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Preface

Since the publication of the third edition of The Pediatric Cardiology Handbook in 2003, important advances have been made in both the diagnosis and treatment of children with congenital and acquired heart diseases. These advances make it necessary to update the handbook. Although extensive updating and revisions have been made throughout the book, the handbook maintains its original goal of providing practitioners with fundamental and practical information for the management of children with cardiac problems.
Special emphasis was placed in the area of cardiac surgery, in which not only have new procedures been introduced but also the timing of old procedures has changed to earlier ages, making some previous descriptions of surgical management no longer appropriate for certain conditions. Although every topic and chapter has been updated, certain topics received more extensive revision, including cyanotic heart defects, infective endocarditis, Kawasaki disease, long QT syndrome, and ventricular arrhythmias. New sections on palpitation, athletes with cardiac problems, and preventive cardiology have been added. The revision includes the addition of many new fi gures of surgical procedures and diagrams of surgical options for most cyanotic heart defects. For the chapter on electrocardiography, new normative data are presented based on the recently revised fourth edition of How to Read Pediatric ECGs (which I coauthored with Dr. Warren G. Guntheroth). The number of two-dimensional echocardiographic diagrams has been increased. The Appendixes have been expanded to include normal values of both M-mode and 2D echocardiography and blood pressure standards.

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