Part of the Paediatric Cardiology service of the Western Cape
|A/Prof Rik De Decker (UCT)
|Prof Liesl Zuhlke (UCT)
|Dr George Comitis (UCT)
|Dr Barend Fourie
|Dr Lenise Swanson||Dr Harold Pribut||Dr Liesl Andrag|
|Dr Evans Mulendele||Dr Nazneen Allie||Dr Mercy Ng'eno|
|Dr Wendy Matthiassen|
|Sr Charnette Elliot
|Ms Eloise Hendricks
|Ward: E1||E-Floor, Red Cross Children's Hospital||(021) 658-5251|
|OPD:||S27, Red Cross Children's Hospital||(021) 658-5002|
|Cath Lab:||Theatre Complex, C Floor, Red Cross Children's Hospital||(021) 658-5227|
|Echo Room:||B-Floor, Red Cross Children's Hospital||(021) 658-5588|
Grown-up Congenital Heart Disease (GUCH) Clinic, E17, Groote Schuur Hospital
Combined Cardio Obstetrics Clinic (CCOC), Maternity Block, Groote Schuur Hospital
The Paediatric Cardiology Service of the Western Cape is the largest public service unit looking after people with heart disease from birth up until adulthood. We are a cross-platform unit that serves patients at both Red Cross Children’s Hospital and Tygerberg Children’s Hospital with consultative services and in-patient care available at both sites. In addition, we also see newborn patients suspected of having heart disease in the neonatal services at Groote Schuur, Tygerberg and Mowbray Maternity Hospitals.
We work closely with our colleagues in the foetal medicine units as well as in the adult cardiology services of Tygerberg and Groote Schuur Hospitals. We help our surgical and critical care colleagues care for the patients who have undergone cardiac surgery at Red Cross Children's Hospital. Our referral base includes the Western Cape and half of the Eastern Cape Province. In addition, outreach clinics are also run in East London and George Hospital twice a year, in Paarl three times a year and in Worcester four times a year.
|7:30-8:30am||ICU ward rounds followed by E1 ward rounds|
clinic at TBH
|Cardiac OPD clinic||Cardiac Cath Day
|Discharges and pre-clinic echoes||*GUCH clinic
|Cath intake||Cardiac OPD
|4:00pm||ICU ward rounds followed by E1 ward rounds|
|* Grown-up Congenital Heart Disease
# Combined Cardiac Obstetric Clinic
The unit provides education and training to undergraduates and postgraduate students at both campuses.
The unit is involved in providing classroom seminars and clinical bedside teaching to medical students in their fifth and sixth years of study. Staff members contribute to weekly bedside teaching of 5th year medical students and seminars every 8 weeks to the whole group of students assigned to Paediatrics. Ward rounds are used to educate 5th and 6th year students.
Postgraduate training programmes currently offered by our unit include;
A one year full-time or two year part-time postgraduate diploma in clinical paediatric cardiology open to all doctors with an MBChB degree and available through UCT.
A three year MPhil degree for subspecialisation in paediatric cardiology available to qualified and registered paediatricians and culminating in a Certificate in Paediatric Cardiology exit examination. Certification is obtained through the College of Medicine of South Africa (CMSA) and senior registrars are taught at UCT while in the service of the Department of Health.
A (non-compulsory) minor dissertation available upon completion of subspecialist training.
We also provide supervision and mentorship to a number of postgraduate students undertaking Masters or PhD projects.
The paediatric cardiology unit provides a platform for training paediatricians from other African countries as part of the African Paediatric Fellowship Programme (APFP). The APFP was established in 2007 in the Department of Paediatrics and Child Health at the University of Cape Town.
APFP trainees spend between one to three years training in the paediatric cardiology unit with a focus on clinical and echocardiography skills. This allows them to return to their home countries as generalists with special skills in paediatric cardiology. In the past five years we have hosted trainees from Uganda, Zimbabwe, Zambia and Namibia.
Our unit plays host to numerous visiting scholars from around the world looking to create collaborative relationships and conduct research. To date we have had scholars visit us from Germany, Australia, the United Kingdom and America amongst others.
Members of the division are involved in a wide range of clinical and research activities.
Head of Department: Professor John Lawrenson
Clinical Interests: Echocardiography and Rheumatic Heart Disease.
Research: Professor Lawrenson is the lead investigator of the IMHOTEP (The African Cardiomyopathy and Myocarditis Registry Programme), INVICTUS (Investigation of Rheumatic AF Treatment Using Vitamin K Antagonists, Rivaroxaban or Aspirin Studies) and PROTEA (A North-South Partnership in Congenital Heart Disease) studies at the Tygerberg Hospital site.
Director of the Cath Lab and CATHCHAT: A/Professor Rik Decker
Clinical Interests: Interventional Cardiac Catheterisation, Risky Business.
Research: A/Professor De Decker leads the CATHCHAT programme at Red Cross Children’s Hospital. CATHCHAT is a novel live online teaching and learning platform for interventional paediatric cardiac catheterisation aimed at stimulating interest in interventional cardiac catheterisation and developing capacity in Africa.
Director of the Children’s Heart Disease Research Unit: Professor Liesl Zühlke
Clinical Interests: Rheumatic Heart Disease, Global Health, Adolescent Transitional Care, Grown-Up Congenital Heart Disease, Combined Cardio-Obstetrics and Quality Improvement.
Research and Interests: Professor Zuhlke is the past-president of the Paediatric Cardiac Society of South Africa, current president of the South African Heart Association, chairperson of the paediatric task-force of the Pan-African Society of Cardiology and director of the Children’s Heart Disease Research Unit. She is an NRF-rated researcher, holder of several major NRF, MRC and MRC-UK grants, has an H-index of 23, H-10 of 33 and has published over 80 peer-reviewed papers in international journals including Circulation, Lancet and the European Journal of Cardiology. Her work is largely driven by an ethos of integrating research and clinical practice in order to improve the lives of those with congenital and paediatric heart disease through conducting innovative, patient-centred and accountable research with a focus on African areas of need.
Director of the Echo Lab: Dr George Comitis
Clinical Interests: Echocardiography and Multi-Modality Imaging.
Research: Dr Comitis is the co-lead investigator of the IMHOTEP study at the Red Cross Hospital site as well as an investigator on the PROTEA and Panorama-Heart Failure (LCZ) studies.
Full-time consultant at Tygerberg Hospital: Dr Barend Fourie
Clinical Interests: Cardiac Catheterisation and Multi-Modality Imaging.
Research: Dr Fourie is the co-lead investigator of the IMHOTEP, INVICTUS and PROTEA studies at the Tygerberg Hospital site.
Our unit is involved with the ASAP Rheumatic Fever and Rheumatic Heart Disease programme. In addition we are also involved in setting international standards for echocardiographic surveillance in screening studies of populations at risk for rheumatic heart disease. We are a participating centre for the IMHOTEP cardiomyopathy/myocarditis registry and have an ongoing interest in the genetics of congenital heart disease.
We are also strongly affiliated with the Children’s Heart Disease Research Unit (CHDRU) which was established as a key element within the department in May 2015. The CHDRU is based at Red Cross War Memorial Children’s Hospital under the auspices of the University of Cape Town and has firm ties with the Departments of Cardiothoracic Surgery, Adult Cardiology and Medicine. The specific aims of the CHDRU are to facilitate current research activities in congenital and paediatric heart disease whilst building capacity to support such research. Current and ongoing projects include the flagship PROTEA study, the Adole 7C (Adolescents receiving Continuous Care for Childhood-onset Chronic Conditions) study, IQIC (International Quality Improvement Collaborative for Congenital Heart Surgery), LCZ, INVICTUS and IMHOTEP among others.
There have been numerous articles published in association with and by members of the paediatric cardiology unit in recent years. Some of the more recent publications are listed below and a full list of publications can be downloaded here.
We strive to work with parents and families to provide family-centred, community appropriate care and treatment.
Please contact us for any further information on our department and the work that we do.