Management of children with cardiac diseases and congenital abnormalities has advanced dramatically in the past decade. Advances in imaging and other diagnostic techniques have led to earlier detection of problems and alternatives to surgical intervention. This continuing education unit discusses methods of treating children with cardiac conditions. Topics include: pulmonary function testing, cardiac surgery without preoperative cardiac catheterization, percutaneous balloon valvuloplasty for the treatment of valvular pulmonic stenosis, cardiac involvement in the Kawasaki syndrome, and syncytial virus infection in the child with cardiopulmonary disease.
HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category 1 credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pre-Test below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered, and will make it possible for you to challenge your present knowledge of the mater/a/ before reading further.
1. Kawasaki syndrome (KS) affects girls more often than boys.
2. Doppler Interrogation must be done In each Instance by pulsed and continuous wave Doppler measurements.
3. Respiratory syncytial virus outbreaks occur:
A. In winter epidemics every few years.
B. In yearly outbreaks from November through March.
C. In association with influenza epidemics.
D. In yearly outbreaks during the fall.
4. Tests of pulmonary function can predict response to surgery or medication In the child with suspected cardlorespiratory Illness.