Libro blanco de las ACES Pediátricas 2024

Cardiología Pediátrica. Anexos ❚ 53 Page 33 of 64 Paediatric Cardiology curriculum 5. Manage all aspects of the heart failure service, including transplant assessment and on-going follow up Descriptors Heart failure (HF) and Mechanical Circulatory Support (MCS) • Recognises the signs and symptoms of HF in children • Able to generate a differential diagnosis for heart failure in children and initiate medical management • Is able to appropriately adjust medical treatment in children with established HF • Demonstrates knowledge of the pathophysiology of HF through its application to treatment • Utilises investigations appropriately to establish an accurate diagnosis (including imaging, genetic evaluation, metabolic assessment, endomyocardial biopsy, and cardiac catheterisation • Is able to interpret the results of arrhythmia testing, exercise testing, biomarker levels, non-invasive imaging, and cardiac catheterisation to plan treatment • Safely prescribes diuretics, antiarrhythmics, inotropic and lusitropic agents, anticoagulation, angiotensin-converting enzyme inhibitors, beta-blockers in children with HF • Demonstrates knowledge and understanding of the utility of non- medical therapies in the HF management, including the creation of an interatrial communication in patients supported by extracorporeal membrane oxygenation (ECMO), cardiac resynchronization therapy and arrhythmia management • Demonstrates knowledge of MCS application including ECMO, ventricular assist device (VAD) support in the treatment of end- stage HF as a bridge to transplantation and potentially as a bridge to recovery or as destination therapy in selected groups • Demonstrates knowledge of the evidence base as it relates to HF in children. Applies the emerging evidence base and guidelines to develop heart failure service • Has observed surgical procedures for organ procurement and implantation, ventricular assist device implantation and extracorporeal membrane oxygenation deployment • Provides evidence-based counselling with a clear explanation of diagnosis and management options for patients with heart failure Heart transplantation (HTx) • Demonstrates knowledge of the indications and contraindications for heart transplantation • Understands the process of assessment of donor suitability including matching criteria, importance of human leucocyte antibodies and blood group status