773637?1327450515
Jeffrey R Boris, M.D.  
Male
Philadelphia, PA

Specialties: Ambulatory Cardiology, Pediatric cardiology

Interests: Ambulatory Cardiology

The Children’s Hospital of Philadelphia
Cardiology
877-77 HEART (877-774-3278)
Philadelphia, PA
My Posts
Apr 09, 2014 in the Pediatric Heart Expert Forum - 1
Dear Spoonsha, Unfortunately, without evaluating your son or any further information, I cannot say whether the echocardiograms are warranted or not. I don't know what kind of defect he has beyond having a hole. Certainly pediatric cardiologists should be able to perform a history and physical examination and determine if the heart defect is clinical...
Apr 08, 2014 in the Pediatric Heart Expert Forum - 4
ECG's can often overcall chamber enlargement, especially on the left side of the heart. Sometimes, the "high voltage" can be seen in kids who have a slim body habitus, in which the ECG leads are just closer to the heart and pick up the electrical voltage better. Sometimes, it is just due to incorrect lead placement. That said, kids with mito...
Apr 08, 2014 in the Pediatric Heart Expert Forum - 1
Dear Julsann, Subaortic stenosis occurs when there is increased obstruction below the aortic valve due to growth of a fibrous ring or membrane. It is unclear why this happens, but one of the theories is that it occurs when there is turbulent flow across the left ventricular outflow tract. The turbulence causes damage and that damage causes increasing sca...
Apr 08, 2014 in the Pediatric Heart Expert Forum - 9
I would recommend that the records be reviewed by one of our cardiomyopathy cardiologists. The best way to do this is to contact one of our nurse navigators through this link: http://www.chop.edu/service/cardiac-center/our-services/nurse-navigators.html One of them could help you work with this.
Apr 08, 2014 in the Pediatric Heart Expert Forum - 8
Dear Azrah, It would be worthwhile getting outcomes data from Dr. Shetty's hospital before just trusting friends' statements. I do not know cardiologists in India, otherwise. You can get the information from our nurse navigators if you contact them directly.
Apr 08, 2014 in the Pediatric Heart Expert Forum - 5
Dear Aazib, A moderate sized defect can still cause volume loading. That said, with the elevated gradient and a diameter of 4 mm, it may certainly be getting smaller and starting to restrict flow such that with time, the volume loading could fall. The big issue is ensuring that she is eating well without getting out of breath or getting sweaty with feeds...
Apr 01, 2014 in the Pediatric Heart Expert Forum - 2
Dear Heather, You definitely have a lot of good questions. For starters, transcatheter VSD closure is not performed in infants because the delivery system is WAY too big, so the other questions are moot at this point. With regard to pulmonary pressures normalizing after VSD closure (ASD shouldn't be too much of a problem, since it's a low press...
Apr 01, 2014 in the Pediatric Heart Expert Forum - 1
Dear ep, A murmur is the term that we use for a sound created by turbulence in the heart. That turbulence can be normal or abnormal. Abnormal means that there is a structural defect. Normal means that the heart is structurally normal. There are 6 innocent, or normal, murmurs. The most common innocent murmur is the Still's murmur, which typically ...
Apr 01, 2014 in the Pediatric Heart Expert Forum - 5
Dear Aazib, Without evaluating your daughter or her tests, I cannot say exactly what she needs. However, something doesn't seem particularly right with me with these tests. The poor weight gain and left atrial dilation suggest that she has congestive heart failure with significant recirculation of her blood through her lungs, but you say that there ...
Apr 01, 2014 in the Pediatric Heart Expert Forum - 1
We are not using these machines, so I cannot help you with this.