Cardiology/Cardiac Surgery Cardiology/Cardiac Surgery Cardiology/Cardiac SurgicalGuidelines_covers&tabs 8/24/11 9:38 AM Page 3 Page AM 9:38 8/24/11 SurgicalGuidelines_covers&tabs SurgicalGuidelines_TextPages 8/24/11 10:11 AM Page 3
Cardiology/Cardiac Surgery
Telephone Numbers: Administration: 202-476-2020 Administration Fax: 202-476-5700 Cardiology Inpatients: 202-476-5114 Appointments: 202-476-2090 Clinic Fax: 202-476-3900 Cardiac Intensive Care Unit: 202-476-6670 Consults (division office): 202-476-2020 Evenings and Weekends: 202-476-5000 Nurse Triage Line: 202-476-4809
Charles Berul, MD, Chief of Cardiology • Richard Jonas, MD, Chief of Cardiac Surgery
Children’s National Heart Institute brings together the The following information may be required on the referral form. region’s only team of dedicated pediatric cardiac surgeons, See specific guidelines for data needed for a referral. cardiologists, cardiac anesthesiologists, and dual-boarded ■ EKG cardiac intensivists to provide the highest quality care in the ■ Echocardiogram with doppler and color flow most technologically advanced setting. ■ Fetal echocardiogram ■ Holter Cardiology ■ Event monitor with transtelephonic recordings ■ The Division of Cardiology provides both inpatient and outpatient Stress test ■ diagnostic and treatment services for a full range of pediatric Pulse ox ■ cardiovascular disorders, including congenital heart disease, Lab work ■ acquired heart disease, cardiomyopathy, fetal echocardiography, Chest x-ray ■ hypertension, premature atherosclerosis, and arrhythmias. Cardiac catheterization Newborn consultation is offered in community hospital nurseries. Please send results of any previous tests. Special services include:
■ Echocardiography - fetal, transesophageal, and 3D Cardiac Surgery reconstruction The Division of Cardiac Surgery has dedicated pediatric and ■ Cardiac MRI congenital cardiovascular surgeons performing palliative and ■ Cardiac catheterization - diagnostic and interventional corrective procedures for newborns, infants, children, and adults. ■ Arrhythmia services - electrocardiograms, Holter Procedures performed include the entire range of congenital monitors, pacemakers, electrophysiology studies, heart disease from the simplest to the most complex problems. and ablation therapy Each patient is cared for by a pediatric cardiac anesthesiologist ■ Preventive cardiology - cholesterol/lipids, hypertension, during surgery. Postoperative care is provided by a highly trained and exercise stress tests staff with special expertise in cardiac intensive care in the dedicated ■ Adult congenital heart disease program Cardiac Intensive Care Unit. ■ Pulmonary hypertension program ■ Fetal cardiology ■ Cardiac failure
Physician to Physician Access Line: 202-476-4880 3 SurgicalGuidelines_TextPages 8/24/11 10:11 AM Page 4
Diagnosis/Symptom Initial Work-Up Referral When Data Needed
Heart Murmur ■ History & physical ■ Any abnormality or concern ■ H&P, BP ■ 4-extremity BP
Cyanosis ■ History & physical ■ Any abnormality or concern ■ H&P, BP, O2 sat if available ■ 4-extremity BP ■ Pulse oximetry
Palpitations ■ History & physical ■ Any abnormality or concern ■ H&P, Family history ■ Family history ■ Exercise-associated symptoms
Chest Pains ■ History & physical ■ Any abnormality or concern ■ H&P, Family history ■ Family history ■ Exercise-associated symptoms ■ Non-sharp chest pain
Syncope ■ History & physical ■ Any abnormality or concern ■ H&P, Family history ■ Family history ■ Exercise-associated symptoms ■ Concerning family history
Dizziness ■ History & physical ■ Any abnormality or concern ■ H&P, Family history ■ Family history ■ Exercise-associated symptoms ■ Concerning family history
Hypercholesterol ■ History & physical ■ Any abnormality or concern ■ H&P, Family history ■ Family history ■ Concerning family history ■ Relevant lab data from ■ Lipid profile patient and affected family members
Family History ■ History & physical ■ Any abnormality or concern ■ Parents and siblings ECGs of Heart Disease ■ Family history ■ Concerning family history and other relevant data, when available
4 Physician Portal: www.ChildrensNational.org/Doctors