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Canadian Journal of Cardiology

Rationale and Best Practices for Pediatric Cardiology Prevention Programs

  • Andrew H. Tran
    Affiliations
    The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio, USA

    The Ohio State University, Columbus, Ohio, USA
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  • Elaine M. Urbina
    Correspondence
    Corresponding author: Dr Elaine M. Urbina, Director, Preventive Cardiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, MLC 2003, Cincinnati, Ohio 45229, USA. Tel.: +1-513-636-8265.
    Affiliations
    Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA

    University of Cincinnati, Cincinnati, Ohio, USA
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Published:March 07, 2020DOI:https://doi.org/10.1016/j.cjca.2020.03.006

      Abstract

      Atherosclerotic cardiovascular diseases are the most common cause of death in North America, and a significant number of children have conditions such as inherited dyslipidemias, overweight/obesity, and hypertension, placing them at increased risk for future cardiovascular events and other comorbidities. Training in cardiovascular prevention is an important tool to help pediatric cardiologists address these issues in children. We describe a model for training pediatric cardiologists in primary and secondary prevention strategies. A multidisciplinary team approach is needed for robust training in dyslipidemias, hypertension, insulin resistance and type 2 diabetes mellitus, and other obesity-related comorbidities. Research is a significant component of training and necessary for translating science into practice. Ongoing education is also necessary, and certification is available through associations such as the National Lipid Association, the American Diabetes Association, The Obesity Society, and the American Hypertension Specialist Certification Program. Knowledge of primordial, primary, and secondary cardiovascular prevention strategies is essential for pediatric cardiologists to accomplish the goal of helping children lead healthier lives long into adulthood.

      Résumé

      Les maladies cardiovasculaires athéroscléreuses sont la principale cause de décès en Amérique du Nord, et un nombre important d’enfants présentent des problèmes de santé héréditaires comme une dyslipidémie, l’obésité et l’hypertension, ce qui les expose à un risque accru d’événement cardiovasculaire et d’autres affections concomitantes. Pour aider les cardiologues-pédiatres à prévenir les maladies cardiovasculaires chez leurs patients, il importe de leur donner une formation adéquate. Nous proposons un modèle de formation des cardiologues-pédiatres axé sur les stratégies de prévention primaire et secondaire. Une approche multidisciplinaire s’impose pour assurer une solide formation sur les dyslipidémies, l’hypertension, la résistance à l’insuline et le diabète de type 2, et d’autres affections concomitantes liées à l’obésité. La recherche constitue un volet important de la formation, nécessaire pour assurer l’application des connaissances scientifiques dans la pratique. La formation continue s’impose également; différents organismes, notamment la National Lipid Association, l’American Diabetes Association, The Obesity Society et l’American Hypertension Specialist Certification Program proposent des programmes d'accréditation. Pour aider les enfants à vivre longtemps et en meilleure santé, les cardiologues-pédiatres doivent connaître les stratégies de prévention primaire et secondaire essentielles.
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