Pediatric Cardiology

Two major types of childhood heart disease can be distinguished: congenital and acquired. The most common birth defect affects the heart, with 8 out of 1000 babies worldwide born with a heart defect. The most common acquired heart diseases are cardiac arrhythmias, cardiac murmur, cardiac problems and inflammatory diseases, in which early diagnosis plays a significant role for treatment (similar to congenital heart diseases). Obesity increases the risk of cardiovascular diseases in older children. Unfortunately, the number of obese children is increasing, so we face this problem quite often. Pediatric cardiology also has to rule out structural and heart muscle diseases in children who are active athletes.

When should your turn to a pediatric cardiologist?

  • If the baby stops gaining weight or the infant starts to lose weight
  • If the child has no appetite, fatigue
  • Bluish-gray discoloration of the skin on certain body parts (usually the lips and nail beds)
  • Faster breathing and pulse
  • Screening for children who are competitive athletes *

*We are unable to give sport medical license for sport associations and competitions. If you need this license, you can take the result of examinations with you to a sport medicine specialist to save time.

Cardiologic examinations available for both adults and children:

  • ECG (electrocardiogram): an examination performed with 12 electrodes, while lying down. It depicts the heart's electrical activity. We can detect potential stimulus disturbances, previous myocardial infarction or myocardial ischemia.
  • Cardiac ultrasound: Allows us to examine the inside of the heart and its blood flow, to measure the heart chambers, wall thickness, to estimate the pumping force of the heart. Heart valves, blood flow in heart valves, speed of blood flow, and abnormal flow can be examined and their long-term effects can be estimated.
  • Stress ECG - bicycle ergometry*: An examination performed with a special “exercise bike”.  ECG monitoring and blood pressure measurements are done while progressively greater effort is required to ride the bike. During the examination we examine the cardiovascular system’s capacity for handling stress and its changes under stress.
  •  ABPM 24 hour blood pressure monitoring: A mobile device that is suitable for all-day blood pressure spectrum representing to detect “white coat” , nighttime and morning high blood pressure, and to measure average of daytime and nighttime values.
  • Holter monitoring: A device that records the heart’s electrical activity for 24 hours. It  shows impulse formation, conduction disturbances (abnormally slow or too fast heartbeat, common adverse shocks, irregular heart beat), and any life-threatening arrhythmias.

*The examination can only be performed after an ECG and a cardiac ultrasound.

Fetal echocardiography:

According to international data, the heart is the organ most commonly affected by fetal malformations, and the most common chromosomal abnormalities (Down, Edwards, Patau syndrome) are often paired with cardiac defects. RMC Fetal Medicine Center has the most experience in Hungary with fetal heart examinations. We have been performing them routinely since 2010; the efficiency of our specialist group is at the cutting edge. 90% of severe heart failures can be detected during the first trimester screening, which is why we pay exceptional attention to cardiac and cardiovascular examination during the ultrasound performed at the 12th-13th week of pregnancy. 100% of severe heart defects can be detected in the second trimester, and in the third trimester smaller, typically well-treatable heart defects can be detected.
A pregnancy screening tests are performed by ultrasound specialists who have great expertise in the anatomy of the fetal heart. In pathologic cases, we ask for a second opinion from a cardiologist.

Our doctors:

Kádár Krisztina
Pediatric Cardiologist
Monday:
16:00 - 20:00
Tuesday:
Wednesday:
Thursday:
15:00 - 20:00
Friday:
Saturday:
Custom consulting hours:
Dr. Tölgyesi Andrea
Pediatric Cardiologist
Monday:
Tuesday:
Wednesday:
16:00 - 19:00
Thursday:
Friday:
Saturday:
Custom consulting hours: