Libro blanco de las ACES Pediátricas 2024

Libro Blanco de las ACES Pediátricas 2024 50 ❚ Page 30 of 64 Paediatric Cardiology curriculum • Provides expert advice on the use of echo imaging techniques to plan surgical and intervention approaches in patients with complex CHD • Able to acquire and post-process 3D echo data-sets to diagnose and plan the management of children with CHD • Provides expert advice on the use of, advanced echo imaging techniques (e.g. Speckle tracking myocardial deformation imaging) to diagnose and manage patients with cardiomyopathies • Identifies patients in need of additional cross-sectional imaging with MRI and CT • Demonstrates knowledge and understanding of the advantages and disadvantages of different imaging modalities (CMR, CT, TOE) and utilises them appropriately in the clinical setting • Able to perform and interpret intra-operative imaging for children undergoing cardiac surgery and plan further management in collaboration with surgical colleagues • Able to perform 2D TTE and TOE echocardiography to guide catheter interventions • Recognises indications for, perform and report bubble contrast studies, strain imaging and dyssynchrony studies • Is able to confidently demonstrate transthoracic and transoesophageal echo imaging at cardiac MDTs • Prepares children to safely undergo transoesophageal echocardiography under GA • Utilises novel imaging techniques, emerging evidence base and established guidelines appropriately • Able to lead an imaging service through full competence to perform, supervise and teach techniques in transthoracic and TOE • Supervise an echo service encompassing TOE, 3D echo techniques, LV strain assessment, stress echocardiography and contrast echo techniques Cardiac MRI (CMR) and congenital CT (may comprise 2 years of training or be combined with 1 year of advanced echocardiography imaging); • Demonstrates knowledge of basic MR physics • Refers appropriately for CMR and congenital CT • Able to triage referrals for cardiac MRI and Congenital CT • Is able to perform, report and utilise congenital CT to plan the management of children with CHD • Is able to perform, report, and utilise cardiac MRI to diagnose and risk stratify patients followed up after surgery for CHD • Is able to perform, report and utilise CMR to assess ventricular function and diagnose children with acquired heart disease