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Cardiology

Beyond Diagnoses: Gaby’s Story

When Gaby was four years old, her family noticed that she was barely talking, was frequently losing her balance, and experiencing severe migraines. After going through many tests, including a sleep study, they found out that she had Chiari malformation. As Gaby continued to grow, her doctors uncovered more diagnoses including scoliosis, postural orthostatic tachycardia syndrome (POTS), Tethered Cord, Syringomyelia, secondary Hydrocephalus PTSD, among many others. Gaby was seeing a plethora of doctors and undergoing several different therapies, surgeries, and medications. However, her family was having difficulty finding doctors that specialized in Gaby’s conditions in Tampa. After doing some research, Gaby’s mom, Diana, found Nemours Children’s Hospital, Florida. Their first visit at Nemours Children’s was with the neurology team in Orlando when Gaby was about nine years old. “As a parent who has dealt with so many doctors, I have experienced doctors who don’t even know how to pronounce her […]

Heart of a Warrior – Troy’s Story

After Troy was born, he was struggling to breathe. His mother Holli alerted the labor and delivery nurses, and they responded by checking his pulse, noticing that it was abnormal. Holli’s life was turned upside down when she was told that Troy had to be transferred out of state from Cape May, NJ to Nemours Children’s Hospital in Wilmington, Delaware to get the care that he would need. He was born with an interrupted aortic arch, a rare congenital heart defect that happens when the aorta doesn’t form completely. At just 6 days old, and due to his small size, Troy had a procedure to place bands around his pulmonary arteries and a stent the ductus arteriosus, to control the excessive amount of blood going to his lungs and to provide circulation to the lower body, performed by pediatric cardiac surgeon, Dr. Christian Pizarro. Then, at 6 months old, Dr. […]

Meet Dr. Mihir Thacker and Dr. Deepika Thacker

In celebration of Doctors’ Day, we want to highlight the incredible work of two doctors who not only share a passion for the care of children, but also a deep love for each other. Dr. Mihir Thacker and Dr. Deepika Thacker first met while attending Seth Gordhandas Sunderas Medical College in Mumbai, India. “Mihir was 2 years my senior and had a very serious air about him,” says Dr. Deepika Thacker. “He was very focused and always studying. As I got to know him better, I discovered that he had a very fun side as well and a wicked sense of humor! We were friends before we started dating, and to this date, we remain friends in addition to being married. We love playing board games with the family, taking trips and trying new foods together!” Deepika recalls, when they began dating as teenagers, “He would take me out to […]

Meet Dr. Corrine Bria and Dr. Peace Madueme

Say hello to Dr. Corrine Bria and Dr. Peace Madueme! This dynamic duo from Nemours Children’s Hospital, Florida, is another one of the amazing couples on our team. Dr. Bria attended medical school at the Lewis Katz School of Medicine at Temple University in Philadelphia, Pennsylvania, and Dr. Madueme attended medical school at the Eastern Virginia Medical School in Norfolk, Virginia. The couple met during their pediatric residency at Cincinnati Children’s Hospital in 2017. Immediately following their residency, Dr. Bria and Dr. Madueme made the big move to Nemours Children’s Hospital, Florida. Today, Dr. Bria works in the Pediatric Emergency Medicine and Graduate Medical Education departments and Dr. Madueme in the Pediatric Heart Institute. Dr. Bria also served as one of the inaugural associate program directors of the pediatric residency program and is now the interim program director.  Dr. Madueme serves as the medical director of cardiac imaging and provides […]

Palliative Care Month – Molly’s Story (Mother’s Words)

On her first day of kindergarten on September 20, 2010, Molly Katherine Dunne was a seemingly healthy girl until she collapsed as she arrived at school. She was taken to Nemours by ambulance. After some testing, she went home with plans to follow up on an out-patient basis. However, the next night her condition worsened so we returned to Nemours where she was admitted. After many tests, Molly was diagnosed with Pulmonary Hypertension. Things happened quickly and we knew little of what this diagnosis meant. Molly underwent a cardiac catheterization to help determine a treatment plan and next steps. While in the catheterization lab, she had some complications followed by a cardiac arrest. She was revived but was not stable so she was placed on ECMO also known as heart-lung bypass. Over the next few days, attempts to wean from ECMO were unsuccessful. Molly was transferred to another children’s hospital […]

When Your Child Complains of Chest Pain by Thomas Craig Edwards, MD | Promise, powered by Nemours Children's Health

When Your Child Has Chest Pain

When your child complains of chest pain, it’s natural to jump to heart-related conclusions. But most cases of chest pain in children aren’t caused by cardiac conditions. It can sometimes be hard to get a clear description of your child’s chest pain, but symptoms usually include: Tightness. Discomfort. Burning sensation. Pain when taking deep breaths. Coughing. Wheezing. So what should you do? Make an appointment with your child’s primary care physician, and keep in mind that chest pain in children is usually not heart-related. Chest pain can often be attributed to one or more of the following: Gastroesophogeal reflux disease, or ongoing heartburn Pain or inflammation in the chest wall Asthma Pneumonia Stress or anxiety Injury Viral illness Heading to the hospital is absolutely necessary in some situations. Seek emergency care if: Exercise brings about chest pain, or makes it worse. Chest pain occurs with rapid or irregular heartbeat. Fainting or […]

Chest Pain in Teens: When to Worry

Chest Pain in Teens: When to Worry

Few things can cause a parent’s heart to stand still like having a teenage child complain of chest pain. Unfortunately, it’s a common complaint. According to national data from 2016, people aged 15 to 24 years comprise 14.2% of all emergency room visits and chest pain is one of the top diagnoses. Causes of Chest Pain Many people have experienced chest pain, and a variety of words are used to describe it, ranging from dull to squeezing. There are equally as many causes, the most serious of which usually involve the heart or lungs. Luckily, in teenagers, the most serious are not the most likely. Frequently, the cause of chest pain in teens is chest wall pain. The chest wall includes the skin, fat, muscles, and bones that form a protective structure around the heart, major blood vessels, lungs, and esophagus. The bones in the chest wall include the ribs, sternum (breastbone), […]

Heart Murmurs in Kids: They’re Common and Usually Harmless, by Steven Ritz, MD | Promise, Powered by Nemours Children's Health System

Heart Murmurs in Kids: They’re Common and Usually Harmless

You might worry if you’re told your child has a heart murmur. But lots of kids are found to have heart murmurs at some point. And most won’t affect a child’s health at all. So What Is a Heart Murmur? The term “heart murmur” isn’t a diagnosis of an illness or disorder. The doctor might hear an extra sound in addition to the “lub-dub” we recognize as the heartbeat. A heart murmur is an abnormal sound (like a blowing or whooshing) that’s usually detected by a doctor who’s listening to the heart with a stethoscope during a routine examination. What’s an “Innocent” Heart Murmur? The most common type of heart murmur is an “innocent murmur” (also called a “benign” or “functional” murmur). This type of murmur is harmless. An innocent heart murmur is the sound of blood moving through a normal, healthy heart in a normal way. Just as you might hear air moving through an […]

Sudden cardiac arrest and teenage athletes | Steven Fishberger, MD | Promise: Powered by Nemours Children's Health System

Sudden Cardiac Arrest and Teenage Athletes: What’s the Risk?

Sudden cardiac arrest is nothing new, but it still gets plenty of attention when it affects a young athlete—usually because it’s so rare, unexpected and tragic. We’re all familiar with the stories of seemingly healthy teenagers collapsing on the field or court and succumbing to cardiac arrest. It’s estimated that between 6,000 and 8,000 young people experience sudden cardiac arrest (or SCA) each year, and only about one in 10 survive. The exact causes of SCA vary widely. Abnormalities in the heart or genetic conditions are often to blame, though there are times in which a definite cause is never found. In all cases, something causes the heart to unexpectedly beat out of control or stop beating altogether. Sudden cardiac arrest is so dangerous because it’s so hard to predict. But if the symptoms are recognized immediately, lives can be saved. Symptoms of SCA include: Collapse Lack of pulse No […]

Meet Emmy: An Atrial Septal Defect Success Story | Promise: Powered by Nemours Children's Health System

Meet Emmy: An Atrial Septal Defect Success Story

When Jill’s third child, Emmy, was born with a hole in her heart, Jill wasn’t too worried. Her two older sons also had the condition—called Atrial Septal Defect (ASD)—and theirs had cleared up over time. In children with ASD, blood recirculates inside the heart, and doesn’t reach the rest of the body as well as it should. Dr. Mary Mehta, Pediatric Cardiologist at Nemours Children’s Specialty Care, Pensacola, worked with the family to track Emmy’s condition. It didn’t improve, and it soon became clear that Emmy would need complex and invasive surgery to repair the hole in her heart. When Emmy was just three years old, the right side of her heart began to enlarge, presenting more risks: asthma-like symptoms and other coronary issues.  It was time to prepare for open heart surgery. Emmy’s family met with Dr. Peter Wearden, Cardiothoracic Surgeon at the Nemours Cardiac Center at Nemours Children’s Hospital […]

4 Tips to Keep Kids Heart Healthy from the experts at Nemours Children's Health System

4 Tips to Keep Kids Heart Healthy

February is Heart Month, a time when we traditionally hear many messages about adults at risk for heart disease. Now it’s time to focus this message toward kids, as medical research has shown that cardiovascular disease has its roots in childhood. According to the Centers for Disease Control and Prevention (CDC), one in five U.S. teens have abnormal cholesterol. This means either their good cholesterol (HDL) is too low or their bad cholesterol (LDL and triglycerides) is too high. As a parent, you may not be thinking about what cholesterol means for your kids. But with the dramatic increase in childhood obesity, more and more kids are at risk. Obesity can not only cause abnormal cholesterol, it can lead to increased risk of heart disease, diabetes, high blood pressure and stroke. So, here are four steps you can start taking — today — to help keep your kids’ hearts healthier […]

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