Pediatric Preventive Cardiology & Metabolic Clinic
The Pediatric Preventive Cardiology and Metabolic Clinic is a multidisciplinary team of physicians, nurse practitioners, dietitians, exercise physiologists and other healthcare professionals who take a comprehensive approach to preventing the onset/progression of cardiovascular and metabolic conditions in high risk pediatric patients. Our team works with families to create individualized programs to meet the specific needs of each patient.
The Sydell and Arnold Miller Family Heart & Vascular Institute at Cleveland Clinic is a recognized world leader in diagnosis and treatment of cardiovascular disease and has been ranked best in the nation for cardiac care by U.S. News & World Report every year since 1995.
Pediatric Preventive Cardiology and Metabolic Clinic Team
- Naim Alkhouri, MD, Clinical Director - Pediatric Gastroenterology
- Michael Rocco, MD - Preventive Cardiology and Rehabilitation
- Erin Henry, CNP - Preventive Cardiology and Rehabilitation
- Gordon Blackburn, PhD - Preventive Cardiology and Rehabilitation
- Julia Zumpano, RD, LD - Preventive Cardiology and Rehabilitation Nutrition Program
- Richard Lorber, MD - Pediatric Cardiology
- Douglas Rogers, MD - Pediatric Endocrinology
- Jyoti Krishna, MD - Sleep Disorder Clinic
If you are interested in having your child or adolescent referred to the Pediatric Preventive Cardiology / Metabolic Clinic, the criteria for referral include the following:
- Less than 21 years of age
- Metabolic/Lipid abnormalities. BMI above the 95th percentile without other cardiac or metabolic risk factors BMI above the 85th percentile and other cardiac or metabolic risk factors including:
- HDL < 50 mg/dL
- LDL > 110 mg/dL (fasting)
- Triglycerides > 150 mg/dL (fasting)
- AST/ALT > upper limit of normal
- Blood pressure > 130/85 mm/HG
- Regardless of BMI:
- LDL > 130 mg/dL (fasting)
- Triglycerides > 250 mg/dL (fasting)
- Ultrasound evidence of fatty liver
- Genetic dyslipidemias. Patients with significantly elevated cholesterol and/or triglycerides and genetic lipid disorders such as:
- Heterozygous / Homozygous FH
- Severe polygenic hypercholesterolemia
- Familial combined hyperlipidemia
- Rheumatological disease.
- Juvenile arthritis
- Other rheumatological disease
If you have concerns about a patient who does not meet the referral criteria above, please contact us to discuss your patient further.
Comprehensive Initial Consultation
- thorough risk factor evaluation
- review of lifestyle health behaviors
- assessment of family history of cardiovascular/medical disease and lipid abnormalities
- lab work, including a biochemical profile and screenings
- imaging studies, if appropriate
- focused physical exam
- nutritional assessment
- psychological assessment
Treatment Plan May Include
- lifestyle changes
- non-pharmacologic approaches to lipid lowering
- lipid-lowering medications, if appropriate
- dietitian consultation
- exercise prescription
- psychological intervention
- assessment for obstructive sleep apnea
- regular follow-up is emphasized to ensure progress towards goals
- each patient’s progress is tracked over time and reported to you
Talk to a Nurse: Mon. - Fri., 8:30 a.m. - 4 p.m. (ET)
Call a Heart & Vascular Nurse locally 216.445.9288 or toll-free 866.289.6911.
Schedule an Appointment
This information is provided by Cleveland Clinic and is not intended to replace
the medical advice of your doctor or health care provider.
Please consult your health care provider for advice about a specific medical condition.
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