Cardiology 2025, the 28th Annual Update on Pediatric and Congenital Cardiovascular Disease, took place from February 19 to 23 in Lake Buena Vista, Florida. The conference, hosted by the Children’s Hospital of Philadelphia, brought together a diverse community of pediatric and congenital cardiovascular professionals and advocates, all united by this year’s theme: Hope, Heal, and Learn. This year, discussions reinforced the urgency of collaboration, innovation, and resilience in pediatric cardiology.
The Power of Multidisciplinary Collaboration
Pediatric cardiology is facing increasing challenges — resource constraints, rising patient complexity, and a growing need for personalized care. Multicenter initiatives like the Fontan Outcomes Network, National Pediatric Cardiology Quality Improvement Collaborative, FORCE Fontan Registry, and Additional Ventures Project Singular are breaking new ground, leveraging collective expertise to drive bold discoveries and elevate care standards. Evidence-based practice remains the foundation of pediatric cardiac care, ensuring quality improvement and excellence. Our community is stronger because of the multidisciplinary work we do together.
The Evolving and Essential Role of Pediatric Cardiac Nurses
The role of pediatric cardiac nurses is stronger than ever, spanning the full continuum of care from inpatient to outpatient settings. Their expertise is vital in driving innovation, enhancing patient outcomes, and ensuring the best possible care for children with cardiovascular conditions and their families. Nursing-led research enhances our knowledge base in best practices.
Innovation Drives Better Outcomes
Advancements in catheter-based interventions, prenatal diagnosis, and surgical techniques are reshaping outcomes for children and adults with congenital and acquired heart disease. Conditions once deemed fatal now have clear and effective treatment pathways, allowing more patients to thrive well into adulthood. The evolution of ductal stenting, patent ductus arteriosus closure, pulmonary valve insertion, and sinus venosus atrial septal defect closure highlights the growing impact of minimally invasive approaches. Meanwhile, research continues to expand our understanding of beneficial pediatric heart medications.
Prioritizing Mental and Holistic Health
An important discussion at this year’s conference is on self-care. Self-care should not be viewed as optional but instead should be regarded as obligatory. The well-being of pediatric cardiology professionals directly impacts patient care. Likewise, integrating emotional and psychological support into the treatment of our patients is critical for long-term success. Conference sessions emphasized the need for a holistic approach — one that prioritizes mental health, family-centered care, and the full spectrum of a child’s welfare.
Emerging Frontiers: Exercise, Liver Health, and the Fontan Pathway
An important takeaway from this year’s conference is that exercise remains essential for individuals with single ventricle type congenital heart disease and Fontan circulation. Identifying the optimal “dosage” and activity type remains a priority. The dedicated Harrington Single Ventricle Session spotlighted the interplay of liver health, psychological health, and Fontan pathway characteristics, with new insights into cellular and metabolic mechanisms shaping future therapies.
Looking Ahead: Commitment to Progress & Equity
As we move forward, we reaffirm our commitment to early intervention and non-invasive strategies; cutting-edge research and technology; personalized, patient-centered care; and health equity and access for all children. Pediatric cardiology remains a dynamic and invigorated field driven by fresh ideas and relentless dedication. Together, we can shape a future where every child with heart disease has the best possible chance to thrive and live a normal life to their fullest potential.
Jack Rychik, MD, is Director of the Fetal Heart Program and the Fontan Rehabilitation Wellness, Activity and Resilience Development (FORWARD) Program at Children’s Hospital of Philadelphia. He holds the Robert and Delores Harrington Endowed Chair in Pediatric Cardiology.
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