Pedi cardiology

9/26/2020

Syncope

Salt stick (Na 500, K 100) Vitassium

(Note: Salt stick Plus has caffeine in it. Other Salt stick preparations have Ca and Mg - but with lower amounts of Na and K.)

Thermotabs 1g

(4-5 tab per day, depending upon activity level, duration)

Doxy-dopa (Northera) - Alpha-1 agonist. 100 mg bid. May increase to tid. Expensive. Therefore, may be used when Midodrine fails

Pyridostigmine. Ach esterase inhibitor. Increases vascular tone. May help GI symptoms. 30 mg tid (half of 60 mg tab). Side effects - muscle shakiness.

8/07/2020

Shunt Calculation Formulas

6/30/2020

Test occlusion of Fontan fenestration

Test occlusion of Fontan fenestration:

Criteria for decision making in one old publication - Bridges ND, et al. JACC 1995;25:1712-17.

Mean RA pressure > 18 mmHg

AV difference of saturation increased by > 33%

RA saturation < 40%.

In patients with unfavorable outcome (2 yr follow-up after fenestration closure); systemic venous pressure increased more than 40% and systemic venous saturation decreased more than 23%.

There are other criteria in other publications.