Clinical Purpose:

The Pediatric Cardiology Division provides care and manages the treatment of infants, children, and adolescents with a wide gamut of cardiac diagnoses.

Our goal is the preservation of health and function; the diagnosis should fade into the background and allow the patient to live the life that he or she chooses.

In addition to direct patient care, we offer a wide range of consultative services, including interpretation of outside pediatric ECGs and Echocardiograms, and long-distance telecardiology.

Contact:

Kenneth Goertz, M.D.
kgoertz@kumc.edu
2010 Miller
913-588-6311 (voice)
913-588-6220 (fax)

Mail:

Mail Stop 4004
3901 Rainbow Blvd
Kansas City, KS 66160
Staff:

• Kenn Goertz, M.D. (Division Chief);
• Leone Mattioli, M.D.;
• Anitha Parthiban, M.D.;
• Beth Rankin, ARNP;
• Valerie Schroeder, M.D., M.S.

Pediatric Cardiology

Updated guidelines for SBE prevention:

The guidelines for prescribing antibiotics for the prevention of bacterial endocarditis were revised in April 2007. There are significantly fewer indications for prophylaxis listed on the updated guidelines.

“Antibiotics are recommended only for patients with cardiac conditions associated with the highest risk of adverse outcomes from endocarditis, including:

• Prosthetic cardiac valve
• Previous endocarditis
• Congenital heart disease only in the following categories:

-Unrepaired cyanotic congenital heart disease, including those with palliative shunts and conduits

-Completely repaired congenital heart disease with prosthetic material or device, whether placed by surgery or catheter intervention, during the first six months after the procedure*

-Repaired congenital heart disease with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device (which inhibit endothelialization)

• Cardiac transplantation recipients with cardiac valvular disease

*Prophylaxis is recommended because endothelialization of prosthetic material occurs within six months after the procedure.”

There are also other changes regarding GI, GU and types of dental procedures. The new guidelines are available through the American Heart Association and on their website at www.americanheart.org. If questions remain after reviewing the guidelines please contact our office at (913) 588-6311