This chapter explores a 15-year review of a cardiac program for premature babies, emphasizing the impact of physiology on outcomes and the need for specialized care. It discusses lessons learned from managing complex cardiac conditions in neonates, the use of adjunct tools for monitoring and cardiovascular medications, and future directions in genetic screening for treatment decisions. The chapter also highlights the Neil Hart conference, underlining its value for networking, mentorship, and ongoing skill development in neonatal cardiac care.

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