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Referral Guidelines

Cardiology Referral Guidelines


Children’s National Heart Institute brings together the region’s only team of dedicated pediatric cardiac surgeons,cardiologists, cardiac anesthesiologists, and dual-boarded cardiac intensivists to provide the highest quality care in the most technologically advanced setting.

Cardiology

The Division of Cardiology provides both inpatient and outpatient diagnostic and treatment services for a full range of pediatric cardiovascular disorders, including congenital heart disease, acquired heart disease, cardiomyopathy, fetal echocardiography, hypertension, premature atherosclerosis, and arrhythmias. Newborn consultation is offered in community hospital nurseries.

Special services include:
  •  Echocardiography - fetal, transesophageal, and 3D reconstruction
  •  Cardiac MRI
  •  Cardiac catheterization - diagnostic and interventional
  •  Arrhythmia services - electrocardiograms, Holter  monitors, pacemakers, electrophysiology studies, and ablation therapy
  •  Preventive cardiology - cholesterol/lipids, hypertension, and exercise stress tests
  •  Adult congenital heart disease program
  •  Pulmonary hypertension program
  •  Fetal cardiology
  •  Cardiac failure
The following information may be required on the referral form. See specific guidelines for data needed for a referral.
  •  EKG
  •  Echocardiogram with doppler and color flow
  •  Fetal echocardiogram
  •  Holter
  •  Event monitor with transtelephonic recordings
  •  Stress test
  •  Pulse ox
  •  Lab work
  •  Chest x-ray
  •  Cardiac catheterization

Please send results of any previous tests.

Cardiac Surgery

The Division of Cardiac Surgery has dedicated pediatric and congenital cardiovascular surgeons performing palliative and corrective procedures for newborns, infants, children, and adults. Procedures performed include the entire range of congenital heart disease from the simplest to the most complex problems. Each patient is cared for by a pediatric cardiac anesthesiologist during surgery. Postoperative care is provided by a highly trained staff with special expertise in cardiac intensive care in the dedicated Cardiac Intensive Care Unit. 

Diagnosis/
Symptom 
 Initial Work-Up
Referral When 
Data Needed 
Heart Murmur
History & physical
4-extremity BP
Any abnormality or concern
H&P, BP
Cyanosis
History & physical
4-extremity BP
Pulse oximetry
Any abnormality or concern
H&P, BP,
O2 sat if
 available
Palpitations
History & physical
Family history
Any abnormality or concern
Exercise-associated symptoms
H&P,
Family history
Chest Pains
History & physical
Family history
Any abnormality or concern
Exercise-associated symptoms
Non-sharp chest pain
H&P,
Family history
Syncope
History & physical
Family history
Any abnormality or concern
Exercise-associated symptoms
Concerning family history
H&P,
Family history
Dizziness
History & physical
Family history
Any abnormality or concern
Exercise-associated symptoms
Concerning family history
H&P,
Family history
Hypercholesterol
History & physical
Family history
Lipid profile
Any abnormality or concern
Concerning family history
H&P,
Family history
Relevant lab data
from patient and
affected family
members
Family History 
of Heart Disease
History & physical
Family history
Any abnormality or concern
Concerning family history
Parents and siblings
ECGs and other
relevant data,
when available

Cardiology - Departments & Programs - Children's National Medical Center