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Paediatric Cardiology

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About Paediatric Cardiology

Expert Care for Children’s Heart Conditions

The Paediatric Cardiology service at Sitaram Bhartia Institute of Science and Research provides evaluation, diagnosis, treatment planning, and long-term follow-up for infants, children, and adolescents with congenital and acquired heart conditions.

A child’s heart begins developing early during pregnancy and continues to grow and adapt through childhood. While many children have healthy hearts, some may be born with congenital heart defects or develop heart-related concerns later in life. Early diagnosis, timely treatment, and regular follow-up can help children receive the right care at the right time.

Our paediatric cardiology team works closely with paediatricians, neonatologists, obstetricians, foetal medicine specialists, anaesthetists, cardiac surgeons, and other specialists whenever multidisciplinary care is required.

The focus is on evidence-based, family-centred care that helps parents understand their child’s condition, available treatment options, follow-up needs, and long-term heart health.

Conditions and Concerns We Support

Our Paediatric Cardiology service provides evaluation and management for:

  • Congenital heart disease
  • Heart murmurs
  • Foetal echocardiography concerns
  • Newborn cardiac screening
  • Paediatric echocardiography
  • Cyanotic heart disease
  • Atrial Septal Defect
  • Ventricular Septal Defect
  • Patent Ductus Arteriosus
  • Tetralogy of Fallot
  • Valve disorders
  • Cardiomyopathy
  • Paediatric heart failure
  • Cardiac rhythm disorders
  • Syncope or fainting
  • Chest pain in children
  • Hypertension in children
  • Kawasaki disease
  • Rheumatic heart disease
  • Long-term follow-up after congenital heart surgery
  • Abnormal foetal ultrasound findings
  • Family history of congenital heart disease

Our Paediatric Cardiology Services

Paediatric Cardiology Consultation

A paediatric cardiology consultation helps evaluate heart-related symptoms, abnormal examination findings, congenital heart concerns, rhythm concerns, or heart conditions detected before or after birth.

During consultation, the specialist may review:

  • Child’s symptoms
  • Growth and feeding history
  • Birth and neonatal history
  • Family history
  • Previous reports and investigations
  • Heart murmur findings
  • Oxygen levels where required
  • Blood pressure
  • Need for echocardiography, ECG, Holter monitoring, or further cardiac evaluation
  • Follow-up and treatment plan

The aim is to provide a clear diagnosis and guide parents on the next steps.

Congenital Heart Disease Care

Congenital heart disease refers to structural abnormalities of the heart that are present at birth. Some conditions are detected during pregnancy, while others may be noticed during newborn screening, infancy, childhood, or adolescence.

Our specialists evaluate and support children with conditions such as:

  • Septal defects, including ASD and VSD
  • Patent Ductus Arteriosus
  • Tetralogy of Fallot
  • Valve abnormalities
  • Cyanotic heart conditions
  • Complex congenital heart diseases
  • Post-surgical follow-up after congenital heart surgery

Every child receives an individualised care plan based on age, diagnosis, symptoms, oxygen levels, heart function, growth, and overall health.

Foetal Cardiology and Foetal Echocardiography

Some heart conditions can be identified before a baby is born.

Foetal echocardiography is a specialised ultrasound examination that evaluates the baby’s heart during pregnancy.

It may be recommended when:

  • A routine pregnancy scan raises concern about the baby’s heart
  • There is a family history of congenital heart disease
  • The mother has diabetes
  • The mother has autoimmune disorders
  • Certain infections or medical conditions are present during pregnancy
  • Certain medicines or risk factors increase the possibility of congenital heart defects

Early diagnosis helps parents and healthcare teams plan delivery, newborn care, and specialist support where required.

Evaluation of Heart Murmurs

Heart murmurs are common in children and are often harmless. However, some murmurs may be linked with an underlying heart condition.

Our paediatric cardiologists assess heart murmurs through:

  • Clinical examination
  • Medical and family history
  • Review of symptoms
  • Echocardiography where required
  • Follow-up planning

The assessment helps determine whether the murmur is innocent or needs further monitoring or treatment.

Paediatric Echocardiography

Paediatric echocardiography is a safe and painless ultrasound test that helps evaluate the structure and function of a child’s heart.

It may be used to assess:

  • Congenital heart defects
  • Valve disorders
  • Heart muscle function
  • Blood flow through the heart
  • Pulmonary pressures
  • Cardiac function
  • Follow-up after cardiac procedures or surgery

The test helps guide diagnosis, treatment planning, and long-term monitoring.

Cardiac Rhythm Disorder Evaluation

Some children may experience irregular heartbeats or abnormal heart rhythms.

Our Paediatric Cardiology service supports evaluation of:

  • Palpitations
  • Fast heart rhythms
  • Slow heart rhythms
  • Syncope or fainting
  • Arrhythmias
  • Conduction abnormalities
  • Exercise-related symptoms
  • Rhythm concerns detected on ECG or Holter monitoring

Timely assessment helps determine whether the rhythm concern needs observation, monitoring, medicines, or further intervention.

Chest Pain, Fainting and Exercise-Related Symptoms

Chest pain and fainting in children are not always due to heart disease, but certain symptoms need specialist evaluation.

A paediatric cardiology consultation may be advised if a child has:

  • Chest pain during exercise
  • Fainting during activity
  • Palpitations
  • Breathlessness with exertion
  • Dizziness with exertion
  • Family history of sudden cardiac events
  • Known congenital heart disease
  • Abnormal ECG or echocardiography findings

The evaluation helps identify whether symptoms are heart-related and what follow-up is needed.

Long-Term Follow-Up for Children with Heart Disease

Many children with congenital or acquired heart disease can lead active lives with appropriate medical care and regular follow-up.

Our team provides long-term monitoring for:

  • Growth and development
  • Exercise tolerance
  • Heart function
  • Medication management
  • Symptoms and activity levels
  • Lifestyle counselling
  • Follow-up after congenital heart surgery
  • Transition planning for adult congenital heart care where required

Regular follow-up helps monitor heart health through childhood and adolescence.

Diagnostic Support

Depending on the child’s condition, evaluation may include:

  • Paediatric echocardiography
  • Foetal echocardiography
  • Electrocardiogram
  • Blood pressure evaluation
  • Pulse oximetry
  • Holter monitoring
  • Cardiac imaging where required
  • Exercise assessment where appropriate
  • Review of previous cardiac reports
  • Specialist referral or multidisciplinary discussion where needed

Investigations are recommended based on symptoms, examination findings, age, diagnosis, and doctor assessment.

Coordinated Care with Other Specialities

Children with heart conditions may need care from more than one specialist.

Our Paediatric Cardiology team may coordinate with:

  • Paediatrics
  • Neonatology
  • Obstetrics and Gynaecology
  • Foetal Medicine
  • Paediatric Intensive Care Unit
  • Neonatal Intensive Care Unit
  • Anaesthesia
  • Imaging and Diagnostics
  • Cardiac Surgery teams where required
  • Nutrition
  • Physiotherapy and Rehabilitation
  • Emergency services

This coordinated approach helps families receive connected care before birth, after birth, during childhood, and through long-term follow-up.

Our Approach to Paediatric Cardiology

At Sitaram Bhartia, paediatric heart care is guided by accurate diagnosis, careful monitoring, and family-centred communication.

Our approach focuses on:

  • Early detection of heart concerns
  • Detailed clinical evaluation
  • Evidence-based diagnosis and treatment planning
  • Age-appropriate cardiac assessment
  • Clear explanation for parents
  • Judicious use of investigations
  • Long-term follow-up for congenital and acquired heart conditions
  • Multidisciplinary care when needed
  • Support for newborns, children, and adolescents
  • Helping children maintain safe activity and quality of life where possible

When Should You Consult a Paediatric Cardiologist?

You may be advised to consult a paediatric cardiologist if your child has:

  • A heart murmur
  • Bluish discolouration of the lips or skin
  • Difficulty feeding
  • Poor weight gain
  • Rapid breathing
  • Excessive sweating during feeding
  • Chest pain during exercise
  • Fainting episodes
  • Palpitations
  • High blood pressure
  • Congenital heart disease diagnosed before or after birth
  • Abnormal foetal ultrasound findings
  • Family history of congenital heart disease
  • Breathlessness during activity
  • Poor exercise tolerance
  • Previous congenital heart surgery requiring follow-up

Seek urgent medical care if your child has severe breathlessness, bluish discolouration, fainting during exercise, sudden collapse, severe chest pain, or sudden worsening of symptoms.

Doctors and Care Team

The Paediatric Cardiology service is supported by paediatric cardiologists, paediatricians, neonatologists, foetal medicine specialists, nurses, diagnostic teams, coordinators, and other specialists where required.

The team works together to provide evaluation, echocardiography, newborn cardiac screening support, rhythm assessment, congenital heart disease follow-up, parent counselling, and multidisciplinary care planning.

Why Choose Sitaram Bhartia for Paediatric Cardiology?

Specialist Heart Care for Children

The service provides evaluation and management for infants, children, and adolescents with congenital and acquired heart conditions.

Congenital Heart Disease Support

Children with ASD, VSD, PDA, Tetralogy of Fallot, valve disorders, cyanotic heart disease, and complex congenital heart disease can receive assessment and follow-up planning.

Foetal and Newborn Cardiac Evaluation

Foetal echocardiography and newborn cardiac assessment help identify selected heart concerns early and support timely planning.

Paediatric Echocardiography

Safe and painless heart ultrasound helps assess heart structure, function, valves, blood flow, and pulmonary pressures.

Family-Centred Care

Parents receive clear guidance about the diagnosis, treatment options, warning signs, follow-up schedule, and long-term care needs.

Multidisciplinary Coordination

Care may be coordinated with paediatrics, neonatology, obstetrics, foetal medicine, anaesthesia, cardiac surgery teams, NICU, PICU, imaging, and other specialists where required.

Long-Term Follow-Up

Children with congenital or acquired heart conditions may receive ongoing monitoring for growth, activity tolerance, heart function, medicines, and recovery after cardiac procedures or surgery.

Evidence-Based Treatment Planning

Care decisions are based on clinical assessment, diagnostic findings, age, symptoms, cardiac function, and individual needs.

Support Across Childhood and Adolescence

The team supports children from the newborn stage through adolescence, with care plans tailored to each stage of growth and development.

Meet Our Team

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Dr. Jay Relan

Visiting Consultant,
Paediatric Cardiology

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