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Published Online First: 11 September 2008. doi:10.1136/adc.2008.141481
Archives of Disease in Childhood 2009;94:327
Copyright © 2009 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

LETTER

Review of paediatric cardiology services in district general hospitals in the United Kingdom

V Karuppaswamy, W Kelsall

Department of Paediatrics, Addenbrooke’s Hospital, Cambridge, UK

Dr V Karuppaswamy, Department of Paediatrics, Addenbrooke’s Hospital, Cambridge CB2 2QQ, UK; vkswami@hotmail.com

The first 150 words of the full text of this article appear below.

The recent Healthcare Commission report has highlighted wide variations in paediatric services available to children in hospitals across the UK.1 This is certainly the case for paediatric cardiology services across the East of England. A few hospitals have well-developed services provided by full-time paediatricians with an interest in cardiology, but in most there is limited expertise. Congenital heart disease (CHD) is common; the anomalies vary in severity and present in very different ways and at different ages. Heart murmurs may be an important presenting sign of an underlying cardiac disorder in infancy and childhood.2 Increasing numbers of asymptomatic children are being referred to specialist paediatric cardiologists.3

The aim of the study was to review paediatric cardiology services across the UK. In 2005, questionnaires were sent to the clinical directors of paediatric departments in district general hospitals (DGHs) and specialist paediatric cardiac centres. Information was requested about local paediatricians with expertise . . . [Full text of this article]


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