Aparna Patwardhan,
M.D.
Residents in the
Department of Pediatrics
get the benefit of following cardiology patients on both an outpatient and
inpatient areas. Each resident will spend a
month on an inpatient cardiology rotation. In addition, residents in the
ambulatory subspecialty rotation spend one half-day a week in the outpatient
clinic for four sessions.
The inpatient rotation is at the
Children’s Hospital at Montefiore.
Primary Goals for this Rotation
Prevention, Counseling and Screening
Understand the role of the pediatrician in preventing cardiovascular
diseases, and in counseling and screening individuals at risk for these
diseases.
Offer cardiovascular risk prevention counseling to all patients and parents
and routinely screen for cardiovascular disease to identify individuals at
increased risk .
Provide regular screening for prevention of heart disease and hypertension
(regular monitoring and plotting of BMI, cholesterol and lipid screening as
indicated, and periodic blood pressure measurement).
Normal Versus Abnormal
Distinguish normal from abnormal cardiovascular signs and symptoms.
Congenital Heart Disease
Understand the general pediatrician's role in diagnosis and management of
congenital heart disease in children.
Hypertension
Understand the general pediatrician's role in diagnosis and management of
hypertension in children.
Manage a patient with hypertension using a step-wise approach that includes
the role of diet, exercise, weight control, and medications.
Identify the indicators for a cardiology or nephrology referral in a child
with hypertension.
Cardiovascular Drugs
Understand key principles related to the use of cardiovascular drugs.
Identify the indications,
contraindications, mechanism of action, and side effects of the commonly
used cardiovascular drugs (Antiarrhythmic, Chromotropes, Inotropes,
Diuretics, Vasodilator, Vasopressors).
BRONX-LEBANON HOSPITAL CENTER
