Introduction to Pediatric Cardiac Disease: Congenital Heart Disease

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Course Credit

The following credits are available for this course:

AMA PRA Category 1 Credits™ (MD, DO, NP, PA)2.75 hours
Contact Hours (Nurse)2.75 hours

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Faraz Alizadeh, MD Course Director

Pediatric Cardiology Fellow at Boston Children’s Hospital

Michael Freed headshot

Michael Freed, MD Speaker

Senior Associate in Cardiology, Boston Children’s Hospital
Associate Professor of Pediatrics, Harvard Medical School

Thomas Kulik, MD Speaker

Director, Pulmonary Hypertension Program, Boston Children’s Hospital

David Bailly, DO, BS, AA – Speaker

Attending Physician, Cardiac Intensive Care Unit, Primary Children’s Hospital
Instructor, Pediatric Critical Care Division, University of Utah

Mjaye Mazwi, MD – Speaker

Attending Physician, Cardiology, Ann and Robert H. Lurie Children’s Hospital of Chicago
Assistant Professor in Cardiology, Northwestern University Feinberg School of Medicine

This course reviews the basic approach to the diagnosis and treatment of children with congenital heart disease. Highlights of this course include clinical presentation and pathophysiology of various congenital heart diseases, such as murmurs, arrythmias, and cyanosis in the first week of life. It also covers presentation, physiology, and treatment of various cardiac defects, including cyanotic congenital cardiac defects, atrial and ventricular septal defects, and Tetralogy of Fallot.

Learning Objectives: 

Clinical Presentation of Congenital Heart Disease in the First Week of Life: Murmurs

Description:  This video reviews the presentation of congenital heart disease in the first week of life and focuses on the identification of common neonatal murmurs that are associated with congenital heart disease.

At the conclusion of this educational module, learners will be able to:

  1. Explain the pathophysiology and mechanics of heart murmurs.
  2. Distinguish between neonatal murmurs that indicate a benign vs. life-threatening condition.
  3. Differentiate between neonatal murmurs caused by duct-dependent vs duct-independent lesions.

Clinical Presentation of Congenital Heart Disease in the First Week of Life: Arrythmias

Description: Introduction to common newborn arrhythmias.

At the conclusion of this educational module, learners will be able to:

  1. Describe main types of arrhythmias in the newborn period.
  2. Identify the three main types of tachycardia in the newborn.
  3. Identify irregular heart rhythm and typical management.
  4. Discuss the etiology and expected course of bradycardia in the newborn with special attention to how the presence of structural heart disease affects management.

Clinical Presentation of Congenital Heart Disease in the First Week of Life: Cyanosis

Description: Overview on how cyanotic congenital heart disease presents in the first week of life.

At the conclusion of this educational module, learners will be able to:

  1. Identify main types of cyanotic congenital heart lesions.
  2. Describe the blood circulation in each of the cyanotic heart diseases.
  3. Distinguish between the main types of cyanotic congenital heart lesions based on physical exam, ECG, and chest X-ray.

Cyanotic Congenital Cardiac Defects: Physiology of Cyanosis

Description: Review the physiology of cyanotic congenital cardiac defects.

At the conclusion of this educational module, learners will be able to:

  1. Identify the most common causes of cyanosis in newborns.
  2. Describe the variety of causes of cyanosis in congenital heart disease.
  3. Explain the important factors involved in determining arterial oxygen saturation.
  4. Learn over-arching approach to managing neonates with cyanotic congenital cardiac defects.

Atrial Septal Defects

Description: Learn basic anatomy, pathophysiology, and approach to diagnosis/management of atrial septal defects (ASDs).

At the conclusion of this educational module, learners will be able to:

  1. Describe the most common types of ASDs.
  2. Describe the physiology of cardiac blood flow in presence of an ASD.
  3. Discuss the diagnostic work-up and initial management strategies for ASDs.
  4. Identify potential long-term complications from unrepaired ASDs.

Ventricular Septal Defects

Description: Learn basic anatomy, pathophysiology, and approach to diagnosis/management of ventricular septal defects (VSDs)..

At the conclusion of this educational module, learners will be able to:

  1. Describe the different types of VSDs.
  2. Describe the physiology of cardiac blood flow in the presence of a VSD.
  3. Discuss the diagnostic work-up and management strategies for VSDs.
  4. Identify potential long-term complications from unrepaired VSDs.

Tetralogy of Fallot

Description: Brief overview of anatomy and physiology of Tetralogy of Fallot.

At the conclusion of this educational module, learners will be able to:

  1. Describe the anatomy and physiology of patients with Tetralogy of Fallot.
  2. Describe the spectrum of clinical presentation of patients with Tetralogy of Fallot.
  3. Discuss the diagnostic approach to patients with Tetralogy of Fallots.
  4. Summarize effective strategies for management of hypercyanotic (“tet”) spells.

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician

Boston Children’s Hospital designates this live activity for a maximum of 2.75 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse

Boston Children’s Hospital designates this activity for 2.75 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Speaker Name, DegreeDisclosure
Faraz Alizadeh, MDNone
Michael Freed, MDNone
David Bailly, DO, BS,
AA
None
Thomas Kulik, MDNone
Mjaye Mazwi, MDNone
Kathleen Huth, MD, MMScNone
Sara Drumm, RN,
CCRN
None

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

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