The Developing Heart: A ‘History’ of Pediatric Cardiology

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Paediatric cardiology is celebrating, in the 1990s, the 50th anniversary of the beginnings of the age of therapy. This informal text describes how the discipline grew from the era of pathologic anatomy to the dawn of therapy - the beginnings of closed heart surgery between 1939 and 1945. That dawn ushered in a half-century of change and growth, leading from clinico-physiologic correlations through the start of open heart surgery in the 1950s. This text celebrates some of the achievements of this vivid and heroic age and describes how, in the mid-1970s, new surgical and medical approaches, including prostaglandins and Doppler echocardiography, led to successful cardiac treatment in infancy, the infant era . Interventional cardiology and the study of childhood arrhythmias began. In the 1990s, a new era emphasising molecular biology and cardiac development is growing from the tools and concepts of the past. The four eras have focused on pathologic anatomy, clinicophysiologic correlations and surgery, heart problems in infancy, and now the developing heart.