• IMPORTANCE OF CARDIOLOGIST
    in our Children
    WHAT WE MUST TO KNOW
    ( Why should parents consider having their child examined by a cardiologist.? )

    Why is important a Cardiologist.?
    What is Cardiology.?
    When Should I Consult a Cardiology.?
  • PEDIATRIC CARDIOLOGY
    ( Pathologies - Heart Disease and More )

    What is a Cardiovascular Surgeon.?
    What is a Sudden Death in the Athlete.?
    What is an Infusionist.?
    What is a Rating of Children for Sports Activity.?
  • WHAT IS THE ROLE OF CARDIOLOGIST.?
    MAIN TEST STUDIES OR TOP CARDIOLOGY TEST

    Electrocardiogram (ECG)
    Lower-Limb Venous Echo-Graphy
    Ultrasound
    Doppler Ultrasonography of Supra Aortic Trunks
    Holter ECG
    Abdominal Ultrasonography

HOW IMPORTANT IS CARDIOLOGIST IN OUR CHILDREN.?

Importance of Cardiology
Why should parents consider the possibility of a cardiologist examining their child.?
All of us know and understand the importance of having health in our lives, how it affects us to be unhealthy, and even in some cases, as limits our time to life because we are unhealthy. With this basic principle, we want to help you understand that all branches of medicine and with them all its specialties are important to all of us and thus ensure the best health that guarantees us the best quality of life, much more so when it comes to the health of our children who represent today the wonderful future of tomorrow. A Cardiologist Physician represents for himself the specialist who is responsible for providing the best health to the heart of our children

What is the role of a cardiologist.?
Cardiologists are doctors who specialize in the diagnosis and treatment of heart and blood vessel diseases, called "The Cardiovascular System." A cardiologist may also be consulted to learn more about cardiological risk factors and find out what steps can be taken to improve cardiovascular health.

What is Cardiology.?
Cardiology or Cardiologic: (Greek: 'heart', λογία and "study") Is the branch of medicine responsible for the study, diagnosis and treatment of heart and circulatory heart disease. Cardiology is a complex field, so many cardiologists specialize in different areas. Cardiologists are clinical cardiologists engaged in the diagnosis, prevention of cardiovascular disease, and drug treatment (use of medicines), when required for treatment. Some clinical cardiologists specialize in pediatric cardiology, which is the diagnosis and treatment of heart problems in children. Other clinical cardiologists may specialize in interventional procedures (balloon angioplasty, and stenting), echocardiography, cardiovascular surgeon and electrophysiology When you face a complex disease such as heart disease, it's important to find the right specialist. A diagnosis of heart or vascular disease often begins with the pediatrician and/or primary care physician, who refers the patient to a cardiologist. Your cardiologist evaluates your symptoms and medical history and may recommend studies to make a more accurate diagnosis. The cardiologist then decides if he or she can treat the disease himself with medications or other available treatments. If the cardiologist decides that the patient needs surgery, he or she will refer him to a cardiovascular surgeon, who specializes in operations of the heart, lungs, and blood vessels. The patient remains under the care of the cardiologist even when referred to other specialists.

When Should I Consult a Cardiology.?
THE MAIN SIGNS AND SYMPTOMS FOR WHICH IT IS RECOMMENDED TO CONSULT WITH YOUR CARDIOLOGIST ARE:
- Chest pain, especially with efforts,
- Dizziness or syncope (loss of consciousness),
- Feeling fatigued with effort,
- Fluid retention (e.g. Swelling of the Legs),
- Palpitations,
MOST COMMON CARDIOVASCULAR DISEASES TREATED BY A CARDIOLOGIST
AMONG THE MOST COMMON CARDIOVASCULAR DISEASES WE CAN FIND

- Heart failure,
- High blood pressure,
- Hypercholesterolemia or excess cholesterol,
- Myocardial infarction,
- Angina,
- Heart rhythm disorders.

What are Cardiovascular Diseases.?
Cardiovascular diseases are those that affect the heart by narrowing the arteries and reducing the amount of blood the heart receives, causing the heart to work harder. Today, cardiovascular disease is the leading cause of death worldwide and also in our country. These types of diseases often occur without pain and without obvious symptoms. For that reason, they are often not treated. This can lead to even more serious health problems, such as heart attack, embolism, or kidney damage. What is especially dangerous about cardiovascular disease is that you can suffer more than one at a time without even knowing it.

PATHOLOGIES - HEART DISEASE
Cardiovascular disease is the leading cause of death worldwide. This term encompasses the different pathologies that occur as a result of disorders of the heart and blood vessels. Here are some of the most common cardiovascular diseases.

HEART DISEASES

CONDITIONS AND DISEASES OF HEART TREATED

( Learn more about the main Heart Diseases and how they Affect our Children )

MAIN TEST STUDIEST or TOP TEST

At CARDIOPedVal we perform a wide number of tests to diagnose, treat and prevent cardiovascular disease. Here are the tests we carry out:
- Abdominal Ultrasonography,
- Blood Pressure Holter,
- Doppler Ultrasonography of Supra Aortic Trunks,
- Echocardiogram,
- Electrocardiogram (ECG),
- Holter ECG,
- Lower-Limb Venous Echo-Graphy,
- Stress Test or Ergometry,
- Thyroid Ultrasound,
- Ultrasound.

CARDIOLOGICAL TEST

Regular checkups help prevent symptoms or risk factors for cardiovascular disease. Cardiologists to accurately determine a prognosis perform certain tests from which they obtain clear results from the situation of the patient's cardiovascular system. Cardiovascular disease continues to be the leading cause of death in Spain, above cancer and respiratory diseases. In more than 60% of cases, adequate control of risk factors was not carried out. Therefore, cardiologists and organizations related to heart health warn of the need and importance of prevention to reduce the incidence of heart disease in the patient's quality of life. It is recommended that even healthy people perform cardiological checkups annually to detect in time possible signs of a heart condition and that they can be treated as soon as possible.


The Importance of Visiting the Cardiologist at Least Once a Year


At the end of the twentieth century, the typical patients of the cardiology office were the elderly, that is, the aging people who had the achaques typical of that stage of their life. Unfortunately, in the 21st century, cardiologist patients became increasingly young; one of the main reasons is the multiple diseases of the modern era such as for overweight, diabetes, lack of physical activity, poor eating habits, stress at work, and stress in a global society. It is unfortunate to say that the vast majority of young people who first see the cardiologist is because they already have chest pains as well as palpitations and dizziness, very common symptoms of heart disease.



HEART ANATOMY




Our body is made up of millions of cells that need oxygen and energy-providing substances such as sugar and proteins for their functioning. These substances are in the blood and the cardiocirculatory system is responsible for distribution throughout the body. It consists mainly of the Heart (the motor organ), Arteries, and Veins.
- The heart is a pump that, with its driving action, provides the strength necessary for the blood and substances it carries to circulate properly through the veins and arteries. At each beat, the heart expels a certain amount of blood into the thicker artery (aorta)aorta and by successive branches coming out of the aorta, blood reaches the entire body. Blood, when it has ceded oxygen and nutrients (proteins and sugar) to the body's cells, is collected in the veins that return it to the heart. The heart has four chambers or chambers: two atria and two ventricles. Blood that returns to the heart through the veins enters through the right atrium (AD). From the atrium, through a valve called a tricuspid, blood passes into another chamber of the heart, the right ventricle (VD), and from here through the pulmonary artery reaches the lungs, where it incorporates the oxygen we take into the breath.

- The already oxygenated blood returns to the heart, specifically the left atrium (AI), through the pulmonary veins. From there, passing through the mitral valve, it reaches the left ventricle (VI), which is the main blood-boosting motor to the rest of the body through the aorta.
- The circulatory system has a great capacity to adapt to the different needs of the organism. The volume of blood that drives the resting heart is about five liters per minute. But that figure can rise up to four times more during the effort, mainly increasing the number of beats per minute.
- The heart is a muscle organ (myocardium) and, like all muscles, needs oxygen and nutrients for its functioning, which it obtains, like the rest of the body, from the blood. It reaches through the coronary arteries that come out of the aorta.
- The coronary arteries travel along the outer surface of the heart throughout its contour —forming a kind of crown (hence its name) — and from it part branches that send blood to the entire heart muscle.

THE CORONARY ARTERIES ARE TWO:
- Right and Left.
THE CORONARY ARTERIES ARE TWO THE LEFT CORONARY IS DIVIDED INTO TWO LARGE BRANCHES:
- Anterior Descending and Circumflex.
THUS WE HAVE THREE LARGE ARTERIES:
- Right Coronary,
- Anterior Descending, and
- Circumflex

The oxygen needs of the heart muscle are not always the same. When the body needs more energy input, the heart responds to that need by increasing its work. This increase raises the oxygen needs of the heart muscle itself, demands that are resolved by increased blood supply through the coronary arteries. Situations in which the body, and therefore the heart, require more oxygen intake can range from physical exercise, to work or stressful states, among other circumstances.



Questions and Answer about
CARDIOLOGIST IMPORTANCE in Children.?


Anesthesiologists do much more than work in the operating room.
Study the effects of medications they administer to discover the best way to protect your heart and other organs during an operation.
Anesthetics relieve pain, maintain healthy blood pressure levels, and keep the patient asleep during the operation.

Before an operation, they talk to the patient for a series of data that contribute to their care during surgery. For example, they may ask:
Why are you undergoing the operation?
What other health problems do you have?
What medications do you take, and have you had allergic reactions to any medications?
Have you ever had adverse reactions related to anesthesia or surgery?
During surgery, the cardiovascular anesthesiologist remains in the operating room as an essential member of the surgical team. It makes decisions on how to protect, and regulate any of the organic systems, using advanced technology not only to monitor the functions of the organism but to determine which anesthetics are appropriate.
Sometimes cardiovascular surgeons can operate on the heart when it's beating, but it often needs to be still. To maintain blood flow to body tissues during operations where the heart needs to be stopped, surgeons need the services of infusionists (often referred to as the "pump equipment").
Infusionists are essential members of the cardiosurgical team because they operate the extracorporeal circulation machine (cardiopulmonary bypass). With the extracorporeal circulation machine, blood is diverted so that it does not pass through the heart and lungs, oxygen is added to the blood and returned to the body, without having it pass through the heart. During the intervention, infusionists use the extracorporeal circulation machine to maintain blood flow to the body's tissues, and regulate oxygen and carbon dioxide levels in the blood. Infusionists are also responsible for measuring certain laboratory values (such as blood count) and monitoring circulation. Under the direction of the anesthesiologist and surgeon, infusionists can also administer medications through the extracorporeal circulation circuit.

Cardiovascular surgeons operate on the heart and blood vessels to repair damage caused by diseases or disorders of the cardiovascular system. Many times, a diagnosis of cardiovascular disease begins with the pediatric or primary care physician, who refers the patient to a cardiologist. If the cardiologist decides that surgery is necessary, it will refer the patient to a cardiovascular surgeon, who becomes a new member of the patient's cardiological team. (Even after the cardiac intervention, the patient remains under the care of the cardiologist.)
Cardiovascular surgeons perform many different types of operations, including valve repair and replacement, heart defect repair, coronary bypass, aneurysm repair, laser trans-miocardial revascularization, and heart transplants. They also perform blood vessel operations, including the aorta that is the body's main source of blood supply. Heart surgery today may also include the use or implantation of ventricular assist devices (DAVs), mechanical devices that provide "assistance" to the underside heart, helping you pump blood throughout your body. If your child needs surgery to repair a heart problem, a pediatric cardio surgeon (Heart Surgeon) has the knowledge and experience to treat your child. Pediatric Cardiosurgeons offer the special care needed to correct congenital heart problems (Existing at Birth) and acquired in children. Pediatric cardio surgeons treat complex congenital heart defects in newborns, children, and adolescents, as well as adults. Congenital heart defects are very different from the types of heart disease that are common in adults. Repairing hearts in small bodies poses an additional challenge. Pediatric Cardiosurgeons have special skills to provide the safest care, even for younger and younger patients who need heart surgery.

After surgery, the anesthesiology team monitors how the patient wakes up from anesthesia and monitors their postoperative progress.



Sport, along with a balanced diet and healthy lifestyle habits, has proven to be a beneficial combination for the prevention of cardiovascular disease. However, before starting exercise it is essential to go to the cardiologist's office to determine the type, duration, and physical intensity appropriate to each patient. CARDIOPedVal evaluates the physical capacity, health status, and possible contraindications of the patient to perform physical exercise. This information also improves the physical performance of professional or amateur athletes.
Sports cardiological checkup is a fundamental tool for those who play sport assiduously, as it provides them with relevant information about the state of health in which their heart is located. Knowing the final data, the patient can adapt their sports routine to improve the results and, above all, prevent cardiovascular risks. To obtain this information, the cardiologist proceeds to perform an electrocardiogram and a color Doppler echocardiogram to analyze how the moving heart works. A stress or ergometry test is then performed to determine how your heart responds when faced with an effort. Specialists recommend performing this type of cardiological check-up every 2-5 years, except for high-competition athletes who must repeat it in lower periods. This checkup is especially suitable for those who already have heart disease.
The practice of sport promotes the reduction of cardiovascular risk factors such as diabetes, hypertension, arteriosclerosis, obesity, and hypercholesterolemia. In addition, it improves the organic capacity of the heart. However, physical activity does not mean that these risks disappear, it is only diminished if healthy habits are met and proper exercise is performed. Experts warn that over-training promotes cardiovascular risk among athletes, as it creates an imbalance in the neuro-vegetative system that can lead to arrhythmias and in some cases sudden death. To prevent these cardiovascular events, regular checkups should be carried out, which allow maintaining an effective medical follow-up of the athlete and detect in time abnormalities or an increase in risk factors.
Sudden death is caused by sudden cardiac arrest during sports. In Spain, the annual average is 127 deaths of athletes during or immediately after physical activity. It is usually caused by a cardiac arrhythmia (ventricular fibrillation) that prevents the heart from contracting normally and is unable to generate an effective heartbeat. That's when the heart stops beating, blood pressure drops, and stops pumping blood to the body. If an electric shock is given with a defibrillator within the first few minutes after the stop, the heart may regain its normal rhythm. Studies have revealed that coronary heart disease, along with an unfavorable genetic burden, has been the leading cause of sudden death in athletes. That is why cardiologists highlight the need for cardiovascular examinations prior to sports and participation in sports careers.
Cardiovascular risk factors are present in a large percentage of children and adolescents who play sports, increasing the chances of heart disease in adulthood. It is estimated that one in five child and adolescent athletes are obese and 2% have high blood pressure. In addition, nearly 30% have a direct family history of diabetes mellitus and 15% ischemic heart disease or stroke. The possibility of detecting these risk factors at an early age allows the cardiologist to develop prevention plans with which to control their effect and development in adult life.
"Always monitor your child's health condition and stay in contact with your doctor" - CARDIOPEDVAL - Cardiologic Pediatric Center, Valencia -

Finally, we can summarize that it is important to become aware that heart health is something that should concern us and, above all, take care today. Not only is having a healthy lifestyle important, Preventive checkups are equally important in conjunction with diagnosis and treatment early are essential to prevent cardiovascular diseases.