Pediatric cardiology update: Office-based practice of pediatric cardiology for the primary care provider.

I n the following article, selected topics are presented to provide an update on the practice of pediatric cardiology from the perspective of the primary care provider and outpatient-based subspecialist. The approach to the evaluation of very common presenting signs and symptoms are reviewed, including heart murmurs, chest pain, and palpitations. The role of the primary care provider in screening and clearing children for participation in sports activities is discussed. Finally, issues of insurability, employment, and pregnancy in the adolescent and young adult with congenital heart disease are presented.