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)
34th Street and Civic Center Blvd.
Philadelphia, PA
My Posts
Help Please!
10 hours in the Pediatric Heart Expert Forum
Dear Amanda, Without evaluating your son, it is difficult to know what is going on here. There are various things that this could be from a cardiac standpoint, including breath-holding spells and arrhythmias, although arrhythmias may be less likely if he breaks out of these episodes with sugar in his mouth. It would be reasonable to have him seen by a ca...
Tetralogy of Fallot with dextrocardia
10 hours in the Pediatric Heart Expert Forum
Dear Nursing Student, As you probably know, tetralogy of Fallot is essentially a combination of a ventricular septal defect and pulmonary outflow obstruction. Given the right amount of balanced pulmonary obstruction, it is certainly possible to have unoperated ToF survive out of infancy and even into adulthood. The patient about whom you are enquiring is...
Nighttime PVC's
Jan 27, 2012 in the Pediatric Heart Expert Forum
Dear DJ, At this point, it is hard to say without him having any specific documentation of his rhythm, exactly what his rhythm abnormality is. It also could certainly be respiratory variation, in which the heart rate speeds up with inspiration and slows down with expiration. So, the first thing that I would recommend is actually documenting what the rhyt...
vsd with ps
Jan 14, 2012 in the Pediatric Heart Expert Forum
Dear Blesi, This forum is not for evaluation of specific patients. It is for answering questions about general conditions germane to pediatric and congenital cardiology. If you would like your son evaluated, I recommend that you take him to a pediatric cardiologist for evaluation of his clinical status as well as any other testing, and then get a complet...
15year old son has sever symptoms when exercisingBP161/61HR119IRREG
Jan 08, 2012 in the Pediatric Heart Expert Forum
Dear Lisa, In reading your son's story, it is difficult for me to tell exactly what is going on with him. As well, it is difficult for me to tell you what to do for him without knowing exactly what the diagnosis it. At minimum, he needs to be drinking 32-48 ounces of fluid/day plus a salty snack to remain hydrated on a daily basis. As well, he should no...
ASD vs. PFO
Jan 08, 2012 in the Pediatric Heart Expert Forum
Dear Golfdesperado, Although many neonatologists learn how to read echocardiograms, they typically (though not always) do not have the experience to determine whether a congenital cardiac finding is what we call "hemodynamically significant" or not. A significant defect would be one that affects the blood flow so much that it is causing problems...
Treatment for POTS Syndrome
Dec 14, 2011 in the Pediatric Heart Expert Forum
Dear Ms. Martin, I am so glad that she is doing better with therapy. It's quite gratifying to be able to help these kids to feel somewhat, or even completely, toward normal. Not to dowse any hope, but I do want to remind you that the symptoms of POTS can wax and wane, so she still may have times of feeling worse (but hopefully not). I will be happy to...
Heart rate question for toddlers
Nov 22, 2011 in the Pediatric Heart Expert Forum
Dear Mshanson, Without evaluating your daughter, I cannot say what is causing her heart rate to do what it is doing. After following your posts over the last year, I'm glad that she is doing better. Unless she has any kind of ventricular dysfunction, which it sounds like she does not have, there isn't really any reason due to her prior heart failure that...
Perimembranous VSD
Nov 22, 2011 in the Pediatric Heart Expert Forum
Dear Harks, WIthout seeing exactly what type of VSD your son has and the rest of his anatomy, I cannot say for sure exactly what is going on. Based on what you have told me, I am presuming that he has a perimembranous (conoventricular) ventricular septal defect, which is just below the aortic valve. What is happening is that the pressure is high in the l...
VSD symptomatic?
Nov 15, 2011 in the Pediatric Heart Expert Forum
Dear TJ, Without evaluating your son, it is difficult for me to tell exactly where he was. It sounds to me as if he had some aspect of congestive heart failure, which sounds consistent with a moderate sized unrestrictive VSD. However, it also sounds as if he did not fail to grow and has been able to make it to 25 months without needing surgery. This mea...