Paediatric Cardiology Update Course *PAST EVENT*

COURSE AIM:

The Paediatric Cardiology Update Course is specifically designed for those who want clear answers to questions regarding the management of children with cardiac problems and those who want to become confident in the interpretation of paediatric ECGs.

COURSE DESCRIPTION:

This highly recommended course will take you through all practical aspects of paediatric cardiology and will cover the key topics in congenital and acquired heart disease. Learning will be enhanced by the use of real-life examples and clinical scenarios, as well as interactive question and answer sessions after each lecture. An important part of this one-day event will be an interactive ECG interpretation workshop.

The faculty for this course consists of consultants and senior registrars. Almost all speakers are from the cardiology service at Great Ormond Street Hospital. Selected topics are covered by experts in paediatric nephrology, intensive care and clinical genetics.

The course will give you the confidence and skills to effectively manage cardiac patients in your daily practice. Candidates will also gain the ability to interpret paediatric ECGs.

LEARNING OUTCOMES:

By the end of this course, you will be able to:

- Acquire the ability to interpret paediatric ECGs

- Develop an approach to investigating and managing children with syncope

- Know how to approach a child with palpitations

- Describe the principles of management of children with chest pain

- Discuss the management of common congenital heart defects

- Explore differential diagnosis of various cardiac presentations in A&E

- Know how to approach a patient with myocarditis

- Understand more about Kawasaki disease

- Discuss the investigation and management of infective endocarditis

- Develop a clinical approach for the investigation and management of systemic hypertension

- Explore common genetic syndromes associated with cardiac disease

- Practise and assess your knowledge and skills through clinical scenarios

PROGRAMME

8 50 – 9 00 INTRODUCTION

9 00 - 10 45 ECG INTERPRETATION WORKSHOP

(Dr Filip Kucera, Consultant Paediatric Cardiologist, GOSH)

Become ECG confident through a practically-oriented and interactive tutorial

- Normal ECG and its variants

- Atrial and ventricular hypertrophy

- Rhythm recognition

- Bradycardias and conduction blocks

- Narrow and wide complex tachycardias

- Repolarization changes (ST-T)

- ECG red flags and patterns not to miss

- ECG Quiz

BREAK 10 45 – 11 00

11 00 – 11 30  SYNCOPE

(Dr Luke Starling, Consultant Paediatric Cardiologist, GOSH)`

1) Vasovagal syncope, POTS, reflex anoxic seizures, channelopathies

2) Other common and rare causes

3) Finding the ticking time bombs

11 30 – 11 50 PALPITATIONS

(Dr Maciej Albinski, Senior Paediatric Cardiology Registrar, GOSH)

1) Differential diagnosis

2) Paediatric algorithm

3) What to expect from ECG Holter

11 50 – 12 10 CHEST PAIN

(Dr Daniel Geer, Senior Paediatric Cardiology Registrar, GOSH)

1) When to suspect a life-threatening cause

2) Evaluation protocol

3) Indications for a cardiology referral

12 10 – 12 50 CONGENITAL DEFECTS AT A GLANCE

(Dr Thushara Rodrigo, Consultant in Paediatric Cardiology, GOSH)

1) Important principles to understand

2) Key facts about Prostin

3) Biventricular vs univentricular pathway

4) Most common defects: what you need to know

LUNCH BREAK 12 50 – 13 30

13 30 – 14 00 WHEN YOU CALL GOSH CARDIOLOGY FOR ADVICE: FOCUS ON A&E

(Dr Florian Moenkemeyer, Consultant Paediatric Cardiologist, GOSH)

1) Recognition of pathologic murmurs

2) Abnormal oxygen saturations

3) Fluids vs fluid restriction

4) Management of SVTs

5) Cardiomegaly on CXR

6) Value of troponin and CK-MB

7) Often overlooked cardiac symptoms

14 00 – 14 20 MYOCARDITIS

(Dr Jacob Simmonds, Consultant Paediatric Cardiologist, GOSH)

1) Why is the diagnosis so challenging

2) Role of echocardiography

3) “Classical” vs COVID related myocarditis

14 20 – 14 40 KAWASAKI DISEASE

(Dr Filip Kucera, Consultant Paediatric Cardiologist, GOSH)

1) Diagnostic pitfalls

2) Important facts you may not know

3) Rescue therapy, role of steroids

4) Risk stratification and prognosis

14 40 – 15 00 INFECTIVE ENDOCARDITIS

(Dr Beatrice Bonello, Consultant Paediatric Cardiologist, GOSH)

1) When to suspect IE

2) Usual and unusual IE presentations

3) IE prophylaxis – current guidelines

BREAK 15 00 – 15 15

15 15 – 15 35 HYPERTENSION

(Dr Faidra Veligratli, Consultant Paediatric Nephrologist, GOSH)

1) Causes, evaluation and management

2) How to interpret a blood pressure Holter

15 35 – 16 55 CARDIAC CT AND MRI

(Dr Elena Milano, Consultant in Paediatric Cardiology, GOSH)

1) Guided tour into cardiac imaging

2) Illustrative examples

16 55 – 16 15 CARDIOVASCULAR GENETICS

(Dr Angharad Roberts, Consultant in Clinical Geneticist, GOSH)

1) What is a relevant family history

2) Genetic syndromes associated with cardiac disease: paediatric minimum

16 15 – 16 55 CLINICAL SCENARIOS

(Dr Federico Minen, Consultant Paediatric Intensivist, Imperial College Healthcare NHS Trust; Dr Filip Kucera, Consultant Paediatric Cardiologist GOSH)

1) Clinical cases: a step-by-step approach

2) Useful tips and tricks

3) Learning from common mistakes

16 55 – 17 00 CLOSING REMARK

WE RESERVE THE RIGHT TO CHANGE THE PROGRAM AS NECESSARY WITHOUT PRIOR NOTICE.