DeVos Children's Hospital, Michigan 49503, USA.
Curr Opin Pediatr. 2009 Oct;21(5):605-10. doi: 10.1097/MOP.0b013e32832ff3ec.
Nearing the end of the first decade of this new century, the challenges and changes in the field of outpatient pediatric cardiology continue to accelerate.
To help the general pediatrician and family practice physician become aware of several new care guidelines and practice trends as well as the controversies surrounding them this article reviews recent publications and places them in a larger context. Current guidelines and policy statements for cardiovascular monitoring for children with attention deficit disorder, subacute bacterial endocarditis prophylaxis and follow-up of adults with congenital heart disease are discussed. Trends regarding use of echocardiograms, changing drug therapy for Marfan syndrome, follow-up of infant with complex coronary heart disease, and treatment of obesity are reviewed.
It is important for the practicing pediatrician to be aware of these developments, so they can be incorporated into current patient care and increase the physician's ability to answer patient and family questions about these guidelines.
新世纪第一个十年即将结束，儿科门诊心脏病学领域的挑战和变化仍在加速。
为了帮助普通儿科医生和家庭医生了解一些新的护理指南和实践趋势以及围绕这些指南和趋势的争议，本文综述了最近的出版物，并将其置于更广泛的背景下。讨论了针对注意力缺陷障碍儿童心血管监测、亚急性细菌性心内膜炎预防和成人先天性心脏病随访的当前指南和政策声明。还回顾了关于使用超声心动图、马凡综合征药物治疗的变化、复杂冠心病婴儿随访和肥胖治疗的趋势。
执业儿科医生了解这些发展非常重要，这样他们才能将其纳入当前的患者护理中，并提高医生回答患者和家属关于这些指南问题的能力。
