crying, or mild exertion<\/li>\n<li aria-level=\"1\">It may not completely disappear with rest<\/li>\n<li aria-level=\"1\">Central cyanosis (inside the mouth and tongue) accompanies peripheral cyanosis (hands and feet)<\/li>\n<\/ul>\n<p>However, not every bluish discoloration means heart disease. Bluish discoloration of the hands and feet in cold weather (peripheral cyanosis) is a normal physiological response. The presence of central cyanosis is important to suspect heart disease.<\/p>\n<p>Cyanosis is seen especially in conditions known as \u201ccyanotic congenital heart diseases,\u201d such as Tetralogy of Fallot and transposition of the great arteries. These babies are also popularly called \u201cblue babies\u201d and usually require early surgical intervention.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Getting_Tired_Quickly\"><\/span>Getting Tired Quickly<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Children with heart disease get tired more quickly than their peers. This is due to the heart being unable to meet the body\u2019s increased oxygen demand. The following situations should be noted:<\/p>\n<ul>\n<li aria-level=\"1\">Fatigue and shortness of breath during feeding in babies<\/li>\n<li aria-level=\"1\">Inability to walk short distances in preschool children<\/li>\n<li aria-level=\"1\">Avoiding sports activities in school-age children<\/li>\n<li aria-level=\"1\">Experiencing marked shortness of breath while climbing stairs<\/li>\n<\/ul>\n<p>This decrease in exercise capacity is particularly evident in large left-to-right shunt heart diseases (such as large VSD) or heart muscle diseases (cardiomyopathy).<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Shortness_of_Breath\"><\/span>Shortness of Breath<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Shortness of breath is one of the most common symptoms of heart disease and manifests itself in different ways according to age:<\/p>\n<ul>\n<li aria-level=\"1\">In babies: rapid breathing (tachypnea), flaring of the nostrils during breathing, retractions in the rib cage<\/li>\n<li aria-level=\"1\">In older children: shortness of breath increasing with exertion, inability to complete sentences while speaking<\/li>\n<li aria-level=\"1\">Shortness of breath occurring at night (paroxysmal nocturnal dyspnea)<\/li>\n<\/ul>\n<p>Shortness of breath that increases especially in the lying position and is relieved in the sitting position is an important sign of heart failure. This condition develops due to fluid accumulation in the lungs (pulmonary edema).<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Palpitations\"><\/span>Palpitations<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Palpitations are the sensation that the heart is beating faster, irregularly, or more strongly than normal. Older children may describe this as \u201cmy heart feels like it is going to jump out of my chest.\u201d Palpitations are an important symptom, especially of rhythm disorders.<\/p>\n<p>The characteristics of palpitations are important for diagnosis:<\/p>\n<ul>\n<li aria-level=\"1\">Palpitations that start and end suddenly: suggest supraventricular tachycardia<\/li>\n<li aria-level=\"1\">Single palpitations described as \u201cmy heart skipped\/flipped\u201d: suggest premature beats<\/li>\n<li aria-level=\"1\">Palpitations that increase with exertion and do not pass with rest: suggest underlying structural heart disease<\/li>\n<\/ul>\n<p>If dizziness, fainting, or chest pain accompanies palpitations, the condition may be more serious and requires urgent evaluation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Fainting\"><\/span><a href=\"https:\/\/cansaran.com\/en\/treatments\/evaluation-of-causes-of-fainting-syncope-in-children\/\">Fainting<\/a><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Fainting (syncope) is loss of consciousness as a result of a temporary decrease in blood flow to the brain. Although fainting in children is also frequently seen due to non-cardiac causes, some characteristics suggest cardiac-related fainting:<\/p>\n<ul>\n<li aria-level=\"1\">Fainting during or immediately after exercise<\/li>\n<li aria-level=\"1\">Fainting triggered by sudden noise or startle<\/li>\n<li aria-level=\"1\">Feeling palpitations before fainting<\/li>\n<li aria-level=\"1\">Fainting in children with a family history of sudden death<\/li>\n<\/ul>\n<p>Such fainting occurs especially in conditions that can lead to serious rhythm disorders, such as hypertrophic cardiomyopathy and long QT syndrome, and requires urgent evaluation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Difficulty_Sucking_in_Babies\"><\/span>Difficulty Sucking in Babies<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Babies with heart disease get tired quickly during feeding and cannot feed sufficiently. This manifests itself in the following ways:<\/p>\n<ul>\n<li aria-level=\"1\">Frequent pauses and need to catch breath during feeding<\/li>\n<li aria-level=\"1\">Feeding lasting longer than normal (more than 30 minutes)<\/li>\n<li aria-level=\"1\">Excessive sweating after feeding<\/li>\n<li aria-level=\"1\">Insufficient weight gain<\/li>\n<\/ul>\n<p>Especially in babies with heart failure, feeding almost becomes a marathon. Since these babies cannot get enough calories at each meal, their growth and development are also negatively affected.<\/p>\n<p>In the presence of all these symptoms, it is important for the child to be evaluated by a pediatric cardiology specialist. Early diagnosis and treatment can enable children with heart disease to live a normal life. Let us not forget that many heart diseases can be successfully treated today.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Is_a_Pediatric_Cardiology_Examination_Performed\"><\/span>How Is a Pediatric Cardiology Examination Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A pediatric cardiology examination is almost like a puzzle-solving process. The specialist physician tries to solve the secrets of the heart on a journey that extends from the child\u2019s history to the physical examination, from simple tests to advanced imaging methods. This process is shaped according to the child\u2019s age, complaints, and the suspected disease.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Physical_Examination_and_Murmur_Evaluation\"><\/span>Physical Examination and Murmur Evaluation<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A pediatric cardiology examination begins with a general evaluation. The doctor first evaluates the child\u2019s general appearance, skin color, breathing, and physical development. Growth curves are examined; whether height and weight are within normal limits for age and whether there is developmental delay are checked.<\/p>\n<p>Then the heart examination begins. The four chambers and valves of the heart are systematically listened to with a stethoscope. Normal heart sounds are heard as \u201club-dub.\u201d The first sound (S1) occurs with the closure of the mitral and tricuspid valves, and the second sound (S2) occurs with the closure of the aortic and pulmonary valves.<\/p>\n<p>Murmur evaluation is the most critical part of the examination. Murmurs are turbulence sounds produced by blood as it passes through the heart or vessels. Not every murmur is a sign of disease; in approximately 50% of children, sounds called \u201cinnocent murmurs,\u201d which do not indicate any structural problem, may be heard.<\/p>\n<p>The following characteristics of the murmur are evaluated:<\/p>\n<ul>\n<li aria-level=\"1\">Timing: Systolic (when the heart contracts), diastolic (when the heart relaxes), or continuous<\/li>\n<li aria-level=\"1\">Intensity: graded between 1\/6 and 6\/6<\/li>\n<li aria-level=\"1\">Location: the area where it is best heard (apex, left sternal border, right sternal border, etc.)<\/li>\n<li aria-level=\"1\">Radiation: Does the sound spread to other areas?<\/li>\n<li aria-level=\"1\">Character: blowing, harsh, musical, etc.<\/li>\n<\/ul>\n<p>Innocent murmurs are generally systolic, 1-2\/6 in intensity, heard at the left sternal border, not radiating, and decreasing or disappearing when the child moves into a lying position. Pathological murmurs may be louder, diastolic or continuous, and are usually accompanied by other examination findings (for example, heart enlargement, changes in pulse characteristics).<\/p>\n<p>Evaluation of pulses is also important. Weak or delayed femoral pulses suggest diseases such as aortic coarctation. Very wide pulse pressure (bounding pulse) is seen in conditions such as aortic valve insufficiency or patent ductus arteriosus.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"ECHO_Echocardiography\"><\/span>ECHO (Echocardiography)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Echocardiography is a painless and radiation-free examination that uses ultrasound waves to image the structure and functions of the heart in real time. It is the indispensable diagnostic tool of pediatric cardiology and almost draws the anatomical map of the heart.<\/p>\n<p>Parameters that can be evaluated with ECHO:<\/p>\n<ul>\n<li aria-level=\"1\">Sizes of the heart chambers and wall thicknesses<\/li>\n<li aria-level=\"1\">Structure and function of the heart valves<\/li>\n<li aria-level=\"1\">Direction and speed of blood flow within the heart and large vessels<\/li>\n<li aria-level=\"1\">Congenital anomalies (ASD, VSD, Tetralogy of Fallot, etc.)<\/li>\n<li aria-level=\"1\">Contractile power of the heart muscle (ejection fraction)<\/li>\n<li aria-level=\"1\">Fluid accumulation in the pericardium (pericardial effusion)<\/li>\n<\/ul>\n<p>Echocardiography can be performed in different modes:<\/p>\n<ul>\n<li aria-level=\"1\">M-mode: evaluates the movements of heart walls and valves<\/li>\n<li aria-level=\"1\">2D (two-dimensional) ECHO: shows the anatomical structure of the heart in sections<\/li>\n<li aria-level=\"1\">Doppler ECHO: shows the direction and speed of blood flow in color<\/li>\n<li aria-level=\"1\">Tissue Doppler: evaluates the movements of the heart muscle<\/li>\n<\/ul>\n<p>Performing ECHO in children involves different challenges than in adults. Young children may be active or frightened during the examination. Therefore, it is important for pediatric cardiology centers to have a child-friendly environment and experienced technicians. Sometimes, in very small babies or children who cannot cooperate, ECHO may need to be performed under mild sedation.<\/p>\n<p>Fetal echocardiography enables evaluation of the baby\u2019s heart while still in the womb. Especially in cases with a family history of congenital heart disease, babies of diabetic mothers, or fetuses with other anomalies, it allows prenatal diagnosis and preparation of the postnatal treatment plan.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"ECG_and_Holter\"><\/span>ECG and Holter<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Electrocardiography (ECG) is a simple but very valuable test that records the electrical activity of the heart. Through electrodes placed on the chest, arms, and legs, it provides information about the rhythm, conduction system, and muscle mass of the heart.<\/p>\n<p>ECG evaluation in children is different from that in adults. Normal values change according to age; for example, right ventricular dominance is normal in the newborn period, while this condition turns into left ventricular dominance as age advances. Therefore, it is important that pediatric ECGs are evaluated by pediatric cardiology specialists.<\/p>\n<p>Conditions that can be detected with ECG:<\/p>\n<ul>\n<li aria-level=\"1\">Rhythm disorders (tachycardia, bradycardia, arrhythmia)<\/li>\n<li aria-level=\"1\">Conduction disorders (AV block, bundle branch blocks)<\/li>\n<li aria-level=\"1\">Ventricular hypertrophy (thickening)<\/li>\n<li aria-level=\"1\">Myocardial ischemia or damage<\/li>\n<li aria-level=\"1\">Electrolyte imbalances<\/li>\n<li aria-level=\"1\">Pre-excitation syndromes such as WPW syndrome<\/li>\n<\/ul>\n<p>Holter monitoring is the process of continuously recording the heart rhythm for 24-48 hours. A small, portable device is attached to the child\u2019s chest, and the heart rhythm is monitored during daily activities. When a complaint occurs (palpitations, dizziness, etc.), the child or family presses a button on the device to mark that moment and records daily activities in a diary.<\/p>\n<p>Holter monitoring is especially valuable in the following situations:<\/p>\n<ul>\n<li aria-level=\"1\">In children with intermittent complaints of palpitations<\/li>\n<li aria-level=\"1\">In patients with unexplained fainting attacks<\/li>\n<li aria-level=\"1\">In evaluating the effectiveness of rhythm disorder treatment<\/li>\n<li aria-level=\"1\">In the follow-up of children who have undergone surgery due to congenital heart disease<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Advanced_Examinations_MRI_Catheterization\"><\/span>Advanced Examinations (MRI, Catheterization)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In some cases, basic tests such as ECHO and ECG may not be sufficient, and more advanced imaging or invasive methods may be required.<\/p>\n<p>Cardiac MRI (Magnetic Resonance) is a radiation-free imaging method that provides detailed anatomical and functional evaluation of the heart and large vessels. It is especially preferred in the following situations:<\/p>\n<ul>\n<li aria-level=\"1\">In complex congenital heart anomalies<\/li>\n<li aria-level=\"1\">In the evaluation of large vessels<\/li>\n<li aria-level=\"1\">In detailed examination of the heart muscle (cardiomyopathy, myocarditis)<\/li>\n<li aria-level=\"1\">In the evaluation of heart tumors<\/li>\n<li aria-level=\"1\">In coronary artery anomalies<\/li>\n<\/ul>\n<p>Since the child needs to remain still during MRI scanning, sedation or general anesthesia may be required in young children. Therefore, cooperation between the pediatric cardiology and anesthesia team is important.<\/p>\n<p>Cardiac catheterization is an invasive procedure performed by advancing a thin catheter (tube) through a vessel in the groin or neck to the heart. It can be used for both diagnostic and therapeutic purposes. In diagnostic catheterization, intracardiac pressures are measured, oxygen saturations are evaluated, and vessels are visualized with angiography. In interventional catheterization, heart holes such as ASD and VSD can be closed, narrowed valves can be widened with a balloon, or stents can be placed.<\/p>\n<p>Cardiac catheterization is an important method that today enables many congenital heart diseases to be treated without surgery. However, because it is an invasive procedure, it has certain risks and should be applied only when necessary, in experienced centers.<\/p>\n<p>All these diagnostic methods are selected and applied according to the child\u2019s age, clinical condition, and the suspected disease. The important thing is to reach the correct diagnosis with the least invasive method. Pediatric cardiology specialists take both medical necessity and the child\u2019s comfort into consideration when deciding which test is necessary and when.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Should_a_Pediatric_Cardiologist_Be_Consulted\"><\/span>When Should a Pediatric Cardiologist Be Consulted?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If there are symptoms suggesting that your child may have a heart problem, consulting a pediatric cardiology specialist is the most appropriate approach. While some conditions require urgent evaluation, others can be evaluated within the scope of routine control.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"If_There_Is_Heart_Disease_in_the_Family\"><\/span>If There Is Heart Disease in the Family<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Genetic factors play a role in many heart diseases. Children with a family history of congenital heart disease may be at risk and should be evaluated for screening purposes. Pediatric cardiology consultation is especially recommended in the following situations:<\/p>\n<ul>\n<li aria-level=\"1\">If first-degree relatives (mother, father, sibling) have congenital heart disease<\/li>\n<li aria-level=\"1\">If there is a family history of sudden death under the age of 35<\/li>\n<li aria-level=\"1\">If there are hereditary heart diseases in the family such as hypertrophic cardiomyopathy or long QT syndrome<\/li>\n<li aria-level=\"1\">If the mother is diabetic (the risk of congenital heart disease increases 3-5 times in babies of diabetic mothers)<\/li>\n<\/ul>\n<p>In these situations, even if the child does not show any symptoms, cardiological evaluation with a preventive approach is important.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Pre-Sports_Screening\"><\/span>Pre-Sports Screening<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Intense physical activity may pave the way for sudden cardiac events in some heart diseases. Therefore, it is recommended that children who will start especially competitive sports be evaluated cardiologically. Pre-sports screening is especially important in the following situations:<\/p>\n<ul>\n<li aria-level=\"1\">In children who experience chest pain, palpitations, or shortness of breath during exercise<\/li>\n<li aria-level=\"1\">In those with a history of fainting during or immediately after exercise<\/li>\n<li aria-level=\"1\">In those with a family history of sudden death at a young age<\/li>\n<li aria-level=\"1\">In children with previously diagnosed heart disease<\/li>\n<\/ul>\n<p>Pre-sports screening usually begins with a detailed history, physical examination, and ECG. If there are suspicious findings, advanced tests such as echocardiography and exercise testing may be performed.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"If_a_Murmur_Is_Detected\"><\/span>If a Murmur Is Detected<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Murmurs are quite common in childhood, and not every murmur means heart disease. However, a newly detected murmur requires pediatric cardiology evaluation, especially if it has the following characteristics:<\/p>\n<ul>\n<li aria-level=\"1\">Diastolic murmur (murmur heard when the heart relaxes)<\/li>\n<li aria-level=\"1\">Murmurs with an intensity of 3\/6 and above<\/li>\n<li aria-level=\"1\">Murmurs radiating to areas outside the heart<\/li>\n<li aria-level=\"1\">Murmurs accompanied by other abnormal heart sounds<\/li>\n<li aria-level=\"1\">If the baby has symptoms such as growth-development delay or cyanosis<\/li>\n<\/ul>\n<p>Innocent murmurs usually disappear with growth. However, to decide that this is an innocent murmur, it is recommended that it be evaluated by a pediatric cardiology specialist at least once.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"In_Case_of_Sudden_Fainting\"><\/span>In Case of Sudden Fainting<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Fainting (syncope) is a common condition in childhood and is often related to non-cardiac causes (vasovagal syncope, orthostatic hypotension). However, some fainting characteristics suggest an underlying serious heart problem and require urgent evaluation:<\/p>\n<ul>\n<li aria-level=\"1\">Fainting during or immediately after exercise<\/li>\n<li aria-level=\"1\">Palpitations, chest pain, or shortness of breath before fainting<\/li>\n<li aria-level=\"1\">Seizure-like movements during fainting<\/li>\n<li aria-level=\"1\">Long-lasting confusion after fainting<\/li>\n<li aria-level=\"1\">Fainting in children with a family history of sudden death<\/li>\n<\/ul>\n<p>Such fainting may be a sign of conditions that can lead to life-threatening rhythm disorders, especially hypertrophic cardiomyopathy, long QT syndrome, and Brugada syndrome.<\/p>\n<p>In conclusion, if your child has any symptoms or risk factors suggesting heart disease, consulting a pediatric cardiology specialist is the most appropriate approach. Today, most childhood heart diseases can be successfully treated, and early diagnosis is the most important factor that increases treatment success.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pediatric cardiology is a special branch of medicine that undertakes the diagnosis, treatment, and follow-up of heart and vascular diseases in children from babies in the womb to 18 years of age. Specialists in this field deal with heart problems at every age, from the tiny heart of a newborn to the heart of adolescents. [&#8230;]\n","protected":false},"author":1,"featured_media":939,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[],"class_list":["post-945","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pediatric-cardiology"],"_links":{"self":[{"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/posts\/945","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/comments?post=945"}],"version-history":[{"count":3,"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/posts\/945\/revisions"}],"predecessor-version":[{"id":3072,"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/posts\/945\/revisions\/3072"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/media\/939"}],"wp:attachment":[{"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/media?parent=945"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/categories?post=945"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cansaran.com\/en\/wp-json\/wp\/v2\/tags?post=945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}