Heart disease in children can be congenital or acquired. Most congenital heart malformations have specific hemodynamics, producing either volume overload, pressure overload or both, that will finally determine myocardial cell damage, with complications like heart failure and sometime severe pulmonary hypertension. The understanding and management of pediatric patients with heart disease is mandatory in order to have the ability to influence the outcome. Cardiovascular biomarkers play a vital role in adult cardiology, influencing both the diagnosis and the prognostic, however there is still a gap in the pediatric field. We decided to study the relevance of cardiac biomarkers as: NT proBNP, Troponin T and hs-CRP, in the diagnosis and follow up of the pediatric patients with heart disease admitted for severe acute/chronic symptomes or patology, hoping that in future, cardiac biomarkers will be current used in the assessment of children with heart disease.

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Conclusion Results of this study showed, that hypertensive adolescents have poorer oral health than adolescents with normal BP level. This substantiates the necessity of multidisciplinary approach to management of this group of patients with participation of both pediatric physicians and dentists.

or inadequate intake. Children with feeding problems also tended to eat less than children without feeding problems. There was a trend towards more feeding problems in patients with chromosomal abnormalities or other associated anomalies. Conclusion Feeding disorder is often and frequent long-term sequel in children after neonatal or early infancy heart surgery. Patients with chromosomal and associated anomalies and those who underwent multiple cardiac surgeries are at risk of developing feeding difficulties and later feeding disorders. These patients need to be selected for preventive strategies and nutritional intervention should be offered in order to increase the caloric intake of the child and to develop a sound feeding relationship in the family.