Welcome to Aashraya Heart Clinic

Aashraya Heart Clinic

Exceeding Your Expectations

Dr.Amar Taksande

Consultant Paediatrician

Dr. Amar Mohanrao Taksande

Highly personable, competent, confident and team spirited Consultant Paediatrician with special trained in echocardiography. His specialty interests include the diagnosis and treatment of pediatric and adult congenital heart problems, including murmurs, arrhythmias and congenital heart defects. Expertise in Fetal Echocardiography, Neonatal Echocardiography, Pediatric Echocardiography & Adult Echocardiography. Dr. Taksande’s contribution in the field of pediatric cardiology and to society in general, has been appreciated and recognized by the medical fraternity. All age groups including babies of one day old to nonagenarian patients can be studied with remarkable expertise and preciseness of diagnosis. In his own words, “Each child presenting with heart disease is a diagnostic puzzle that needs to be solved quickly by using a combination of clinical skills and investigations such as X-ray, ECG and echocardiography.”

ABOUT ME

Present Affiliation

• Professor, Department of Pediatrics, Jawaharlal Nehru Medical College (JNMC),Sawangi Meghe, Wardha

• Consultant Pediatric Cardiologist , Aashraya Clinic, Shivarpan Height, Arvi Naka, Wardha

Former Affiliation

• Assistant Professor, Pediatrics Department, Mahatma Gandhi institute of Medical Sciences(MGIMS), Sewagram, 2004-2009

• Associate Professor, Pediatrics Department, Mahatma Gandhi institute of Medical Sciences(MGIMS), Sewagram, 2009-2011

Awards & Achievements

• Travel Grant Scholarship by International Pediatric Congress (ICP 2013), Melbourne, Australia, 2013.

• Fellow of Indian Academy of Echocardiography, Chennai , 2012

• Visiting Fellowship: Royal College of Pediatric and Child Health (RCPCH), London, United Kingdom, 2011.

• Fellowship in Pediatric Cardiology, Innova Children Heart Hospital, Hyderabad, 2009-10.

• Teacher Fellowship,  MUHS, Nasik, 2010 -2011

• Fellow of Academy of General Education, Manipal, 2008-09

• Cardiology & Special Course Training 

• Post graduate certificate course in Clinical Cardiology, New Delhi 

• School of Echocardiography Course Certificate, MMM Hospital, Chennai.

• Pediatric Cardiology Training, Innova Children Heart Hospital, Hyderabad .

• Observership in Pediatric Cardiology at B.J. Wadia Hospital, Mumbai. 

• Congenital Health disease and Ultrasound Finding, GE Health care

• Neonatal Advanced Life Support ( NALS) and Basic Neonatal Care Course, Sewagram

• Pediatrics Advanced Life Support ( PALS) Course, Sewagram

Life Membership

• Life member of Indian Academy of Pediatrics.

• Life Member of Nagpur branch of Indian Academy of Pediatrics 

• Life member of Indian Academy of echocardiography.

• Life member of Breastfeeding Promoting Network of India.

• Life Member of electrocardiography

• Life member of Indian Medical Association

• Life Member of Pediatrics Cardiology Society of India 

• Life Member of Indian Association of Clinical Medicine 

• Life Member of International Medical Science Academy

• Life Member of Pediatric cardiology Subcategory of IAP

• Life Member of Indian Sciences Congress Association

• Member of Geneva Foundation for Medical Education and Research

• Life member of National Association for Reproductive & Child Health of India (NARCHI)

Editorial Board Member

• Pediatric Education and Research Journal

• Indian Journal of Maternal-Fetal and Neonatal Medicine

• Peer Reviewer

• Journal of Pediatrics International

• Journal of Congenital Heart Disease 

• Journal of Infectious Disease

• World Journal of Pediatrics. 

• Journal of Chinese Clinical Medicine

• Saudi Medical Journal. 

• Journal of MGIMS. 

• International Journal of Medicine and Medical Science

• Journal of Pediatric Biochemistry

• African Journal of Pharmacy and Pharmacology

• Journal of Pediatric Neurology

• Journal of Clinical Medicine Research

• Journal of Pediatric Infectious Diseases

​

PUBLICATION

Original Articles

Taksande A, Vilhekar K, Lakra M. Familial Hypophosphatemia. Indian Practitioner 2005;58(8):505-08.

Taksande A, Vilhekar K, Jain M. Breath holding spell in infant Case report. Indian Medical Gazettes 2005 (7) 323-324.

Taksande A, Vilhecar K, Jain M, Sheshu, Verkey S. Sucrose as an analgesics in newborn infants. Pediatric Oncall 2005 June 1;2. 

Taksande A, Vilhecar K, Jain M, Lakra M. Clinico Biochemical Profile of Neonatal Seizures. Pediatric Oncall  2005 October ;2.

Taksande A, Vilhecar K, Jain M, Chitre D .Pain response of neonates to venepuncture. Indian J  Pediatri 2005; 72:751-53.

Taksande A, Vilhekar K, Jain M. Achondroplasia with hydrocephalus in infant- A case report. Indian Medical Gazette 2005; 500-503.

Taksande A, Vilhekar K et al. Left ventricular systolic and diastolic function in  patient with sickle cell anemia. Indian Heart J 2005;57: 694-697.

Taksande A, Vilhekar K, et al Prediction of hyperbilirubinemia by increase cord bilirubin level in neonate. Curr Pediatr Res 2005; 9 (1 & 2): 5-9.

Bang A, Pathak S, Taksande A. Moxifloxacin: Drug Review. Indian Journal of General Medicine 2005; 17(4): 33-35.

Taksande A, Vilhekar K, Jain M, Bang A. Brain Abcess in Infant. Antiseptic 2006;79-82.

Taksande A, Vilhekar K, Chaturvedi P, Jain M , Bang A, Ganvir B. Cardiac changes in beta thalassemia major children: assessment by  echocardiography. J MGIMS 2006;11: 45-52.

Taksande A, Venkatesh S, Prabhu S. Cardiac Rhabdomyoma in neonate. The Ind Pract 2006; 59(7):455-457.

Taksande A, Vilhekar K, Jain M . Atypical Presentation of Goldenhar syndrome. J MGIMS 2006;11: 45-52.

Taksande A Vilhecar K, Jain M. Congenital Leukaemia. The Ind Pract 2006; 59(9):610-612.

Taksande A, Vilhekar K, Jain M, Atkari S. Clinico-Hematological Profile of Cerebral Malaria in a Rural Hospital. JIACM 2006; 7(4):308-312.

Taksande A, Vilhekar K, Kale S, Arora D. Dandy-Walker Syndrome in neonate: Prenatal  Diagnosis by  Ultrasonography : A Case Report. Indian Medical Gazettes 2006; 513-15.

Taksande A, Vilhekar K, Ganvir B. Torsemide: A Loop Diuretic. Antiseptic 2006;103:637-638.

Taksande A, Vilhekar K, Jain M. Isolated unilateral palatal palsy in child. J MGIMS 2007;12: 63-65.

Taksande A, Vilhekar K. Tricuspid Atresia with congenital scoliosis in neonate. Case Study. Cardiosource, American college of cardiology. Available on : www.cardiosource.com/casestudies/casestudy.asp?studyid

Taksande A, Vilhekar K, S Gupta. Diabetes Ketoacidosis in Infant. Antiseptic 2007 ;104:187-188.

Taksande A, Vilhekar K, Jain M. Evaluation and treatment of constipation in infant and children. Physician’s Digest 2007; 16(2): 77-85. 

Taksande A, Vilhekar K, Jain M, Tayade A. Agenesis of Corpus Callosum associated with Acyanotic Congenital Heart Disease in a Male Child: A Case Report. Nepal Journal of Neurosciences 2007; 4(1):119-20.

Taksande A, Vilhekar K, Khangare S. Apert Syndrome. JIACM 2007 ;8(3) :245-46. 

Taksande A, Vilhekar K. Ebstein’s Anomaly in neonate: Case Report. Indian Medical Gazettes  2007;7:297-298. 

Taksande A, Vilhekar K. Breath holding spell in infant. J MGIMS Sep 2007; 13: 63-65.

Taksande A, Vilhekar K, Chaturvedi P, Gupta S, Deshmukh P. Predictor of Low Birth Weight Babies by Anthropometry. Journal of Tropical Pediatrics 2007: 53(6):420-423.

Taksande A, Vilhekar K. Pulmonary and aortic stenosis measurement in Williams–Beuren syndrome. Acta Paediatrica 96; 12: 1855–1856.

Taksande A.  Oxygen Therapy. Current Medical Journal of India 2007; 7(XIII): 32-38.

Taksande A, Vilhekar K,  Chaturvedi P. Pattern of congenital heart diseases in children at Rural  hospital of Central India. JIMSA 2007;4: 273-74.

Taksande A, Vilhekar K, Chaturvedi P, Ganvir B. Chikungunya: An Update. The Ind Pract   2008;61(1):28-29.

Taksande A, Vilhekar K. Kangaroo Mother Care. Health Action 2008;21(2):19-21.

Kumar A, Taksande A, Vilhekar K. Acalculous cholecystitis by plasmodium  Falciparum in a 3 year old child. J vector Borne Dis 2008;45:76-77.

Taksande A, Vilhekar K. Hurler syndrome or Morquio syndrome: Intelligence required diagnosing the case. Indian J Radiol Imaging.2008;18(2):175.

Taksande A, Vilhekar K. Breath holding spell in infant. J MGIMS M2008; 13: 40-45.

Taksande A, Vilhekar K. Cerebellar Malaria Due to Plasmodium vivax in a Child.  Iranian J Parasitol 2008; 3: 48-50.

Taksande A, Vilhekar K. Cavernous hemangioma of the buccal mucosa in child. Journal of chinese clinical medicine 2008;2: 95-98. 

Taksande A, Vilhekar K, Khangare S. Osteogenesis Imperfecta Type II with congenital heart Disease. Iran J Pediatr 2008; 18: 175-78.

Taksande A, Murkey P,Kumar A,Vilhekar K. Lizard bite in Indian child: A case report. J Indian Acad Forensic Med 2008; 30(1): 24-25.

Kumar A, Taksande A, Vilhekar KY, Jain M. Prolonged Neonatal Cholestasis: A Rare Manifestation of Dengue Fever: The Internet Journal of Pediatrics and Neonatology  2008; Volume 9, Number 1.

Taksande A, Vilhekar K, Arvind K. Essential element levels in Thalassemia major patients. Saudi Med J 2008 ;29(8):1211.

Taksande A, Jain A, Vilhekar KY, Chaturvedi P.Peak expiratory f low rate of rural school  children fromWardha district, Maharashtra in India. World J Pediatr 2008;4(3):211-214

Taksande A, Taksande B, Kumar A, Vilhekar KY. Malnutrition Related Diabetes Mellitus. J MGIMS 2008;13: 19-25.

Taksande A, Vilhekar KY, Kumar A. Effective eye bandage for phototherapy. Acta Pædiatrica 2008; 97: 1588.

 Sumitra S, Taksande A, Prabhu. Profile of congenital heart diseases in children at tertiary care hospital. Indian Practitioner2008;61(10):441-447.

 Taksande A, Chaturvedi P, Vilhekar K, Jain M.Distribution of blood pressure in school going

children in rural area of Wardha district, Maharashatra, India. Ann Pediatr Card 2008 2(1):101-106.

Taksande A, Vilhekar KY. Effect of Pregnancy induced hypertension on mother and babies. Indian J Pediatr 2008;75(10):1089. 

Taksande A, Kumar A, Vilhekar K. Neonatal outcome after caesarean birth for foetal distress. J Obstet Gynaecol  2008; 28(6):663-664.

Taksande A, Vilhekar K, Parihar P. Unusual manifestation in child of Wilson’s Disease. Journal of chinese clinical medicine 2008;3(10): 571-73.

Taksande A,. Vilhekar K, Jain M. Intrapericardial Teratoma In Infant: Case Report. Indian Medical Gazettes  2008;10:407-08.

Taksande A, Vilhekar K, Gupta S. Primary pyomyositis in a child. Int J Infect Dis. 2009;13(4):149-51.

Taksande A, Vilhekar K, Ganvir B. Hypoxia and Hypoxemia. Antiseptic 2009;106(1):23-25.

Taksande A, Vilhekar K. Renal Abscess in a Child with Sickle Cell Anemia.Saudi J 

Kidney Dis Transpl 2009;20(2):282-284.

Venkatesh S, Taksande A, Prabhu S. Isolated Congenital Mitral Stenosis. JK Science 2009;11:53-54.

Taksande A, Kumar A, Vilhekar K, Chaurasiya S. Infantile Blount Disease : A case report. Malaysian Family Physician 2009;4(1):30-31.

Taksande A, Parihar PH, Vilhekar K, Tayade A. MR Imaging of the Wilson’s Disease. JK 150-152.

Taksande A, Vilhekar KY, Ganvir B. Oxygen delivery system. Indian Medical Gazettes  2009.

Taksande B, Jajoo U, Taksande A. Neurological Manifestation in a Child with Wilson Disease. JIACM 2009;10(2): 81-2

Taksande A, Gautami V, Sumanta P, Bakshi K. Hypercyanotic Spell. J MGIMS 2009.

Taksande A, Gautami V, Sumanta P, Bakshi K. Giant Eustachianvalve masquerading as cortriatritum dexter. J MGIMS 2009.

Taksande A, Vilhekar K, Kumar A. Arthrogryposis: A Rare Manifestation in Infant of Diabetic Mother. Online J Health Allied Scs 2009;8(3):13

Taksande A, Tiwari S, Kuthe A. Knowledge and attitudes of Anganwadi supervisor workers about infant (breastfeeding and complementary) feeding in Gondia district. Indian J Community Med 2009;34:249-51

Taksande A, Vilhekar K, Arora D. Bilateral abductor vocal cord palsy in a child. Calicut Medical Journal 2009; 7(3): e5. 

Taksande A, Vilhekar KY. Gastroesophageal Reflux in children. J MGIMS 2009;14:12-17

Taksande A, Vilhekar K. A case of fracture humerus in preterm neonate delivered by caesarean section. J Obstet Gynaecol India 2009;59(6):578-79. 

Taksande A, Vilhekar. Study of newborn infant with meconium stained amniotic fluid and effect of meconium aspiration syndrome in neonates in Rural Hospital. Antiseptic Jan-March 2010 

Kumar A, Shrivastava, Taksande A, Singh DK, Rai R. Severe P. falciparum malaria in children in a tertiary care center of Allahabad region of india.. The Internet Journal of Pediatrics and Neonatology. 2010 Volume 12 Number 1

Taksande A, Gautami V, Sumanta P, Bakshi K. Aortopulmonary Window in Infant. Pediatric Oncall Journal Vol.27;2010; www.pediatriconcall.call

Taksande A, Vilhekar K, Khanke A. Study of newborn infant with meconium stainedamniotic fluid and effect of meconium aspiration syndromein neonate in rural hospital. The Antiseptic 2010: 121-124.

Taksande A, Thomas E, Gautami V. Anomalous origin of left main coronary artery from pulmonary artery in an infant. J MGIMS 2010:77-79. 

Taksande A, Thomas E, Gautami V, Murthy KS. Diagnosis of aortic origin of a pulmonary artery by echocardiography. Images Paediatr Cardiol 2010;43:5-9

Taksande A, Vilhekar K, Tyagi V. Uncommon Foreign Body aspiration in Infant. Calicut Medical Journal 2010;8(2): e8. 

Taksande A, Vilhekar K et al. Congenital malformations at birth in Central India: A rural medical college hospital based data. Indian Journal of Human Genetics 2010; 16(3): 159-163.

Gautami V, Taksande A. Pulmonary varix diagnosed by transthoracic echocardiography in child. J MGIMS 2011:44-47. 

Taksande A, Goutami V, Thomas E. Double orifice mitral valve associated with Ventricular Septal Defect in an infant: Case Report. Images Paediatr Cardiol 2011;46:6-9

Taksande A, Vilhekar K. Neonatal Genital Prolapse. Journal of Indian Medical Association 2011;6: 24-25.

Taksande A, Vilhekar K,Prabhu S. Cardiac involvement in systemic infection. Indian Journal of Practical Pediatrics 2011;13(3):265-272.

Taksande A, Kumar A. Acute Acalculous cholecystitis. A rare complication of typhoid fever in an 18month child. Journal of Infectious disease 2011(6):44-47. 

Chauhan V, Taksande A. Collodion baby syndrome. NIJP ;2012;1(1):26-28.

Taksande A, Vilhekar K. Malignant Infantile type of Osteopetrosis in child. NIJP ; 2012;1(1):28-30.

Taksande A, Vilhekar K. Neonatal resuscitation training programme, it’s efficiency at rural hospital.. Medical Journal of Islamic World Academy of Sciences 2012; 20:1, 6-9.

Taksande A, Gautami V. Ellis-Van Creveld’s syndrome with common atrium. Journal of Pediatric Sciences. 2012;4(2):e128

Taksande A, Prabhu S, Venkatesh S. Cardiovascular aspect of Beta-thalassaemia. CardiovascHematol Agents Med Chem. 2012 Mar 1;10(1):25-30.

Taksande AM, Vilhekar KY. Unusual manifestation of marden-walker syndrome. Indian J Hum Genet 2012;18:256-8.

Taksande, A , Gadekar A,  Meshram S, Pathak CS. Cor triatriatum sinister with situs inversus totalis in an infant. Images Paediatr Cardiol 2012;14(2):6-10

Chauhan V, Taksande A, Vilhekar K. Pulmonary Sequestration NIJP 2012;1(1):28-30.

Chauhan V, Taksande A, Vilhekar K. Attention deficit hyperactivity disorder in primary school going childrenNIJP 2012;1(3):104-08.

Chauhan V, Taksande A, Vilhekar K. Congenital cystic adenomatoid malformation. NIJP 2012;1(3):123-24.

Meshram S, Gadekar A, Taksande A. Tuberculoma leading to precocious puberty in a child: A common lesion with an uncommon association. J Cranio Max Dis 2012;1:41-43.

Taksande A, Vilhekar K. Staphylococcal Scalded Skin Syndrome in an Infant.  J Nepal Paediatr  Soc 2012; 32 (2)178-180.

Taksande A, Lakhkar B. Knowledge, Attitude and Practice (KAP) of Dengue Fever in the Rural Area of Central India. Shiraz E Medical Journal 2012;13(4):146-157.

Taksande A, Vilhekar K. Oculoauriculovertebral spectrum with radial anomaly in child. J Fam Med Primary Care 2013;2:92-4.

Taksande A. M. Echocardiographic recognition of a criss-cross heart with double outlet right ventricle. Images Paediatr Cardiol 2013;15(2):3-7.

Taksande A. Right-Sided Infective Endocarditis with Ventricular Septal Defect. Pediatric Oncall 2013;10(12). 

Taksande A, Vilhekar K. Study of Risk Factor for Congenital Heart Diseases in Children at Rural Hospital of Central India. J Nepal Paediatr Soc 2013;33(2):121-124.

Taksande B, Taksande A, Kumar S. Study of usefulness of sensitivity of F wave latency measurement in the diagnosis of diabetic polyneuropathy. American Journal of Advances in Medical Science 2013;2(1):13-15.

Taksande AM, Lakhkar B, Gadekar A, Suwarnakar K, Japzape T. Accuracy of pulse oximetry screening for detecting critical congenital heart disease in the newborns in rural hospital of Central India. Images Paediatr Cardiol 2013;15(4):5-10

Taksande AM, Vilhekar KY. A case report of ectopia cordis and omphalocele. Indian J Hum Genet 2013;19:491-3.

Gondale G, Taksande AM, Vilhekar KY. Assessment of a transcutaneous bilirubinometer in the Evaluation of Neonatal Hyperbilirubinemia in hospitalized neonates. American Journal of Advances in Medical Science 2013; 1(2):7-12.

Taksande AM. Use of Intravenous Immunoglobulin in children with stevens Johnson syndrome: case report. Journal of Pediatric Education and Research 2013;1(4):141-45.

Taksande A. Tuberous sclerosis in child. Journal of Pediatric Education and Research 2013;1(4):153-154.

Taksande A,  Gondale G, Vilhekar KY. Accuracy and reliability of clinical assessment for detecting hyperbilirubinemia in hospitalized neonates. NIJP 2013;2(4):169-77.

Taksande A, Vilhekar KY. Congenital giant pigmented nevus. J MGIMS 2014; 19(1):44-47. 

Taksande A. Neonatal heart murmur: Is it useful for the diagnosis of congenital heart diseases?. World J Pediatr, 2014;10(1):91.

Meshram SS, Nikose S, Jain S, Taksande A. Wildervanck syndrome with hypoplastic frontal sinus: A rare case presentation. Indian J Hum Genet 2014;20:189-91.

Taksande A. Möbius syndrome associated with acyanotic congenital heart disease in a neonate. JMahatma Gandhi Inst Med Sci 2014;19:138-40.

Taksande A. Variant of Thrombocytopenia with Absent Radius Syndrome: Case Report. Journal of Pediatric Education and Research 2014;2(2):83-87.

Taksande A, Vilhekar KY. Noonan’s Syndrome. Journal of Pediatric Education and Research 2014;2(2):79-82.

Taksande A, Jadhav A. Childhood Malignancy. Journal of Pediatric Education and Research 2014;2(4):147-151..

Taksande A, Nikose S, Vilhekar KY. Among children with anemia does presence of hyperpigmentation as compare to absence of accurately indicate Vitamin B 12 deficiency ?. Journal of Pediatric Education and Research 2014;2(4):141-144.

Taksande AM, Lakhkar B, Gadekar A. Anthropometric measurements of term neonates in tertiary care hospital of Wardha district.  Al Ameen J Med Sc i 2015; 8(2) :140-143.

Taksande A, Agrawal H, Meshram R, Lohakare A. Isolated Tricuspid Valve Vegetation in a Normal Child. Journal of Pediatric Education and Research 2015;3(1):71-74..

Jain S, Kumar S, Sam A, Khatane R, Taksande A, Kashikar S. Mobile Multimedia messaging service teleradiology in otorhinolaryngological Emergencies. Journal of Disease and Global Health 2015; 2(1):23-30.

Taksande AM, Jadhav A, Nair J. Is it reliable to measure the forearm blood pressure in children?. J Fam Community Med 2015;22:85.

Taksande A, Meshram R, Lohakare A, Singla A. Variant of Shone’s Complex in a Child. J Pediatr Neonatal Care 2015; 2(5):94-96.

Agrawal H, Jagzape T, Vagha J, Lakhkar B, Taksande A. Prevalence of seizures in children in Central India. Journal of Pediatric Education and Research 2015;3(2):71-75.

Taksande A, Meshram R. New guidance is needed on diagnosing microcephaly in severely malnourished children. Acta Paediatr. 2015 Jul 27. doi: 10.1111/apa.13140

Taksande AM. Unicuspid aortic valve in infant.  J Cardiovasc Echography 2015;25:80-2.

Taksande AM, Gautami V. Uhl’s anomaly  with absent tricuspid valve in an infant. J Cardiovasc Echography 2015;25:90-2.

Taksande AM, Meshram R, Lohakare A. Masseter Muscle Hypertrophy and Pericardial Effusion in Kocher-Debre-Semelaigne Syndrome Child. Online J Health Allied Scs. 2015;14(3):11.

Taksande A, Jadhav A, Vagha J. Comparison Between Automated and Manual Sphygmomanometer for Measuring Blood Pressure in Children. J Nepal Paediatr Soc 2015;35(1):13-17.

Taksande A, Vilhekar. Neonatal Chickengunya Infection. Journal Of Prevention & Infection Control 2015;1(1):1-3.

Taksande A, Taksande B, Meshram R, Lohakare A, Jadhav Study of Knowledge, Attitude and Practices regarding Malaria Prevention. Indian Journal of Communicable Diseases 2015;1(2): 3-6.

Taksande A, Taksande B, Vagha J . Objective Structured Long Examination Record (OSLER): Evaluation tool for postgraduate students in Pediatrics.. Journal of Disease and Global Health 2015; 4(3): 102-06.

Taksande A, Jadhav A, Biyani U. Measurment of anterior fontanel in term neonates in Rural hospital of central India. Journal of Disease and Global Health 2015; 4(4): 141-44.

Taksande A, Suwarnakar K. Spontaneous Resolution of Junctional Rhythm in a Child with Dengue Fever. Journal Of Prevention & Infection Control 2015;1(10):1-3.

Taksande AM, Yeole M. Risk factors of Acute Respiratory Infection (ARI) in under-fives in a rural hospital of Central India. J Pediatr Neonat Individual Med. 2016;5(1):e050105.

Taksande AM, Meshram R, Bhatia K, Lohakare A. Resolution of isolated large fetal pericardial effusion after delivery. Int J Health Allied Sci 2016;5:126-8. 

Taksande B,Taksande A, Vagha J .  Introduction & Utility of Mini clinical Evaluation exercise tool as a formative assessment tool to the postgraduate student of Medicine department. Journal of International Research in Medical and Pharmaceutical Sciences 2016; 6(4): 165-172

Reddy R, Taksande A. Clinical Profile of Congenital Heart Disease in a Tertiary Care Hospital in Central India. JDMIMSU 2016;11(1):81-85.

Taksande A, Yeole M, Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India – Authors’ reply. J Pediatr Neonat Individual Med. 2016;5(2):e050208. 

Taksande A, Rewat M, Amol L. Neonatal Foot Length: An Alternative Predictor of Low Birth Weight Babies in Rural India. Acad JPed Neonatol. 2016; 1(4): 555569.

Taksande A. Bilateral Fracture of Femur in Neonate. Journal of Pediatric Education and Research 2016;4(2):95-97.

Taksande A, Meshram R (2016) Congenital Dermoid Cyst over the Anterior Fontanel in an Infant. MOJ Clin Med Case Rep 5(1): 00120. DOI: 10.15406/mojcr.2016.05.00120

Taksande A. Neonatal Septicemia: Still a Problem to Resolve. Prev Inf Cntrl. 2016, 2:2. 

Kommawar A, Borkar R,Vagha J, Lakhkar B, Meshram R, Taksandae A.Study of respiratory distress in newborn. Int JContemp Pediatr 2017;4:490-4.

 Biyani U, Taksande A. Assessment of Cardiac Function in Malnourished Children of Central India. Journal of Pediatric Education and Research 2017; 5(1): 29-35. 

Taksande A, Meshram R,et al. Oxygen Saturation in Neonates After Birth in Rural Hospital Cardiol Cardiovascmed 2017; 1 (1): 58-63 

Taksande A et al. A Rare Presentation of Isolated OculomotorNerve Palsy due to Multiple Sclerosis in a Child. Int J Pediatr 2017; 5(8): 5525-29.

Taksande A, Dhamke S. Critical Congenital Heart Disease in Newborns. Journal of Pediatric Education and Research 2017; 5(2): 135-140 

Taksande A, Meshram R, Lohakare , Mugawar M. A Rare Case Report of Edwards’s syndrome (Trisomy 18)”. EC Paediatrics 2017; 5.1: 03-05. 

Taksande A, Meshram R, Yadav P et al. A Rare case of Budd Chiari Syndrome in a Child. Int J Pediatr 2017; 5(10): 5809-12.

Taksande A, Meshram Ret al.. Rare presentation of cerebral venous sinus thrombosis in a child.J Pediatr Neurosci 2017;12:389-92.

Kalwani A, Meshram R.J., Taksande A.Packed Red Blood Cell Transfusion Practice in Pediatric Intensive Care Unit. Journal of Pediatric Education and Research 2018; 6(1): 5-10.

Gandhi A, Taksande A. Accuracy of Physical Examination for Diagnosing Pulmonary ArterialHypertension in Congenital Heart Disease Children Journal of Pediatric Education and Research 2018; 6(1):17-21.

Taksande A, Meshram R, Lohakare A, Purandare S, Gandhi A. Development of the taksande's score: A new scoring system for the diagnosis of pulmonary arterial hypertension. Nig J Cardiol 2018;15:50-6. 

Taksande A, Meshram R, Yadav P,Gore S,Lohakare A. Brain Abscess Caused by Paradoxical Embolization Associated with Ebstein’s Anomaly in Child. J Cardiol & Cardiovasc Ther. 2018; 10(4): 555795.

Taksande A, Gandhi A. Meshram R, Lohakare A. A Rare Case Report of Epigastric Heteropagus: Autosite with Cyanotic Congenital Heart Disease. J Cardiol & Cardiovasc Ther. 2018; 11(1): 555802.

Textbook :  Nurses Practical Guide Book on Paediatrics and Neonatology. 

​

Echocardiography

Facilities Available 
Neonatal Echocardiography
Pediatric Echocardiography
Adult Echocardiography
Tissue Doppler Imaging
Electrocardiography
Congenital Heart Disease Counseling Centre
Murmur Clinic

2D Echocardiography & Colour Doppler 

Echocardiography is a sonography of the heart. The heart is visualized from inside and all the chambers, valves and area surrounding the heart can be studied. Birth defects in small babies (holes in heart and narrowed down valves), pumping capacity of the heart, and collection of fluid around the heart are the diagnosis which are possible. A Doppler echo-cardiogram measures the speed and direction of the blood flow within the heart. It screens the four valves for leaks and other abnormalities. By assigning color to the direction of blood flow, (Color Flow Mapping), large areas of blood flow may be studied. These color flow mappings allow abnormal blood flow characteristics to be interpreted by the cardiologist. Almost all congenital heart diseases like ASD, VSD, PDA, TOF, TGA, TAPVC, TA … can diagnosed by echocardiography and doppler in children.

Pediatric Echocardiography

        Q. How is the test performed?

Since the transducer must be placed directly on the chest wall or upper abdomen, you will be asked to disrobe accordingly. Then you will be asked to lie down on your left side and then the doctor will place the transducer with a jelly applied to it, on your chest wall at various positions and record images. In case of children and infants usually, a short lasting sedation will be given in form of a oral medicine- pedichloryl (Triclofos sodium) to facilitate a complete evaluation of the heart without any resistance from them.

       Q. What are the risks?

There are no risks involved with the use of ultrasound waves and the transducer and there are no contraindications for this test.

       Q. What happens after the test?

You can carry on all your regular activities and medications after the test.

In case of children and infants who have been sedated for the test, it is important not to feed the child until it is fully awake.

Frequently Asked question

Congenital Heart Disease

How common are congenital heart defects?

Congenital heart defects comprise the single most common category of birth defects in children. In fact, one in 100 live births is affected by some form of congenital heart defect. 

What are holes in the heart?

Atrial and ventricular septal defects are the most common forms of congenital heart disease. They are generally called as hole(s) in the heart. A septum is a wall separating the left and right side of the heart. The atrial septum separates the atria or the upper chambers. The ventricular septum separates the ventricles or the lower chambers.

​

What are some common congenital heart defects? 

Atrial and ventricular septal defects are holes in the heart which affect the blood supply out of the heart. Patent ductus arteriosus, a common defect in premature infants, occurs when blood flows between the aorta and the pulmonary artery through an open passageway which normally closes within a few hours of birth. Pulmonary, aortic and subaortic stenosis and coarctation of the aorta are obstructions which restrict blood supply to the rest of the body. Tetrology of Fallot has four components, a ventricular septal defect (VSD), pulmonary valve stenosis, an abnormally muscular right ventricle and the placement of the aorta directly above the VSD. Common acquired diseases include cardiomyopathy, or heart muscle abnormalities, viral myocarditis and arrhythmias. 

How do they form?

There are no definite answers as to why a septal defect was formed. But, studies have shown relationship of genes responsible in the development of the heart is found on chromosome 21. Also half of the patients with Down’s syndrome have septal defects and about 25% of patients with septal defects have Down’s syndrome. Sometimes septal defects can be hereditary or due to environmental causes. There can be children with septal defects without any genetic reasons.

How are these defects diagnosed?

Pediatric cardiologists use sophisticated, non-invasive imaging technology to assess, diagnose and monitor a variety of cardiac problems in pediatric patients such as transthoracic and transesophageal echocardiography, and magnetic resonance imaging. Fetal echocardiography helps physicians to detect and monitor malformations during pregnancy which facilitates appropriate prenatal care and early intervention. 

What are some of the treatments? 

Technological advances in non-surgical interventions such as catheter-based treatments for closing atrial and ventricular septal defects have enabled physicians to treat a variety of congenital heart defects early in the course of the disease and in many cases, without surgery. Other interventions include coil occlusion of patent ductus arteriosis and systemic arteries, stenting and balloon dilation of obstructed pulmonary and venous pathways, and radiofrequency ablation of arrhythmias. 

What is Bacterial Endocarditis ?

Bacterial endocarditis (BE) is an infection caused by bacteria that enter the bloodstream and settle in the heart lining (endocardium), a heart valve, or a blood vessel. It is a serious illness needing prompt medical attention. Although endocarditis is uncommon, people with a heart defect have a greater risk of developing it than those with normal hearts. Thus, prevention (prophylaxis) is important. You must use antibiotics as a safeguard before having certain types of surgery or having any dental work. These procedures can allow germs to enter the bloodstream. Nearly everyone who has an unoperated heart defect needs to take antibiotics to prevent bacterial endocarditis. If you have had heart surgery, you may need this antibiotic protection too. You should be given antibiotics an hour or so before the surgery or dental procedure. Another dose should be given four to six hours later. Use antibiotics before having: certain surgeries of the gastrointestinal, genital or urinary tracts, dental procedures that may cause the gums or mouth to bleed, and  the removal of tonsils and adenoids. 

What is the Timing of Surgery?

Neonatal (<1 month) surgeries to be done in more severe form of heart conditions like TGA, Duct dependent pulmonary Circulation, Pulmonary Stenosis/Atresia ± VSD, Duct dependent systemic Circulation, Coarctation/ interrupted aortic arch and Obstructed TAPVC

Infant (<1 year) corrections are to be done like VSD/DORV, TAPVC, AV canal defects, Truncus Arteriosus and AP window etc. Ideally they should be operated around 3 months of age before they develop pulmonary arterial hypertension

Pre School  (<3 year) corrections are to be done in less severe form of heart diseases like ASD, Moderate sized VSD, PDA, CoA, TOF, Single Ventricle, PS, Rastelli (conduit) procedure

​