History Repeating: Lessons From Citrus Fruits, Penicillin, and Delayed Adoption in Pediatric Cardiology
Abstract
Pediatric cardiology has advanced remarkably in recent decades, reflecting progress in imaging, intervention, perioperative care, and long-term survival. Despite this, the movement of innovation from evidence to routine clinical practice remains inconsistent. Delayed diagnosis of critical congenital heart disease (CCHD) persists even in high-resource settings, despite validated strategies such as prenatal ultrasound and newborn pulse oximetry screening1–3. Variability in the management of common congenital lesions further illustrates how uncertainty, heuristics, and institutional norms shape clinical decisions4–6.
Fields of Study & Subjects
Congenital Heart Disease Studies
Medical History and Innovations
History of Medical Practice
Publication details
- Journal / source
- CJC Pediatric and Congenital Heart Disease
- Volume
- 5
- Issue
- 4
- Pages
- 246–248
- Publication date
- 27 February 2026
- Language
- EN