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Cardiology in the Young

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https://www.readbyqxmd.com/read/29208070/neuropsychological-outcomes-in-chd-beyond-childhood-a-meta-analysis
#1
Rónán Mills, Christopher G McCusker, Chris Tennyson, Donncha Hanna
BACKGROUND: Risk for neurodevelopmental delay in infants and children with CHD is well established, but longer-term outcomes are equivocal. A meta-analysis was conducted to establish whether cognitive deficits remain beyond childhood - into teenage and young adult years. Methods and results A total of 18 unique samples, involving adolescents, teenagers, and adults with CHD significant enough to require invasive intervention, and sourced through searches of Web of Science, MEDLINE, CINAHL Plus, and PsychInfo, met the inclusion criteria...
December 6, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29198233/subarachnoid-haemorrhage-from-undiagnosed-mycotic-aortic-aneurysm-in-a-child
#2
Takeshi Shinkawa, Raghu H Ramakrishnaiah, Brian K Eble
We report a case of subarachnoid haemorrhage resulting from a mycotic aortic aneurysm in a child with CHD. The patient previously underwent operations for CHD and had a subarachnoid haemorrhage of unknown cause before the scheduled re-operation. During the re-operation, a sealed rupture of an undiagnosed mycotic ascending aortic aneurysm was identified, and the causative organism was later identified as Streptococcus. A postoperative MRI indicated a partially thrombosed cerebral aneurysm. This case demonstrates that a mycotic aortic aneurysm can be a cause of intracranial haemorrhage in children...
December 4, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29198224/case-report-and-review-of-the-literature-the-utilisation-of-a-ventricular-assist-device-as-bridge-to-recovery-for-anthracycline-induced-ventricular-dysfunction
#3
Diane Krasnopero, Alfred Asante-Korang, Jeffrey Jacobs, Stacie Stapleton, Jennifer Carapellucci, Mathew Dotson, Gary Stapleton
Ventricular assist devices are used in children with heart failure as a bridge to myocardial recovery or cardiac transplantation. Anthracyclines cause cardiac toxicity and may result in acute or long-term cardiac failure. We describe the use of a ventricular assist device as a bridge to recovery in a child with severe acute anthracycline-induced cardiomyopathy, and we review the associated literature. A 6-year-old girl was treated for acute myeloblastic leukaemia with daunorubicin and mitoxantrone. After 2 weeks her final dose of chemotherapy, her Left Ventricular Ejection Fraction decreased to 21%...
December 4, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29198223/ibuprofen-and-indomethacin-differentially-regulate-vascular-endothelial-growth-factor-and-its-receptors-in-ductus-arteriosus-endothelial-cells
#4
Hannes Sallmon, Sandra Akanbi, Sven C Weber, Alexander Gratopp, Cornelia Rheinländer, Petra Koehne
BACKGROUND: Cyclooxygenase inhibitors are widely applied to facilitate ductal closure in preterm infants. The mechanisms that lead to patent ductus arteriosus closure are incompletely understood. Vascular endothelial growth factor plays pivotal roles during ductal closure and remodelling. Aim The aim of this study was to investigate the effects of ibuprofen and indomethacin on the expression of vascular endothelial growth factor and its receptors in a primary rat ductus arteriosus endothelial cell culture...
December 4, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29198222/epinephrine-syringe-exchange-events-in-a-paediatric-cardiovascular-icu-analysing-the-storm
#5
Barbara-Jo Achuff, Jameson C Achuff, Hwan H Park, Brady Moffett, Sebastian Acosta, Craig G Rusin, Paul A Checchia
Introduction Haemodynamically unstable patients can experience potentially hazardous changes in vital signs related to the exchange of depleted syringes of epinephrine to full syringes. The purpose was to determine the measured effects of epinephrine syringe exchanges on the magnitude, duration, and frequency of haemodynamic disturbances in the hour after an exchange event (study) relative to the hours before (control). Materials and methods Beat-to-beat vital signs recorded every 2 seconds from bedside monitors for patients admitted to the paediatric cardiovascular ICU of Texas Children's Hospital were collected between 1 January, 2013 and 30 June, 2015...
December 4, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29198211/association-of-cx43-rs2071166-polymorphism-with-an-increased-risk-for-atrial-septal-defect
#6
Ruoyi Gu, Wei Sheng, Xiaojing Ma, Guoying Huang
Atrial septal defect is one of the most common CHD. The pathogenesis of atrial septal defect still remains unknown. Cx43 is the most prevalent connexin in the mammalian heart during development. Its genetic variants can cause several CHD. The aim of our study was to investigate the association of genetic variations of the Cx43 with sporadic atrial septal defect. A total of 450 paediatric patients were recruited, including 150 cases with atrial septal defect and 300 healthy controls. The promoter region of Cx43 was analysed by sequencing after polymerase chain reaction...
December 4, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29183416/repair-of-interrupted-aortic-arch-using-autologous-pulmonary-artery-tissue
#7
Cheul Lee, Jae Young Lee, Eun-Jung Lee
There are several options for the repair of interrupted aortic arch. Direct anastomosis may cause several problems including anastomotic site stenosis, left main bronchus compression, and acute-angled aortic arch. Interposition of a prosthetic graft has no growth potential. We present a case of 34-month-old child with interrupted aortic arch, which was repaired using a pulmonary autograft tube.
November 29, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29183415/the-pre-participation-screening-in-young-athletes-which-protocol-do-we-need-exactly
#8
İbrahim I Çetin, Filiz Ekici, Ayşe E Kibar, Murat Sürücü, Ali Orgun
The aim was to assess the utility and feasibility of a comprehensive cardiac screening protocol in young athletes before participation in sports. A total of 380 athletes referring before participation in sports, between April, 2014 and April, 2015, were included in this study. The mean age was 12.4 years. A screening protocol has been applied to all, including personal and family history, physical examination, 12-lead electrocardiography, transthoracic echocardiography, 24-hour rhythm Holter analysis, and treadmill exercise test...
November 29, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29183404/prolonged-prostaglandin-e2-associated-periosteal-reaction-and-elevated-c-reactive-protein-levels
#9
Maria I Duggan, Andrew T MacLaren, Dhullipala Anand
This is a case review of two infants who received a prolonged course of prostaglandin-E2 therapy for congenital cardiac lesions while awaiting corrective surgery. These cases highlight an association between prolonged prostaglandin-E2 therapy with periosteal reactions and elevated C-reactive protein levels. Failure to recognise this association may lead to multiple courses of antibiotics for presumed sepsis and further prolongation of prostaglandin-E2 therapy.
November 29, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29179789/a-case-of-mistaken-identity-corrigendum
#10
Robert H Anderson, Simon D Bamforth, Saurabh K Gupta
No abstract text is available yet for this article.
November 28, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29173219/multidisciplinary-family-centred-psychosocial-care-for-patients-with-chd-consensus-recommendations-from-the-aepc-psychosocial-working-group-erratum
#11
Elisabeth M W J Utens, Edward Callus, Eveline M Levert, Katya De Groote, Frank Casey
No abstract text is available yet for this article.
November 27, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29166974/a-first-qualitative-snapshot-cardiac-surgery-and-recovery-in-10-children-in-the-red-cross-war-memorial-children-s-hospital-cape-town-south-africa-2011-2016
#12
Lauraine Vivian, George Comitis, Claudia Naidu, Cynthia Hunter, John Lawrenson
This article describes our qualitative research on the follow-up of 10 children, 5 years into recovery after cardiac surgery. The research was driven by a multi-disciplinary team of medical anthropologists, cardiologists, and an intensive care specialist and was based at the Red Cross War Memorial Children's Hospital where they underwent surgeries. The research sought to answer two questions; first, could we successfully maintain contact with and follow up the children; the second - which will be answered in future papers - asked what life was like for them and their families during surgery and later recovery...
November 23, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29166960/a-focussed-single-view-hand-held-echocardiography-protocol-for-the-detection-of-rheumatic-heart-disease-corrigendum
#13
Adriana Diamantino, Andrea Beaton, Twalib Aliku, Kaciane Oliveira, Cassio Oliveira, Luciana Xavier, Lindsay Perlman, Emmy Okello, Bruno Nascimento, Antonio R P Ribeiro, Maria C P Nunes, Craig Sable
No abstract text is available yet for this article.
November 23, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29151383/spontaneous-ventricular-thrombosis-in-patients-with-inflammatory-bowel-disease
#14
Stella Pak, Juan Linares, Yan Yatsynovich, David Cha, Dexter Nye, Diana Kaminski, Jillian Costello
Inflammatory bowel disease is closely associated with an increased risk for thrombotic events. Thrombosis mostly occurs in the extremities, lungs, and liver; but it can also occur in the ventricles of the heart. The primary goal of this article is to increase awareness of the risk for ventricular thrombosis in this patient population among healthcare professionals and, thus, appropriate prompt use of thromboprophylaxis therapy for these patients during acute flare-ups. Early diagnosis and intervention are critical for ventricular thrombosis to prevent systemic embolisation of the thrombus...
November 20, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29115202/risk-factors-for-hospital-associated-venous-thromboembolism-in-critically-ill-children-following-cardiothoracic-surgery-or-therapeutic-cardiac-catheterisation
#15
Christie M Atchison, Ernest Amankwah, Jean Wilhelm, Shilpa Arlikar, Brian R Branchford, Arabela Stock, Michael Streiff, Clifford Takemoto, Irmel Ayala, Allen Everett, Gary Stapleton, Marshall L Jacobs, Jeffrey P Jacobs, Neil A Goldenberg
BACKGROUND: Paediatric hospital-associated venous thromboembolism is a leading quality and safety concern at children's hospitals. OBJECTIVE: The aim of this study was to determine risk factors for hospital-associated venous thromboembolism in critically ill children following cardiothoracic surgery or therapeutic cardiac catheterisation. METHODS: We conducted a retrospective, case-control study of children admitted to the cardiovascular intensive care unit at Johns Hopkins All Children's Hospital (St...
November 8, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29110750/aortic-elasticity-and-carotid-intima-media-thickness-in-children-with-mitral-valve-prolapse
#16
Elif Erolu, Figen Akalın, Nilüfer Çetiner, Berna Şaylan Çevik
Aim We aimed to study the dimensions, systolic and diastolic functions of the left ventricle; dimensions and elasticity of the aorta; and carotid intima-media thickness and flow-mediated dilatation of the brachial artery in mitral valve prolapse. METHODS: The study group consisted of 43 patients (mean age=13.3±3.9) and 42 healthy children (mean age=12.9±3.4). Left ventricular end-diastolic, end-systolic, left atrial diameters, interventricular septum, and left ventricular posterior wall thickness were measured...
November 7, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29110745/an-unusual-course-of-anti-ro-antibody-mediated-fetal-complete-heart-block
#17
Claudia Renaud, Edgar Jaeggi, Varsha Thakur
Fetal hydrops is a serious complication of immune-mediated congenital complete atrioventricular block. We present the case of a fetus with severe hydrops and profound bradycardia and an unusual favourable outcome. This case enhances the importance of considering the contribution of ventricular ectopic beats to the cardiac output when counselling and predicting outcome of complete heart block.
November 7, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29110739/urgent-hybrid-palliation-for-interrupted-aortic-arch-in-a-preterm-infant
#18
Ryan A Romans, Aimee K Armstrong, Ranjit Aiyagari
In patients with ductal-dependent CHD, ductal restriction can be life-threatening. We present the use of urgent hybrid palliation involving placement of bilateral pulmonary artery bands and ductus arteriosus stent implantation in a 1.5 kg premature infant with interrupted aortic arch and ductal restriction.
November 7, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29091021/presence-of-reduced-regional-left-ventricular-function-even-in-the-absence-of-left-ventricular-wall-scar-tissue-in-the-long-term-after-repair-of-an-anomalous-left-coronary-artery-from-the-pulmonary-artery
#19
Sarah Nordmeyer, Boris Schmitt, Boris Nasseri, Vladimir Alexi-Meskishvili, Titus Kuehne, Felix Berger, Johannes Nordmeyer
BACKGROUND: We sought to assess left ventricular regional function in patients with and without left ventricular wall scar tissue in the long term after repair of an anomalous origin of the left coronary artery from the pulmonary artery. METHODS: A total of 20 patients aged 12.8±7.4 years were assessed 10 (0.5-17) years after the repair of an anomalous origin of the left coronary artery from the pulmonary artery; of them, 10 (50%) patients showed left ventricular wall scar tissue on current cardiac MRI...
November 1, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29081324/coarctation-of-the-aorta-stenting-via-glidesheath-slender-in-a-newborn-with-recoarctation-early-after-a-norwood-operation
#20
Katarzyna Gendera, Julie Cleuziou, Daniel Tanase
In this article, we report on a newborn with hypoplastic left heart syndrome in whom recoarctation of the aorta was treated with a bare metal stent (Cook Formula 414 Stent) in the early postoperative period after a Norwood procedure. To reduce the risk for scarring and occluding the femoral artery the stent was implanted via 5F Glidesheath Slender sheath.
October 30, 2017: Cardiology in the Young
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