Pediatric cardiology


Written by:
professor dr. sc. Ivan Malčić,
dr. Hrvoje Kniewald,
prim. dr. Dalibor Šarić,
dr. sc. Daniel Dilber,
dr. Dorotea Bartoniček,

Pediatric Clinic
Department of Pediatric Cardiology
KBC Zagreb, Zagreb-Rebro, Hrvatska

Pediatric cardiology in the last three decades has, without doubt, experienced a dynamic rise worldwide, especially in developed countries. In contrast to the harsh conditions in our country, it has made significant progress which is reflected in several basic characteristics:
The profession is centralized, and most patients with congenital heart diseases and other complex heart diseases gravitate toward the newly formed Reference center for pediatric cardiology, whose central office is with the Department of Pediatric Cardiology, Pediatric Clinic of KBC Rebro.
It is an extensive team work project, coordinated with collaborations on several levels: fetal cardiology, collaboration with obstetricians, regulated transport of patients, great care in intensive care units and in neonatology, early diagnostics and intervention diagnosis where necessary, the right decision on the type and speed of the surgery, particular expertise surgeries relating to small children, which include special anesthesia, perfusion and blood transfusion after which the patient is moved into the intensive care unit where the process of coming out of the crisis begins and where it is possible to take care of the possible complications.
We have dug deep into the fetal age, and the development of fetal cardiology is vital for connecting to modern tendencies, which means that we are engaged in serious ethical considerations about the beginnings of life and of the fetus as a human being.
We still have not solved the great need for the development of guidelines in the area called the treatment of congenital heart defects in adults (called GUCH - grown up congenital heart).
It should be noted that complications after surgery, later complications as well as electro stimulation are in the further care of pediatric cardiologists. Despite all the difficulties that we have had in the last two decades after the liberation of Croatia, we find that a good development of pediatric cardiology has made a positive impact on the perinatal mortality curve.
Due to the increasing number of survivors who had heart diseases in their childhood and their transition into adulthood, a public health issue appeared unexpectedly which manifests itself as an increasing number of patients with chronic heart diseases arisen from the treatment of congenital heart errors and cardiomyopathy. It includes the need for professional orientation and development of the principles upon which these patients should be equally involved in social life.
From 1996 to 2009 there were 2379 heart catheterization in children of both sexes (51 percent male and 49 percent female ) out of which 530 interventional procedures (22.3 percent male).
Of all the breakthroughs in the treatment of cardiomyopathy in pediatrics we consider the introduction of ECMO support, which has been used in our department for the last two years and the beginning of heart transplants in children, to be the greatest and most important. The first such transplant was successfully completed in 2011 on an 11 year old girl with severe postmyocardial dilated cardiomyopathy.

Veliko srce malom srcu


Association „Big heart to small heart“
Kišpatićeva 12
Zagreb, 10000
Hrvatska
info@velikosrce-malomsrcu.hr

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