This field of specialty deals with heart disease and heart-related conditions in infants and children and offers a spectrum of heart care services for diagnosing paediatric heart conditions and defining therapeutic options to improve outcomes and lifestyles of children with heart disease, as well as providing continuing care to adolescents and young adults with congenital heart anomalies.
Congenital Heart Disease
Congenital heart disease is the term used for any heart abnormality that results from faulty development before birth. Any component of the heart and major blood vessels can be abnormally formed and more than one abnormality may be present. It is the most common abnormality seen at birth with an incidence of 6 to 8 per thousand live births.
Detailed information of the structure and function of the heart can be obtained from an echocardiogram. This is the most common test used in children to diagnose and to follow up patients with heart problems. The test can be safely performed on children of all ages including newborns. It is a heart scan that uses high frequency sound waves (ultrasound) to create an image of the heart. In addition, a Doppler test uses sound waves to measure the speed and direction of blood flow.
The electrocardiogram (ECG) measures the electrical activity of the heart and complements the echocardiogram in the assessment of heart diseases. It can also be used to diagnose heart rhythm problems in children.
Arrhythmias can cause the heart rate to be irregular, fast or slow. If an abnormal rhythm (arrhythmia) occurs, it is important to find out what kind it is. Treatment recommendations will depend on its type. Sometimes a 24-hour ECG or Holter recording (performed as outpatient) is required.
In a small number of patients, a special invasive X-ray test called cardiac catheterization may be needed to fully evaluate a condition and recommend treatment for your child. It shows how the heart chambers, valves and vessels are formed and how they are functioning and gives more detailed information about specific areas in the heart and lungs, not available through other forms of testing. It is now used frequently as a means of intervention to seal up holes in the heart or open up faulty valves (interventional catheterization).
Services at the Paediatric Cardiology Clinic include:
- General cardiac consultation, management and counseling of inherited congenital and structural heart disease, and management of children with heart rhythm problems
- Consultation and management of teens and adults with congenital heart disease
- Pre-operative, intra-operative and post-operative management of children and adults with congenital heart disease
- Trans-thoracic, trans-esophageal & intra-operative echocardiography for children and adults with congenital heart disease and other structural heart defects
- 12-lead electrocardiography (ECG) and signal-average ECG
- Ambulatory 24-hour Holter ECG monitoring
- Diagnostic cardiac catheterization and angiography
- Trans-catheter therapy of congenital heart disease
Dr Chan Kit Yee
Special Interest in Cardiology
MBBS (S’pore), MMED Paediatrics (S’pore), MD (S’pore), FAMS
|SBCC Baby & Child Clinic (Mount Alvernia)
820 Thomson Road, #01-01/02
Mount Alvernia Medical Centre (Blk A)
Tel: 6354 1922Fax: 6354 2755