Heart Disease in Children

Prim Care. 2018 Mar;45(1):143-154. doi: 10.1016/j.pop.2017.10.005.


The pediatric cardiology field has developed rapidly over the past few decades. More children than ever born with congenital heart disease (CHD) are growing into adulthood. Primary care providers play a key role in diagnosis, management, and referral of children with CHD because many common cardiac complaints (eg, feeding intolerance, cyanosis, chest pain, palpitations, and syncope) are first addressed in the primary care setting. The spectrum of heart disease in children ranges from common complaints to complex single-ventricle physiology, acute myocarditis, and heart transplantation. This article reviews the pathophysiology and management of the most frequent cardiac conditions encountered in primary care.

Keywords: Chest pain; Children; Congenital heart disease; Cyanosis; Heart murmur; Infective endocarditis; Primary care.

Publication types

  • Review

MeSH terms

  • Child
  • Heart Diseases / congenital*
  • Heart Diseases / diagnosis
  • Heart Diseases / therapy
  • Humans
  • Mass Screening