NorthWest Congenital Heart Care is dedicated to providing the most comprehensive pediatric cardiac care in the Puget Sound Region, with clinics in Tacoma, Seattle, Issaquah, Puyallup, Renton and Olympia. We provide consultation, treatment, support and education truly spanning the life of our children, from before a baby is born through early adulthood. Our expert team of caregivers provides unsurpassed, state-of-the-art medical care with compassion and understanding for the child and family. We offer a full-range of diagnostic techniques and therapeutic procedures specifically designed to enhance the care of infants, children, adolescents, and young adults with congenital or acquired heart disease.
NorthWest Congenital Heart Care’s Preventive Cardiology Program is specifically designed to help identify and treat children who are at a higher risk of acquiring heart disease. In addition, we have a comprehensive Fetal Heart Program to improve prenatal diagnosis and treatment, thereby ensuring the best possible outcomes for infants born with heart disease. Our practice is accredited in both pediatric transthoracic echocardiography and fetal echocardiography by the Intersocietal Accreditation Commission (IAC). This voluntary accreditation recognizes our commitment to high quality patient care and provision of quality diagnostic testing. We also have the unique distinction of being the first accredited Fetal and Pediatric Echo Lab in the state of Washington and the only accredited Fetal Echo Lab and Pediatric Echo Lab in South Puget Sound.
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NorthWest Congenital Heart Care's Fetal Heart Program, is dedicated to providing comprehensive, advanced care for unborn children with a possible heart abnormality. Our pediatric cardiologists use the latest technology to detect heart abnormalities before birth. This provides parents time to prepare and consider treatment options.
NWCHC is accredited in fetal echocardiography by the Intersocietal Accreditation Commission. This voluntary accreditation recognizes our excellence in fetal & pediatric care and diagnostic testing. We work closely with each patient’s team of providers - obstetrician, maternal fetal medicine physician, neonatologists, pediatric cardiac surgeons, and other pediatric subspecialists. This team concept helps to ensure the best possible outcome, prior to birth and following delivery, for your child and you.
Our program features a fully digital state-of-the-art lab, providing access to immediate imaging studies and reports. We perform the fetal echo and provide our assessment during your office visit alleviating the prolonged stress with typical wait time for results.
Referral indications include:
- Family history of congenital heart disease
- Abnormal fetal heart rhythm
- Fetal heart abnormalities detected during a routine pregnancy ultrasound scan
- Abnormality of another major organ system in the fetus
- Maternal insulin-dependent diabetes mellitus
- Exposure to some drugs in early pregnancy – for example, some anti-epileptic drugs can damage the developing heart
- Abnormal genetic test results
- In vitro fertilization
Atherosclerotic cardiovascular disease(ASCVD) is the leading cause of death in the United States. Although disease manifestation in childhood is rare, risk factors for ASCVD begin in childhood which predict the presence of risk in adulthood if no intervention occurs. There is increasing evidence that risk reduction in childhood delays progression to clinical disease. The cost of intervention is outweighed by the reduction in morbidity and mortality from ASCVD.
NorthWest Congenital Heart Care will provide a comprehensive evaluation of family history, assessment of risk factors, cardiovascular directed physical exam including blood pressure and the following:
- Dietary assessment
- Activity assessment
- Echocardiogram (if indicated) to assess left ventricular mass index and to exclude conditions that may limit exercise participation
- 24-hour ambulatory blood pressure monitoring
- Point of care lipid and glucose screening
- Cardiopulmonary exercise stress testing to assess current fitness level, assess symptoms that may be preventing the patient from exercising regularly, and ultimately to provide an exercise prescription
- In-depth discussion of lifestyle modifications
- Medication therapy, when indicated, to achieve recommended lipid levels
- Coordination of care with dieticians, gastroenterologists and endocrinologists, as needed, for assessment and treatment of comorbidities
- Referral to community resources for healthy lifestyle maintenance
Risk factor identification includes:
- Family history
- Elevated BMI
- Physical activity
- Tobacco exposure