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Prof. Dr. Rissech Payret Miguel image

Department of pediatric cardiology with fetal cardiology centre

Prof. Dr. Rissech Payret Miguel
pediatric cardiology

About the department

The department of pediatric cardiology with fetal cardiology centre at Teknon Medical Center Barcelona is concerned with the care and treatment of pediatric patients with congenital or acquired heart defects. In their usual practice, the medical team pays special attention to the diagnosis of congenital heart defects, both in prenatal and postnatal aspects, and heart defects acquired at pediatric age. Already at the stage of pregnancy, patients with a high risk of developing gestational hypertension, preeclampsia or eclampsia undergo a complete cardiac examination. The department is working together with gynaecologists, obstetricians, endocrinologists, anesthesiology and resuscitation, monitoring those patients who need it, both on an outpatient basis and during hospitalization and postpartum.

The current trend is to operate as early as possible on patients with congenital heart defects to avoid the appearance of secondary lesions in the heart itself or other organs, limiting the quality of life and the patient's survival. Cardiac surgeons monitor newborns, and surgical treatment is immediately applied if a cardiovascular pathology is detected. The department's specialists have over 30 years of experience treating premature babies with mitral valve prolapse or patent ductus arteriosus. In addition to surgical treatment, pediatric cardiologists specialize in treating arrhythmias, heart disease after rheumatic fever or Kawasaki disease.

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Treatment and diagnostic focus of the department

Diagnosis:

  • Aortic aneurysm
  • Aortic stenosis
  • Bacterial endocarditis
  • Cardiomyopathy
  • Atrial septal defect
  • Ventricular septal defect
  • Acquired mitral stenosis
  • Myocardial infarction in childhood
  • Rheumatic heart disease
  • Tetralogy of Fallot with pulmonary stenosis
  • Idiopathic pulmonary artery hypertension
  • Congestive heart failure
  • Arrhythmias

Diagnostics:

  • Anamnesis
  • Physical examination (auscultation of the heart)
  • Laboratory and biochemical analyzes
  • Measurement of blood pressure (upper and lower limbs)
  • Electrocardiography (ECG)
  • Holter electrocardiogram
  • Chest X-ray
  • Echocardiography (ultrasound examination)
  • Stress tests
  • Cardiac catheterization and angiography
  • Computed tomography (CT scan) 
  • MR angiography

Treatment:

  • Drug therapy
  • Stenting
  • Heart bypass surgery
  • Valve disease treatment
  • Heart valve repair or replacement
  • Insertion of a pacemaker
  • Cardioversion
  • Implantable cardioverter-defibrillators
  • Recovery after heart surgery
  • Aneurysm repair
  • Laser treatment 
  • Maze surgery 
  • Other treatment options
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Doctor profile

Education

  • 1974 Graduated from the University of Barcelona with a degree in Medicine and Surgery
  • 1976 Specialist in Pediatrics
  • Specialist in Pediatric Cardiology and Congenital Heart Diseases
  • Doctor of Medicine and Surgery from the University of Barcelona with honours for the thesis "Contribution to the anatomical and functional study of the ductus arteriosus"

Experience

  • 2006 - 2011 Senior Consultant Pediatric Cardiology at Sant Joan de Deu Hospital, Barcelona
  • 1982 - 2011 Pediatric Cardiology Consultant at Teknon Medical Center
  • 1982 - 2011 Associated Pediatric Cardiac Hospital Sant Joan de Deu, Barcelona
  • 1979 - 1982 Pediatric Cardiology Resident at Sant Joan de Deu Hospital, Barcelona
  • 1976 - 1977 Pediatrician on duty at Manresa Hospital
  • 1975 - 1979 Resident in Pediatrics at Sant Joan de Deu Hospital, Barcelona
  • Consultant pediatric cardiologist in a private centre

Awards, memberships, publications

  • Member of the Catalan Society of Pediatrics
  • Member of the Catalan Society of Cardiology
  • Member of the Spanish Society of Pediatrics
  • Member of the Spanish Society of Cardiology
  • Member of the Academy of Medical Sciences of Catalonia and the Balearic Islands
  • Member of the Spanish Society of Pediatric Cardiology and Congenital Heart Diseases
  • Member of the Mortality Committee of the Sant Joan de Deu Hospital
  • Member of the "Cuida'm" Committee of the Sant Joan de Deu Hospital
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