Wednesday, January 7, 2009

Pediatric Cardiology in India had a good 2008. Best of the lot was the beginning of the journal, Annals of Pediatric Cardiology, under the dynamic editorship of Dr.Bharat Dalvi, a renowned Pediatric Cardiologist from Mumbai.
The journal is free to access online. It has extremely good articles, for all students of Pediatric Cardiology, at all levels.
The first issue had 2 articles from our team.
Dr Parrimala who is the pediatrician of our team, had done an exhaustive study on the parental awareness of Infective Endocarditis among the parents of children with CHD. She interviewed 500 parents and tabulated her research. Aptly, this found publication in the Annals.
I am presenting the abstract of the article here. The full text can be accessed from Annals of Pediatric Cardiology website free, at

Awareness of Infective Endocarditis Prophylaxis in parents of children with Congenital Heart Diseases: A prospective study
Authors: Parrimala P Nath, Kiran VS, Sunita Maheshwari
Department of Pediatric Cardiology, Narayana Hrudayalaya Institute of Cardiac Sciences, Bangalore, India


A prospective study of parents with children with congenital heart diseases was conducted to determine their awareness as regards the importance of oral hygiene and prophylaxis against Infective Endocarditis. The results of this study demonstrated that only 8% of the parents were aware of the importance of good oro-dental hygiene and the need for IE prophylaxis.

Nath P, Kiran VS, Maheshwari S. Awareness of infective endocarditis prophylaxis in parents of children with congenital heart disease: A prospective study. Ann Pediatr Card 2008; 1:54-55




Sunday, January 4, 2009

Welcome to the first post of new year!
I would like to put up few details of our publications of 2008.
Dr Sunita Maheshwari was in the panel of specialists who came out with the Consensus guidelines on Timing of Intervention for Common Congenital Heart Diseases. It was both a matter of pride and prestige for our institute and specially, to our department, to be elected for such an honour. It was to the credit of our boss, who deserved it completely!
It was an unique attempt by the consensus panel to have published such guidelines for first time in India for CHDs. It really deserved applause. We sincerely hope that it can be used to the best by the entire Pediatric and Cardiology community of the country.
We are putting up the abstract of these guidelines here.
The entire guidelines can be accessed free at or (Please copy the url and paste in your explorer window to get the article)

Consensus on Timing of Intervention for Common Congenital Heart Diseases


Justification: Separate guidelines are needed for determining the optimal timing of intervention in children with congenital heart diseases in India, because of their frequent late presentation, undernutrition and co-existing morbidities.
Process: Guidelines emerged following expert deliberations at the National Consensus Meeting on Management of Congenital Heart Diseases in India, held on 26th August 2007 at the All India Institute of Medical Sciences, New Delhi, India, supported by Cardiological Society of India.
Objectives: To frame evidence based guidelines for (i) appropriate timing of intervention in congenital heart diseases; (ii) assessment of operability in left to right shunt lesions; and (iii) prophylaxis of infective endocarditis in these children.
Recommendations: Evidence based recommendations are provided for timing of intervention in common congenital heart diseases including left to right shunt lesions (atrial septal defect, ventricular septal defect, patent ductus arteriosus and others); obstructive lesions (coarctation of aorta, aortic stenosis, pulmonary stenosis); and cyanotic defects (tetralogy of Fallot, transposition of great arteries, total anomalous pulmonary venous connection, truncus arteriosus). Guidelines are also given for assessment of operability in left to right shunt lesions and for infective endocarditis prophylaxis.

Key words: Children, Consensus statement, Congenital heart disease, India, Surgery.

I shall post the next abstract in the next posting.