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Pediatric cardiac electrophysiology

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https://www.readbyqxmd.com/read/27874252/pediatric-cardiac-readmissions-an-opportunity-for-quality-improvement
#1
Jeffrey H Sacks, Michael Kelleman, Courtney McCracken, Michelle Glanville, Matthew Oster
OBJECTIVE: Hospital readmissions are increasingly becoming a metric for quality in the current landscape of changing and cost effective medicine. However, no 30-d readmission rates have been established for pediatric cardiac medical patients in the United States. Thus, the objective was to determine 30 d readmission rates and risk factors associated with readmission for pediatric cardiac patients, hypothesizing that pediatric cardiac patients would have significantly higher readmission rates than their general pediatric counterparts...
November 22, 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/27810292/special-electrophysiological-characteristics-of-pediatric-idiopathic-ventricular-tachycardia
#2
Shuenn-Nan Chiu, Wei-Lun Wu, Chun-Wei Lu, Kun-Lang Wu, Wei-Chieh Tseng, Ming-Tai Lin, Chien-Chih Chang, Jou-Kou Wang, Mei-Hwan Wu
BACKGROUND: Idiopathic ventricular tachycardia (VT) is an important pediatric arrhythmia but relevant studies in Asian cohort are rare. We determined the electrophysiological characteristics and outcomes of this rhythm disturbance. METHODS: From an institutional database, patients aged <18years without structural heart disease who have sustained monomorphic VT (longer than 30s) during 1995-2016 were enrolled. RESULTS: We enrolled 57 idiopathic VT patients (male:female=31:26)...
October 29, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27779344/dexmedetomidine-use-in-patients-undergoing-electrophysiological-study-for-supraventricular-tachyarrhythmias
#3
Christopher F Tirotta, Tuan Nguyen, Steven Fishberger, Evelio Velis, Melissa Olen, Lourdes Lam, Danielle R Madril, Jessica Hughes, Richard G Lagueruela
BACKGROUND: Dexmedetomidine is a selective alpha-2 adrenergic agonist with sedative, analgesic, and anxiolytic properties. Dexmedetomidine has not been approved for use in pediatrics. Dexmedetomidine has been reported to depress sinus node and atrioventricular nodal function in pediatric patients; it has been suggested that the use of dexmedetomidine may not be desirable during electrophysiological studies. AIM: We hypothesize that the use of dexmedetomidine does not inhibit the induction of supraventricular tachyarrhythmias (SVT) during electrophysiological studies and does not inhibit the ablation of such arrhythmias...
October 25, 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27513419/transesophageal-echocardiography-experience-in-thepediatric-age-group-in-a-tertiary-cardiac-center
#4
Pelin Ayyildiz, Alper Güzeltaş, İbrahim Cansaran Tanidir, Taner Kasar, Erkut Öztürk, Yakup Ergül
BACKGROUND/AIM: The aim of this study was to evaluate the transesophageal echocardiography (TEE) findings of pediatric patients in a tertiary center where complex congenital heart surgery and interventional procedures have been performed. MATERIALS AND METHODS: All TEE studies performed between December 2009 and December 2014 were reviewed retrospectively. Patients were divided into 3 groups: perioperative, during interventional procedures, and due to other reasons...
2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27503213/internal-cardioverter-defibrillator-indications-and-therapies-after-atrial-baffle-procedure-for-d-transposition-of-the-great-arteries-a-multicenter-analysis
#5
David Backhoff, Gunter Kerst, Andrea Peters, Monika Lüdemann, Christian Frische, Michaela Horndasch, Gabriele Hessling, Thomas Paul, Ulrich Krause
BACKGROUND: Sudden cardiac death (SCD) is the most important cause of late mortality after atrial baffle procedure for d-transposition of the great arteries (d-TGA). Experience with internal cardioverter defibrillator (ICD) therapy in this population is limited. We conducted a multicenter cohort study to determine the current state of ICD therapy in individuals after atrial baffle procedure. METHODS: Demographic and clinical data as well as data on device implantation, programming, ICD discharges, and complications after atrial baffle procedure for d-TGA from four German centers were analyzed retrospectively...
October 2016: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/27225165/cardiac-resynchronization-therapy-in-congenital-heart%C3%A2-disease
#6
Jan Janoušek, Peter Kubuš
Cardiac resynchronization therapy (CRT) is an established treatment option for adult patients suffering heart failure due to idiopathic or ischemic cardiomyopathy associated with electromechanical dyssynchrony. There is limited evidence suggesting similar efficacy of CRT in patients with congenital heart disease (CHD). Due to the heterogeneity of structural and functional substrates, CRT implantation techniques are different with a thoracotomy or hybrid approach prevailing. Efficacy of CRT in CHD seems to depend on the anatomy of the systemic ventricle with best results achieved in systemic left ventricular patients upgraded to CRT from conventional pacing...
June 2016: Herzschrittmachertherapie & Elektrophysiologie
https://www.readbyqxmd.com/read/27090729/pediatric-congenital-electrophysiology-society-building-an-international-paediatric-electrophysiology-organisation
#7
Mitchell Cohen, Shubhayan Sanatani, Elizabeth Stephenson, Jon Skinner, Fabrizio Drago, Andrew Davis, Jan Janousek, Eric Rosenthal, Kathryn K Collins, John Triedman
The Pediatric and Congenital Electrophysiology Society (PACES) is a non-profit organisation comprised of individuals dedicated to improving the care of children and young adults with cardiac rhythm disturbances. Although PACES is a predominantly North American-centric organisation, international members have been a part of PACES for the last two decades. This year, PACES expanded its North American framework into a broadly expansive international role. On May 12, 2015, paediatric electrophysiology leaders from within the United States of America and Canada met with over 30 international paediatric electrophysiologists from 17 countries and five continents discussing measures to (1) expand PACES' global vision, (2) address ongoing challenges such as limited resource allocation that may be present in developing countries, (3) expand PACES' governance to include international representation, (4) promote joint international sessions at future paediatric EP meetings, and (5) facilitate a global multi-centre research consortium...
May 2016: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/27075202/pediatric-congenital-electrophysiology-society-building-an-international-paediatric-electrophysiology-organisation
#8
Mitchell Cohen, Shubhayan Sanatani, Elizabeth Stephenson, Jon Skinner, Fabrizio Drago, Andrew Davis, Jan Janousek, Eric Rosenthal, Kathryn K Collins, John Triedman
The Pediatric and Congenital Electrophysiology Society (PACES) is a non-profit organisation comprised of individuals dedicated to improving the care of children and young adults with cardiac rhythm disturbances. Although PACES is a predominantly North American-centric organisation, international members have been a part of PACES for the last two decades. This year, PACES expanded its North American framework into a broadly expansive international role. On 12 May, 2015, paediatric electrophysiology leaders from within the United States of America and Canada met with over 30 international paediatric electrophysiologists from 17 countries and five continents discussing measures to (1) expand PACES' global vision, (2) address ongoing challenges such as limited resource allocation that may be present in developing countries, (3) expand PACES' governance to include international representation, (4) promote joint international sessions at future paediatric EP meetings, and (5) facilitate a global multi-centre research consortium...
August 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/26961569/pediatric-cardiology-boot-camp-description-and-evaluation-of-a-novel-intensive-training-program-for-pediatric-cardiology-trainees
#9
Scott R Ceresnak, David M Axelrod, Kara S Motonaga, Emily R Johnson, Catherine D Krawczeski
The transition from residency to subspecialty fellowship in a procedurally driven field such as pediatric cardiology is challenging for trainees. We describe and assess the educational value of a pediatric cardiology "boot camp" educational tool designed to help prepare trainees for cardiology fellowship. A two-day intensive training program was provided for pediatric cardiology fellows in July 2015 at a large fellowship training program. Hands-on experiences and simulations were provided in: anatomy, auscultation, echocardiography, catheterization, cardiovascular intensive care (CVICU), electrophysiology (EP), heart failure, and cardiac surgery...
June 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/26888838/-high-incidence-of-sudden-cardiac-death-in-one-family-with-type-3-long-qt-syndrome-molecular-genetics-and-electrophysiology-mechanism-analysis
#10
Hui Zhou, Zhang Li, Ghani Ali Raza, Wengen Zhu, Qiongqiong Zhou, Yang Shen, Jinyan Xie, Qing Cao, Rong Wan, Jinzhu Hu, Kui Hong
OBJECTIVES: We identified the long QT syndrome (LQTS) patients, and detected the potential risk of LQTS in family members by using genetic testing and electrophysiological analysis, which helped provide clinical evaluation and appropriate treatment. METHODS: Detailed clinical characteristics and familiar history were obtained from the whole family members of an idiopathic pediatric LQTS patient. Two hundred healthy subjects with the same ethnic background were recruited as controls...
December 2015: Zhonghua Xin Xue Guan Bing za Zhi
https://www.readbyqxmd.com/read/26866341/detecting-regional-myocardial-abnormalities-in-patients-with-wolff-parkinson-white-syndrome-with-the-use-of-ecg-gated-cardiac-mdct
#11
Hye-Jeong Lee, Jae-Sun Uhm, Boyoung Joung, Yoo Jin Hong, Jin Hur, Byoung Wook Choi, Young Jin Kim
OBJECTIVE: Myocardial dyskinesia caused by the accessory pathway and related reversible heart failure have been well documented in echocardiographic studies of pediatric patients with Wolff-Parkinson-White (WPW) syndrome. However, the long-term effects of dyskinesia on the myocardium of adult patients have not been studied in depth. The goal of the present study was to evaluate regional myocardial abnormalities on cardiac CT examinations of adult patients with WPW syndrome. MATERIALS AND METHODS: Of 74 patients with WPW syndrome who underwent cardiac CT from January 2006 through December 2013, 58 patients (mean [± SD] age, 52...
April 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/26791967/using-a-cardiac-event-recorder-in-children-with-potentially-arrhythmia-related-symptoms
#12
Murat Saygi, Yakup Ergul, Isa Ozyilmaz, Fatma Sevinc Sengul, Osman Guvenc, Eyup Aslan, Alper Guzeltas, Celal Akdeniz, Volkan Tuzcu
BACKGROUND: In this study, we reported our experience with the use of cardiac event recorders in pediatric patients. METHODS: We evaluated 583 patients fitted with an event recorder (15-30 days) between March 2010 and November 2014 at our clinic. Excluded from the study were 117 patients with no recorded events and six with records contaminated by electrocardiogram artifacts. All of the patients received electrocardiograms, Holter monitoring, and echocardiography before the cardiac event recording...
September 2016: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/26721807/cardiac-arrest-in-a-heart-transplant-patient-receiving-dexmedetomidine-during-cardiac-catheterization
#13
Lawrence Israel Schwartz, Shelley D Miyamoto, Scott Stenquist, Mark David Twite
Dexmedetomidine is an α-2 agonist with a sedative and cardiopulmonary profile that makes it an attractive anesthetic in pediatric cardiac patients. Cardiac transplant patients may suffer from acute cellular rejection of the cardiac conduction system and, therefore, are at an increased risk of the electrophysiological effect of dexmedetomidine. We present such a patient who had a cardiac arrest while receiving dexmedetomidine during cardiac catheterization. Because acute cellular rejection of the cardiac conduction system is difficult to diagnose, dexmedetomidine should be used with caution in pediatric heart transplant patients...
June 2016: Seminars in Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/26462477/efficacy-and-safety-of-zero-fluoroscopy-ablation-for-supraventricular-tachycardias-use-of-optional-contact-force-measurement-for-zero-fluoroscopy-ablation-in-a-clinical-routine-setting
#14
P Seizer, V Bucher, C Frische, D Heinzmann, M Gramlich, I Müller, A Henning, M Hofbeck, G Kerst, M Gawaz, J Schreieck
BACKGROUND: Conventional catheter ablation of cardiac arrhythmias is associated with radiation risks for patients and laboratory personnel. Widespread use of zero-fluoroscopic catheter ablation in clinical routine is limited by safety concerns. This study investigated the feasibility of zero-fluoroscopy catheter ablation using a three-dimensional mapping system and optional catheter contact force technology for an all-comers collective. PATIENTS AND METHODS: The study comprised 184 patients; 91 patients, including 29 pediatric patients, underwent a zero-fluoroscopic electrophysiology (EP) study using the EnSite NavX system with real-time visualization of all electrodes...
May 2016: Herz
https://www.readbyqxmd.com/read/26450752/using-data-to-improve-quality-the-pediatric-cardiac-care-consortium
#15
James H Moller
A program to collect and analyze cardiac catheterization, electrophysiologic studies and cardiac operations in children was initiated in 1982. The purpose was to help centers compare their experience and outcomes with a group of centers to determine areas where their performance might improve. Cardiac centers became members of the Pediatric Cardiac Care Consortium and submitted demographic data and copies of procedure reports regularly to a central office. Data were extracted from the reports, coded by trained coders and entered into a computer database...
January 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/26449691/cerebral-near-infrared-spectroscopy-in-the-care-of-patients-during-cardiological-procedures-a-summary-of-the-clinical-evidence
#16
Annelies Moerman, Frederik Meert, Stefan De Hert
Patients undergoing cardiological procedures generally have significant cardiovascular morbidity, and therefore these patients might be at risk for major periprocedural complications. The ability to closely monitor the hemodynamic status would present a major advantage to optimize patient care in this setting. The aim of this review is to assess the available evidence for the use of near-infrared spectroscopy (NIRS) in the care of patients during cardiological procedures. A systematic literature search was conducted using electronic bibliographic databases (MEDLINE, PubMed, EMBASE) from their first available date using the following search strategy: (spectroscopy, near-infrared OR infrared spectroscopy OR NIRS OR cerebral oxygen*) AND (interventional OR electrophysiological OR catheterization OR ablation OR ICD OR defibrillator)...
October 8, 2015: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/25982720/defibrillator-implantations-for-primary-prevention-in-the-united-states-inappropriate-care-or-inadequate-documentation-insights-from-the-national-cardiovascular-data-icd-registry
#17
RANDOMIZED CONTROLLED TRIAL
Daniel W Kaiser, Vivian Tsai, Paul A Heidenreich, Mary K Goldstein, Yongfei Wang, Jeptha Curtis, Mintu P Turakhia
BACKGROUND: Prior studies have reported that more than 20% of implantable cardioverter-defibrillator (ICD) implantations in the United States do not adhere to trial-based criteria. OBJECTIVE: We sought to investigate the patient characteristics associated with not meeting the inclusion criteria of the clinical trials that have demonstrated the efficacy of primary prevention ICDs. METHODS: Using data from the National Cardiovascular Data Registry's ICD Registry, we identified patients who received ICDs for primary prevention from January 2006 to December 2008...
October 2015: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/25789107/short-and-long-term-neuro-behavioral-alterations-in-type-1-diabetes-mellitus-pediatric-population
#18
REVIEW
Edna Litmanovitch, Ronny Geva, Marianna Rachmiel
Type 1 diabetes mellitus (T1DM) is one of the most prevalent chronic conditions affecting individuals under the age of 18 years, with increasing incidence worldwide, especially among very young age groups, younger than 5. There is still no cure for the disease, and therapeutic goals and guidelines are a challenge. Currently, despite T1DM intensive management and technological interventions in therapy, the majority of pediatric patients do not achieve glycemic control goals. This leads to a potential prognosis of long term diabetic complications, nephrological, cardiac, ophthalmological and neurological...
March 15, 2015: World Journal of Diabetes
https://www.readbyqxmd.com/read/25753681/electrocardiographic-and-electrophysiologic-effects-of-dexmedetomidine-on-children
#19
Yakup Ergul, Serkan Unsal, Isa Ozyilmaz, Erkut Ozturk, Hayat Carus, Alper Guzeltas
BACKGROUND: Dexmedetomidine (DEX) is a highly selective alpha-2-adrenergic agonist approved for short-term sedation and monitored anesthesia care in adults. Its effects on the electrocardiography and cardiac conduction tissue are not well described in the literature. Therefore, we aimed to characterize the electrocardiographic and electrophysiologic effects of DEX in children. METHODS: Twenty children (11 boys and nine girls) between the ages of eight and 17 undergoing electrophysiology study and ablation of the supraventricular tachycardia had hemodynamic and cardiac electrophysiologic variables measured before and during the administration of DEX (1 microgram/kg IV over 10 minutes followed by a 10-minute continuous infusion of 0...
June 2015: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/25727697/zero-fluoroscopy-ablation-of-accessory-pathways-in-children-and-adolescents-carto3-electroanatomic-mapping-combined-with-rf-and-cryoenergy
#20
Marco Scaglione, Elisa Ebrille, Domenico Caponi, Alessandra Siboldi, Giovanni Bertero, Paolo Di Donna, Fulvio Gabbarini, Cristina Raimondo, Francesca Di Clemente, Paolo Ferrato, Maurizio Marasini, Fiorenzo Gaita
BACKGROUND: Fluoroscopic catheter ablation of cardiac arrhythmias in pediatric patients exposes the patients to the potential risk of radiation considering the sensitivity of this population and its longer life expectancy. We evaluated the feasibility, safety, and efficacy of accessory pathway (AP) ablation guided by CARTO3 electroanatomic mapping (EAM) system with both cryoenergy and radiofrequency (RF) energy in order to avoid x-ray exposure in pediatric patients. METHODS: We included 44 patients (mean age: 13...
June 2015: Pacing and Clinical Electrophysiology: PACE
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