When should your child see a pediatric cardiorheumatologist?
- A heart murmur detected during a medical examination.
- Rapid heartbeat, palpitations, or an irregular heart rhythm.
- Chest pain or discomfort.
- Shortness of breath during exercise, sports, or everyday physical activity.
- Fatigue or reduced exercise tolerance compared to peers.
- Dizziness, fainting, or episodes of loss of consciousness.
- High blood pressure or frequent fluctuations in blood pressure.
- Abnormal ECG, echocardiogram, or other cardiac test results.
- Joint pain, swelling, or stiffness, especially after infections.
- Suspected congenital heart disease, rheumatic disease, or autoimmune condition.
- Assessment before starting sports activities or participating in competitive sports.
What is the difference between a pediatric cardiologist and a pediatric cardiorheumatologist?
A pediatric cardiologist specializes in the diagnosis, treatment, and prevention of heart and blood vessel conditions in children. Parents are typically referred to a pediatric cardiologist when a child has a heart murmur, heart rhythm abnormalities, high blood pressure, congenital heart defects, or abnormal ECG or echocardiogram results.
A pediatric cardiorheumatologist has additional expertise in rheumatic and autoimmune diseases that can affect not only the joints but also the heart. This specialist is involved in the diagnosis, treatment, and long-term monitoring of children with conditions such as rheumatic fever, juvenile arthritis, systemic connective tissue disorders, vasculitis, and other diseases that may impact the cardiovascular system.
If a child experiences both cardiac and joint-related symptoms, or if a rheumatic disease is suspected, a consultation with a pediatric cardiorheumatologist is often the most appropriate choice.

FAQ
Is a consultation needed before starting sports activities?
Yes. Even if a child feels well and has no symptoms, it is recommended to assess their cardiovascular health before beginning regular sports activities. This is particularly important before participating in football, swimming, gymnastics, martial arts, athletics, and other sports that involve intensive physical exertion.
What happens during the consultation?
During the appointment, the doctor will discuss the child's symptoms, medical history, developmental milestones, and family medical history. Special attention is given to congenital heart defects, heart rhythm disorders, and any history of rheumatic or autoimmune diseases within the family.
The doctor then performs a physical examination, evaluates heart rate and blood pressure, listens to heart sounds, and assesses joint health. Previous test results, including ECGs, echocardiograms (heart ultrasounds), laboratory tests, and reports from other specialists, are carefully reviewed.
Based on the findings, the pediatric cardiorheumatologist provides a medical assessment, recommendations for treatment or follow-up care, and, if necessary, recommends additional diagnostic tests or consultations with other specialists.
Not all symptoms require an immediate in-person visit to a specialist. You can start with an online consultation with a family doctor.
During the consultation, the specialist will review your child's symptoms, medical history, and any available test results. They will help determine whether additional diagnostic tests are needed and advise whether a consultation with a pediatric cardiologist, pediatric cardiorheumatologist, pediatrician, or another specialist is recommended.If necessary, the doctor may recommend an ECG, echocardiogram (heart ultrasound), or other diagnostic tests to clarify the diagnosis and assess your child's cardiovascular health.
How can I schedule a consultation?
Doctor Sam Medical Center is located at 1 Kiltseva Road, Kyiv (Respublika Park Shopping Mall). You can schedule a pediatric cardiorheumatologist consultation by filling out the online appointment form or by calling +380 97 312 92 91. Our administrators will help you choose a convenient appointment time and answer any organizational questions.




