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Cardiology in the Young

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https://www.readbyqxmd.com/read/28516823/predictors-of-health-related-quality-of-life-in-children-with-chronic-heart-disease
#1
Mandy Niemitz, Diana C M Gunst, Hedwig H Hövels-Gürich, Michael Hofbeck, Renate Kaulitz, Christoph Galm, Felix Berger, Nicole Nagdyman, Brigitte Stiller, Thomas Borth-Bruhns, Ines Konzag, Christian Balmer, Lutz Goldbeck
OBJECTIVE: Chronic paediatric heart disease is often associated with residual symptoms, persisting functional restrictions, and late sequelae for psychosocial development. It is, therefore, increasingly important to evaluate the health-related quality of life of children and adolescents with chronic heart disease. The aim of this study was to determine medical and socio-demographic variables affecting health-related quality of life in school-aged children and adolescents with chronic heart disease...
May 18, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28516822/key-drivers-of-patient-experience-in-ambulatory-paediatric-cardiology
#2
Shalini D Allam, Mary Mehta, Bertha Ben Khallouq, James F Burrows, Paul Rosen
Patient experience is becoming a central focus of healthcare. A broad range of studies on how to increase patient satisfaction ratings exists; however, they lack the specificity to adequately guide physicians and hospitals on how to improve patient experience. The objective of this study was to define the aspects of patient experience within paediatric cardiologist practices that can serve as predictors of excellent patient satisfaction. From 1 January, 2013 to 28 February, 2015 (26 months), outpatients who visited paediatric cardiologists were asked to complete a 39-question patient satisfaction survey regarding their experience...
May 18, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28506331/glucocorticoids-for-treating-paediatric-pulmonary-hypertension-a-novel-use-for-a-common-medication
#3
Manish Aggarwal, Ronald Mark Grady
Laboratory investigations have shown the role of inflammation in the pathogenesis of pulmonary hypertension and improvement after anti-inflammatory drugs. Despite these observations, reports on the use of steroids to treat pulmonary hypertension in humans are absent from the literature. In this article, we report the use of glucocorticoids in the treatment of two children with pulmonary hypertension, demonstrating its potential utility.
May 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28506330/edwards-valve-in-valve-implantation-in-tricuspid-position
#4
Maria Álvarez-Fuente, Nikolaus A Haas, Maria Jesus Del Cerro
We present two cases of percutaneous Sapien XT valve-in-valve implantation in the tricuspid position: a 20-year-old man with severe congenital pulmonary stenosis and percutaneous valvuloplasty, who required surgical implantation of two protheses, pulmonary and tricuspid, and a 12-year-old boy with CHD and a degenerated tricuspid prosthesis. We implanted three Sapien XT valve-in-valves, two in the tricuspid position and one in the pulmonic position. Sapien XT valve-in-valve implantation in the tricuspid position is feasible and can decrease the number of surgeries in CHD patients...
May 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28506323/transcatheter-correction-of-scimitar-syndrome-occlusion-of-abnormal-pulmonary-venous-drainage-and-vascular-supply-in-an-infant
#5
Levent Saltik, Sezen Ugan Atik, Helen Bornaun
Treatment of Scimitar syndrome is usually surgical; however, if there is "dual drainage" - that is, one to the inferior caval vein and the other to the left atrium - it is possible to successfully treat this anomaly via a less-invasive transcatheter approach. We report a case of Scimitar syndrome in a 21-month-old, male infant successfully treated with transcatheter embolisation.
May 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28506322/transcatheter-closure-of-a-membranous-ventricular-septal-defect-in-a-1-8-kg-infant-using-amplatzer-duct-occluder-ii-additional-size-device
#6
Bhavik Champaneri, Mahesh Kappanayil, Raman K Kumar
Catheter closure of membranous ventricular septal defects is generally not considered feasible in small infants. We report the successful closure of a membranous ventricular septal defect in a 1.8-kg infant with bilateral femoral artery occlusion using Amplatzer Duct Occluder II additional size device. The ventricular septal defect was crossed from the right ventricle, and the device was deployed using transthoracic echocardiographic guidance.
May 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28502268/comparison-of-two-dimensional-and-three-dimensional-echocardiographic-strain-in-children-with-chd
#7
Bethany L Wisotzkey, Brian D Soriano, Sujatha Buddhe
BACKGROUND: In CHD, three-dimensional strain analysis may overcome limitations of Doppler and two-dimensional strain of the left ventricle. The aims of this study were to evaluate feasibility and reproducibility of three-dimensional longitudinal, circumferential, and radial systolic strain by three-dimensional speckle-tracking echocardiography compared with two-dimensional echocardiography. METHODS: Patients with CHD, biventricular circulation with a systemic left ventricle, and who had two- and three-dimensional imaging performed on the same day from 2010 to 2014 were included...
May 15, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28490397/aortic-dissection-and-cystinosis-is-there-any-relationship
#8
Masih Tajdini, Mehdi Bayati, Ali Vasheghani-Farahani
Cystinosis is a rare, autosomal-recessive genetic disorder. The kidneys are commonly involved, as there is cystinosin protein malfunction, and nephropathic cystinosis ensues. Although cardiac and vascular involvements are rare, we describe a unique case of aortic dissection in a 25-year-old female with cystinosis. We discuss the possible aetiologies of aortic dissection in this condition.
May 11, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28478769/long-term-outcome-after-percutaneous-closure-of-persistent-left-superior-caval-vein-draining-into-the-left-atrium-a-contrast-enhanced-ct-study
#9
Davide Marini, Matteo Castagno, Michele Millesimo, Francesca Ferroni, Gaetana Ferraro, Carlo Pace Napoleone, Gabriella Agnoletti
BACKGROUND: Data regarding long-term outcome after percutaneous closure of left superior caval vein draining into the left atrium are lacking. The aim of the present study was to report the long-term follow-up by using contrast-enhanced CT. METHODS: In all, three patients underwent percutaneous closure of left superior caval vein draining into the left atrium between 2005 and 2015. All of them were evaluated clinically and underwent contrast-enhanced CT. RESULTS: In one patient, the Amplatzer® Septal Occluder was used...
May 8, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28460658/exercise-restriction-is-not-associated-with-increasing-body-mass-index-over-time-in-patients-with-anomalous-aortic-origin-of-the-coronary-arteries
#10
James M Meza, Matthew D Elias, Travis J Wilder, James E O'Brien, Richard W Kim, Constantine Mavroudis, William G Williams, Julie Brothers, Meryl S Cohen, Brian W McCrindle
Anomalous aortic origin of the coronary arteries is associated with exercise-induced ischaemia, leading some physicians to restrict exercise in patients with this condition. We sought to determine whether exercise restriction was associated with increasing body mass index over time. From 1998 to 2015, 440 patients ⩽30 years old were enrolled into an inception cohort. Exercise-restriction status was documented in 143 patients. Using linear mixed model repeated-measures regression, factors associated with increasing body mass index z-score over time, including exercise restriction and surgical intervention as time-varying covariates, were investigated...
May 2, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28460657/resolution-of-intracardiac-thrombus-with-novel-oral-anticoagulants-in-an-adult-patient-with-complex-chd
#11
Giancarlo Scognamiglio, Rosaria Barracano, Berardo Sarubbi
Thromboembolic complications occur frequently in Fontan patients with atrial arrhythmias and are a cause of significant morbidity and all-cause mortality. We report the case of an adult woman with direct atriopulmonary connection and atrial arrhythmia who developed a right atrial thrombus. She was switched to apixaban therapy because of echocardiographic evidence of thrombus progression despite combined therapy with warfarin and aspirin. After 1 year of treatment, there was evidence of complete thrombus resolution, in the absence of bleeding events...
May 2, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28460654/myocarditis-flail-tricuspid-valve-and-normal-rhythm-an-exceptional-form-of-neonatal-cardiac-lupus
#12
María-Teresa González-López, Ramón Pérez-Caballero-Martínez, Juan-Miguel Gil-Jaurena
Neonatal cardiac lupus is a rare, passively acquired autoimmune disease. We report a case of in utero myocarditis, confirmed postnatally, with papillary muscle rupture and severe tricuspid regurgitation after birth in the absence of conduction disturbances. Tricuspid repair was successfully performed with polytetrafluoroethylene neochordae. In this article, we discuss the pathophysiology, medical and surgical management, and implications at follow-up in this unique scenario.
May 2, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28460651/transcatheter-closure-of-the-patent-foramen-ovale-in-children-intermediate-term-follow-up-results
#13
Kutay Sel, Hakan H Aykan, Derya Duman, Ebru Aypar, Süheyla Özkutlu, Dursun Alehan, Tevfik Karagöz
The patent foramen ovale is almost a normal anatomical hole between the atria with ~30% incidence in the general population. It has been suggested that the patent foramen ovale is the cause of some neurological events, which is explained by paradoxical embolism. Transcatheter closure of the patent foramen ovale is a common procedure in adult patients with cerebral ischaemic events, but there are limited data investigating the results in children. Between January, 2005 and February, 2014, 17 patients' patent foramen ovales were closed by the transcatheter approach in our department...
May 2, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28460649/congenital-left-ventricular-diverticulum
#14
Jorge A Morales-Quispe, Cristian Aguilar, Maria Ganiku-Furujen
Congenital diverticulum of the left ventricle is a rare cardiac malformation usually associated with midline thoraco-abdominal defects and other congenital cardiac malformations.
May 2, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28416028/attitudes-and-perceptions-of-pregnant-women-with-chd-results-of-a-single-site-survey
#15
Aarthi Sabanayagam, David Briston, Ali N Zaidi
Introduction CHD occurs in about 1% of the United States population, and is now the most common cardiac condition affecting women during pregnancy. METHODS: An anonymous, single-site, cross-sectional, 50-question survey was performed at a national Adult Congenital Heart Disease conference to assess the level of knowledge, attitudes, and perceptions regarding cardiac care during pregnancy in women with CHD. RESULTS: A total of 77 women completed the survey. Among them, 50% (n=39) had moderate and 38% (n=29) had severely complex disease; 30% (n=23) of women were told that pregnancy was contraindicated given their underlying cardiac condition...
April 18, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28414011/transradial-approach-for-collateral-embolisation
#16
Naveen Garg, Ankit K Sahu, Roopali Khanna
Significant aortopulmonary collaterals in cyanotic CHD patients require closure immediately before definitive intracardiac repair. Traditionally, the transfemoral access has been used for this purpose; however in a few cases, selective and stable hooking of collaterals may be extremely difficult. We describe a case in which we used a new approach for collateral embolisation in a difficult situation.
April 17, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28414007/pok%C3%A3-mon-go-digital-health-interventions-to-reduce-cardiovascular-risk
#17
Chayakrit Krittanawong, Mehmet Aydar, Takeshi Kitai
Physical activity is associated with a lower risk of coronary heart disease/cardiovascular disease mortality, and current guidelines recommend physical activity for primary prevention in healthy individuals and secondary prevention in patients with coronary heart disease/cardiovascular disease. Over the last decade, playing classic video games has become one of the most popular leisure activities in the world, but is associated with a sedentary lifestyle. In the new era of rapidly evolving augmented reality technology, Pokémon Go, a well-known augmented reality game, may promote physical activity and prevent cardiovascular disease risks - that is, diabetes, obesity, and hypertension...
April 17, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28414001/transcatheter-closure-of-a-residual-aorto-left-ventricular-tunnel-report-of-a-case-with-a-6-year-follow-up
#18
Milan Djukic, Stefan A Djordjevic, Ingo Dähnert
Aorto-left ventricular tunnel is an exceedingly rare congenital cardiac defect. Early surgical closure is the treatment of choice. Residual or recurrent tunnel and aortic valve insufficiency are well-recognised complications after surgical repair. In this article, we report on successful transcatheter closure of a residual aorto-left ventricular tunnel using an Amplatzer duct occluder in a 7-year-old boy. The outcome after 6 years of follow-up is encouraging.
April 17, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28412993/paediatric-onset-coronary-artery-anomalies-in-pregnancy-a-single-centre-experience-and-systematic-literature-review
#19
Michelle Keir, Catriona Bhagra, Debra Vatenmakher, Francisca Arancibia-Galilea, Katrijn Jansen, Norihisa Toh, Candice K Silversides, Jack Colman, Samuel C Siu, Mathew Sermer, Andrew M Crean, Rachel M Wald
OBJECTIVES: Individuals with childhood-onset coronary artery anomalies are at increased risk of lifelong complications. Although pregnancy is thought to confer additional risk, a few data are available regarding outcomes in this group of women. We sought to define outcomes of pregnancy in this unique population. METHODS: We performed a retrospective survey of women with paediatric-onset coronary anomalies and pregnancy in our institution, combined with a systematic review of published cases...
April 17, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28399954/using-benchmarking-to-identify-inter-centre-differences-in-persistent-ductus-arteriosus-treatment-can-we-improve-outcome
#20
Esther J S Jansen, Koen P Dijkman, Richard A van Lingen, Willem B de Vries, Daniel C Vijlbrief, Willem P de Boode, Peter Andriessen
OBJECTIVE: The aim of this study was to identify inter-centre differences in persistent ductus arteriosus treatment and their related outcomes. Materials and methods We carried out a retrospective, multicentre study including infants between 24+0 and 27+6 weeks of gestation in the period between 2010 and 2011. In all centres, echocardiography was used as the standard procedure to diagnose a patent ductus arteriosus and to document ductal closure. RESULTS: In total, 367 preterm infants were included...
April 12, 2017: Cardiology in the Young
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