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Fetal cardiology

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https://www.readbyqxmd.com/read/27862304/hypertension-and-pregnancy-expert-consensus-statement-from-the-french-society-of-hypertension-an-affiliate-of-the-french-society-of-cardiology
#1
Claire Mounier-Vehier, Jacques Amar, Jean-Marc Boivin, Thierry Denolle, Jean-Pierre Fauvel, Geneviève Plu-Bureau, Vassilis Tsatsaris, Jacques Blacher
High blood pressure in pregnancy remains, by its complications, the leading cause of morbidity as well as maternal and fetal mortality. The frequency (5 to 10% of pregnancies) and the potential severity of this disease, both for mother and child, encourage to standardize and to optimize our medical practices. If the short-term complications for the mother and child are well known, long-term ones for the mother are beginning to be better identified. The onset of hypertension during pregnancy disrupts the classic organization of healthcare and requires the intervention of the general practitioner and/or an obstetrician, a gynecologist, a midwife, a cardiologist, a nephrologist...
November 14, 2016: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/27860542/successful-fetal-tele-echo-at-a-small-regional-hospital
#2
Julianna Brown, Brian Holland
BACKGROUND: Prenatal diagnosis of complex congenital heart disease (CHD) has been shown to improve newborn outcomes. The rate of prenatal diagnosis and access to fetal echocardiography vary widely across the United States. INTRODUCTION: A clinical fetal tele-echo service was established at King's Daughters Medical Center (KDMC) in Ashland, KY, a region in eastern Kentucky that is 3 h from the nearest congenital heart surgeon. The aim of this study was to determine if fetal tele-echo utilizing local sonographers at a small regional hospital can accurately and efficiently identify fetuses with complex CHD...
November 18, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27843561/predictors-of-poor-outcome-among-children-with-heterotaxy-syndrome-a-retrospective-review
#3
Eiméar McGovern, Eoin Kelleher, James E Potts, John O'Brien, Kevin Walsh, Lars Nolke, Colin J McMahon
OBJECTIVE: To determine predictors of poor outcome in patients with heterotaxy syndrome. METHODS: A retrospective review of children with heterotaxy syndrome, in a single tertiary paediatric cardiology centre, was conducted between 1 January 1997 and 1 January 2014 to determine predictors of poor outcome. Poor outcome was defined as death, cardiac transplantation or New York Heart Association (NYHA) functional class III or IV. RESULTS: There were 35 patients diagnosed with heterotaxy syndrome, 17 of whom were diagnosed antenatally...
2016: Open Heart
https://www.readbyqxmd.com/read/27788933/risk-of-aortic-dissection-in-pregnant-patients-with-the-marfan-syndrome
#4
Rafael Kuperstein, Tal Cahan, Rakefet Yoeli-Ullman, Sagit Ben Zekry, Amihay Shinfeld, Michal J Simchen
Patients with Marfan syndrome (MS) face a high risk of aortic dissection during pregnancy. A dilated aortic root (>40 to 45 mm) is considered a relative contraindication for pregnancy. We investigated the risk for aortic dissection and pregnancy outcome in patients with MS. Women with MS who attended our cardiology high-risk pregnancy clinic from 2006 to 2015 were followed clinically and with serial echocardiograms by a multidisciplinary team. Beta blockers were offered and titrated by blood pressure and heart rate...
September 30, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27647352/ep07-07-atrioventricular-septal-defect-what-can-we-predict-for-neonates-based-on-prenatal-diagnosis%C3%A2-%C3%A2-retrospective-analysis-of-97-cases-from-a-tertiary-centre-for-fetal-cardiology
#5
M Soroka, M Respondek-Liberska, M Slodki
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27645319/ep04-04-double-outlet-right-ventricle-what-can-we-predict-for-neonates-based-on-prenatal-diagnosis-retrospective-analysis-of-39-cases-from-tertiary-centre-for-fetal-cardiology
#6
M Soroka, M Respondek-Liberska, M Slodki
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27555314/the-virtual-obstetrical-intensive-care-unit-providing%C3%A2-critical-care-for-contemporary-obstetrics-in%C3%A2-nontraditional%C3%A2-locations
#7
Michael P Leovic, Hailey N Robbins, Michael R Foley, Roman S Starikov
Management of the critically ill pregnant patient presents a clinical dilemma in which there are sparse objective data to determine the optimal setting for provision of high-quality care to these patients. This clinical scenario will continue to present a challenge for providers as the chronic illness and comorbid conditions continue to become more commonly encountered in the obstetric population. Various care models exist across a broad spectrum of facilities that are characterized by differing levels of resources; however, no studies have identified which model provides the highest level of care and patient safety while maintaining a reasonable degree of cost-effectiveness...
December 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27555292/transgenerational-cardiology-one-way-to-a-baby-s-heart-is-through-the-mother
#8
Patrick Y Jay, Ehiole Akhirome, Rachel A Magnan, M Rebecca Zhang, Lillian Kang, Yidan Qin, Nelson Ugwu, Suk Dev Regmi, Julie M Nogee, James M Cheverud
Despite decades of progress, congenital heart disease remains a major cause of mortality and suffering in children and young adults. Prevention would be ideal, but formidable biological and technical hurdles face any intervention that seeks to target the main causes, genetic mutations in the embryo. Other factors, however, significantly modify the total risk in individuals who carry mutations. Investigation of these factors could lead to an alternative approach to prevention. To define the risk modifiers, our group has taken an "experimental epidemiologic" approach via inbred mouse strain crosses...
November 5, 2016: Molecular and Cellular Endocrinology
https://www.readbyqxmd.com/read/27521762/an-exploration-of-the-potential-utility-of-fetal-cardiovascular-mri-as-an-adjunct-to-fetal-echocardiography
#9
David F A Lloyd, Joshua F P van Amerom, Kuberan Pushparajah, John M Simpson, Vita Zidere, Owen Miller, Gurleen Sharland, Joanna Allsop, Matthew Fox, Maelene Lohezic, Maria Murgasova, Christina Malamateniou, Jo V Hajnal, Mary Rutherford, Reza Razavi
OBJECTIVES: Fetal cardiovascular magnetic resonance imaging (MRI) offers a potential alternative to echocardiography, although in practice, its use has been limited. We sought to explore the need for additional imaging in a tertiary fetal cardiology unit and the usefulness of standard MRI sequences. METHODS: Cases where the diagnosis was not fully resolved using echocardiography were referred for MRI. Following a three-plane localiser, fetal movement was assessed with a balanced steady-state free precession (bSSFP) cine...
October 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27402294/-hypertension-and-pregnancy-expert-consensus-statement-from-the-french-society-of-hypertension-an-affiliate-of-the-french-society-of-cardiology
#10
Claire Mounier-Vehier, Jacques Amar, Jean-Marc Boivin, Thierry Denolle, Jean-Pierre Fauvel, Geneviève Plu-Bureau, Vassilis Tsatsaris, Jacques Blacher
High blood pressure in pregnancy remains, by its complications, the leading cause of morbidity and maternal and fetal mortality. The frequency (5 to 10% of pregnancies) and the potential severity of this disease, both for mother and child, encourage to standardize and to optimize our medical practices. This is the main objective of this work. If the short-term complications for the mother and child are well known, long-term ones for the mother beginning to be better identified (in particular, the risk of recurrence in a subsequent pregnancy, the risk of chronic hypertension and the increased risk of cardiovascular events)...
July 2016: La Presse Médicale
https://www.readbyqxmd.com/read/27384461/pulmonary-hypertension-and-pregnancy-outcomes-data-from-the-registry-of-pregnancy-and-cardiac-disease-ropac-of-the-european-society-of-cardiology
#11
Karen Sliwa, Iris M van Hagen, Werner Budts, Lorna Swan, Gianfranco Sinagra, Maryanne Caruana, Manuel Vazquez Blanco, Lodewijk J Wagenaar, Mark R Johnson, Gary Webb, Roger Hall, Jolien W Roos-Hesselink
AIMS: To describe the outcomes of pregnancy in women with pulmonary hypertension. METHODS AND RESULTS: In 2007 the European Registry on Pregnancy and Heart Disease was initiated by the European Society of Cardiology. Consecutive patients with all forms of cardiovascular disease, presenting with pregnancy, were enrolled with the aim of investigating the pregnancy outcomes. This subgroup of the cohort included 151 women with pulmonary hypertension (PH) either diagnosed by right heart catheterization or diagnosed as possible PH by echocardiographic signs, with 26% having pulmonary arterial hypertension (PAH), in three subgroups: idiopathic (iPAH), associated with congenital heart disease (CHD-PAH), or associated with other disease (oPAH), and 74% having PH caused by left heart disease (LHD-PH, n = 112)...
September 2016: European Journal of Heart Failure
https://www.readbyqxmd.com/read/27376569/ventricular-tachyarrhythmia-during-pregnancy-in-women-with-heart-disease-data-from-the-ropac-a-registry-from-the-european-society-of-cardiology
#12
Ebru Ertekin, Iris M van Hagen, Amar M Salam, Titia P E Ruys, Mark R Johnson, Jana Popelova, William A Parsonage, Zeinab Ashour, Avraham Shotan, José M Oliver, Gruschen R Veldtman, Roger Hall, Jolien W Roos-Hesselink
OBJECTIVES: To describe the incidence, onset, predictors and outcome of ventricular tachyarrhythmia (VTA) in pregnant women with heart disease. BACKGROUND: VTA during pregnancy will cause maternal morbidity and even mortality and will have impact on fetal outcome. Insufficient data exist on the incidence and outcome of VTA in pregnancy. METHODS AND RESULTS: From January 2007 up to October 2013, 99 hospitals in 39 countries enrolled 2966 pregnancies in women with structural heart disease...
October 1, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27353066/two-dimensional-speckle-tracking-of-the-fetal-heart-a-practical-step-by-step-approach-for-the-fetal-sonologist
#13
Greggory R DeVore, Bardo Polanco, Gary Satou, Mark Sklansky
Various approaches to 2-dimensional speckle tracking have been used to evaluate left ventricular function and deformation in the fetus, child, and adult. In 2015, because of differences in imaging devices and analytical programs, the cardiology community published a consensus document proposing standards for pediatric/adult deformation imaging using 2-dimensional speckle tracking. The understanding and application of deformation imaging in the fetus have been limited by a lack of uniform software, terminology, techniques, and display...
August 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27343566/phase-rectified-signal-averaging-method-to-predict-perinatal-outcome-in-infants-with-very-preterm-fetal-growth-restriction-a-secondary-analysis-of-truffle-trial
#14
Silvia M Lobmaier, Nico Mensing van Charante, Enrico Ferrazzi, Dino A Giussani, Caroline J Shaw, Alexander Müller, Javier U Ortiz, Eva Ostermayer, Bernhard Haller, Federico Prefumo, Tiziana Frusca, Kurt Hecher, Birgit Arabin, Baskaran Thilaganathan, Aris T Papageorghiou, Amarnath Bhide, Pasquale Martinelli, Johannes J Duvekot, Jim van Eyck, Gerard H A Visser, Georg Schmidt, Wessel Ganzevoort, Christoph C Lees, Karl T M Schneider
BACKGROUND: Phase-rectified signal averaging, an innovative signal processing technique, can be used to investigate quasi-periodic oscillations in noisy, nonstationary signals that are obtained from fetal heart rate. Phase-rectified signal averaging is currently the best method to predict survival after myocardial infarction in adult cardiology. Application of this method to fetal medicine has established significantly better identification than with short-term variation by computerized cardiotocography of growth-restricted fetuses...
November 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27289227/scientific-abstracts-7th-phoenix-fetal-cardiology-symposium-may-3-7-2016-sponsored-by-phoenix-children-s-hospital-phoenix-az
#15
(no author information available yet)
No abstract text is available yet for this article.
August 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27122915/insight-into-pulmonary-arterial-hypertension-associated-with-congenital-heart-disease-pah-chd-classification-and-pharmacological-management-from-a-pediatric-cardiological-point-of-view
#16
REVIEW
I-Chen Chen, Zen-Kong Dai
UNLABELLED: Compared with adult patients with pulmonary hypertension (PH), pulmonary vascular disease is characterized by complex heterogeneity in pediatric patients. The Nice PH classification does not completely characterize or individualize any subgroup of pediatric PH. This is in contrast to the Panama classification, in which prenatal and fetal origins of many pulmonary vascular diseases in neonates and children, perinatal pulmonary vascular maladaptation, prenatal and postnatal pulmonary vascular mal-development, and pulmonary vascular hypoplasia are included...
November 2015: Acta Cardiol Sin
https://www.readbyqxmd.com/read/27106501/a-new-method-for-qrs-complex-detection-in-multichannel-ecg-application-to-self-monitoring-of-fetal-health
#17
Maurizio Varanini, Gennaro Tartarisco, Rita Balocchi, Alberto Macerata, Giovanni Pioggia, Lucia Billeci
This paper proposes a new approach for QRS complex detection in multichannel ECG and presents its application to fetal QRS (fQRS) detection in signals acquired from maternal abdominal leads. The method exploits the characteristics of pseudo-periodicity and time shape of QRS, it consists of devising a quality index (QI) which synthesizes these characteristics and of finding the linear combination of the acquired ECGs, which maximizes this QI. In the application for fQRS detection two QIs are devised, one QI (mQI) for maternal ECG (mECG) and one QI (fQI) for fetal ECG (fECG)...
April 13, 2016: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/27072120/myocardial-deformation-in-fetuses-with-coarctation-of-the-aorta-a-case-control-study
#18
Joana O Miranda, Lindsey Hunter, Shane Tibby, Gurleen Sharland, Owen Miller, John Simpson
OBJECTIVE: To study myocardial deformation in fetuses with coarctation of the aorta compared with gestational age-matched controls using speckle tracking echocardiography. METHODS: Retrospective study within a tertiary fetal cardiology unit of 12 fetuses with postnatally confirmed coarctation and 12 gestational age-matched controls. 2D speckle tracking using a standard grey-scale four-chamber view of the fetal heart was performed to assess left and right myocardial deformation...
April 13, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27023735/influence-of-perinatal-depression-on-labor-associated-fear-and-emotional-attachment-to-the-child-in-high-risk-pregnancies-and-the-first-days-after-delivery
#19
Joanna Koss, Mariola Bidzan, Jerzy Smutek, Leszek Bidzan
BACKGROUND: The aim of this study was to analyze the influence of the level of perinatal depression on the labor-associated fear and emotional attachment of children born to women during high-risk pregnancies and in the first days after delivery. MATERIAL/METHODS: 133 women aged between 16 and 45 years took part in the study. The first group included 63 pregnant women (mean age=28.59, SD=5.578) with a high-risk pregnancy (of maternal origin, for example, cardiologic disorders and diabetes)...
2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/26994615/hemodynamically-significant-congenital-cardiac-lesions-in-pregnancy
#20
REVIEW
Malavika Prabhu, Allison Bryant
The incidence of congenital cardiac disease among reproductive-aged women is increasing. Understanding the unique physiology of pregnancy and the postpartum period is critical to helping women achieve successful pregnancy outcomes. Risk assessment models estimate the cardiac, obstetric, and neonatal risks a woman may face and influence the conversations regarding pregnancy and contraception management. This review focuses on some of the most common congenital cardiac lesion encountered during pregnancy, as well as key aspects of antepartum, intrapartum, and postpartum care for these women...
May 2016: Current Treatment Options in Cardiovascular Medicine
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