The paediatric cardiology specialist service attempts to meet the need for comprehensive assessment of patients, invasive treatment and non-invasive investigation in the form of surgery or intervention. There are a limited number of tertiary centres care is usually delivered to the patient’s place of residence in the form of outreach hospitals. Outpatient’s clinics are arranged in conjunction with local consultant paediatricians.
The paediatric cardiology service has become increasingly subspecialized with developments in areas such as interventional techniques and treatment of pulmonary hypertension, electrophysiological treatment of arrhythmias, prenatal detection and treatment, cardiac transplantation and non-invasive imaging such as magnetic resonance imaging and three-dimensional echocardiography. The paediatric cardiology service is becoming integrated between primary, secondary and tertiary levels of care and it aims to provide a seamless transition for patients from primary to secondary care, then to tertiary care, based on agreed protocols.
Paediatric cardiologists diagnose, treat, and manage heart problems in children, including: congenital heart disease such as holes between chambers of the heart, valve problems, and abnormal blood vessels, abnormal heart rhythms or arrhythmias caused by the electrical system that controls the heartbeat. Some paediatric cardiologists also treat pulmonary hypertension (high blood pressure in the lungs), but in some regions of the country, pulmonary hypertension is treated by paediatric pulmonologists (lung specialists). Some paediatric cardiologists may treat systemic hypertension (high blood pressure in the body), but in some regions of the country, systemic hypertension is treated by paediatric nephrologists (kidney specialists).
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