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Congenital Heart Disease Imaging in Adults

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1. Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

factors can be targeted for preventive intervention. A s survival to adulthood in individuals with congenital heart disease (CHD) has improved, adults with CHD are increasingly at risk for noncardiac com- plications. 1,2 The median age of adults with CHD has increased to 40 years, and the number of adults with CHD >65 years of age is steadily growing. 3–5 As pa- tients age, common adult comorbidities such as diabetes mellitus (DM), coronary artery disease, and hypertension may have an impact on long (...) Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association November 14, 2017 Circulation. 2017;136:e348–e392. DOI: 10.1161/CIR.0000000000000535 e348 ABSTRACT: Life expectancy and quality of life for those born with congenital heart disease (CHD) have greatly improved over the past 3 decades. While representing a great advance for these patients, who have been able to move from childhood to successful

2017 American Heart Association

2. Adults With Congenital Heart Disease

, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline, was conducted from April 2014 to November 2014. Key search words included but were not limited to the following: adult congenital heart disease, anesthesia, aortic aneurysm, aortic stenosis, atrial septal defect, arterial switch operation, bradycardia, bicuspid aortic valve, cardiac catheterization, cardiac imaging, cardiovascular magnetic resonance, cardiac reoperation, cardiovascular surgery, chest (...) data and growing ACHD expertise to develop recommendations. Congenital heart disease (CHD) encompasses a range of structural cardiac abnormalities present before birth attributable to abnormal fetal cardiac development but does not include inherited disorders that may have cardiac manifestations such as Marfan syndrome or hypertrophic cardiomyopathy. Also not included are anatomic variants such as patent foramen ovale. Valvular heart disease (VHD) may be congenital, so management overlaps

2018 American College of Cardiology

3. Somatom Definition Edge CT scanner for imaging coronary artery disease in adults in whom imaging is difficult

Definition Edge CT scanner for imaging coronary artery disease in adults in whom imaging is difficult (MIB54) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 11 of 27Current NHS options Current NHS options NICE diagnostics guidance on new generation cardiac CT scanners recommends 4 specific scanners (Somatom Definition Flash, Brilliance iCT, Discovery CT750 HD and Aquilion ONE), all of which have technical enhancements (...) Definition Edge CT scanner for imaging coronary artery disease in adults in whom imaging is difficult (MIB54) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 14 of 27One specialist commentator noted that the NICE clinical guideline on the assessment and diagnosis of chest pain of recent onset was under review at the time they provided their comments, and that the NICE diagnostics guidance on new generation cardiac CT

2016 National Institute for Health and Clinical Excellence - Advice

4. Aquilion PRIME CT scanner for imaging coronary artery disease in adults in whom imaging is difficult

with rest or medication. Unstable angina: when the pain occurs unpredictably, without triggers. This may be a sign that the function of the heart has rapidly deteriorated and should be managed as a form of acute coronary syndrome, similar to a heart attack (myocardial infarction). Aquilion PRIME CT scanner for imaging coronary artery disease in adults in whom imaging is difficult (MIB53) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice (...) correction algorithms, multi-segment reconstruction) are applied. Aquilion PRIME CT scanner for imaging coronary artery disease in adults in whom imaging is difficult (MIB53) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 6 of 26A high temporal resolution (lower values represent better resolution) is important for acquiring CTCA images that are free from blurring in people with a high heart rate. Spatial resolution

2016 National Institute for Health and Clinical Excellence - Advice

5. Tricuspid Valve Imaging and Intervention in Pediatric and Adult Patients With Congenital Heart Disease. (Abstract)

Tricuspid Valve Imaging and Intervention in Pediatric and Adult Patients With Congenital Heart Disease. Tricuspid valve abnormalities in congenital heart disease comprise a wide spectrum, with the most common being Ebstein anomaly and tricuspid valve dysplasia. Tricuspid valve dysfunction may also be secondary to other types of congenital heart disease, including functional tricuspid regurgitation seen in right heart volume overload conditions, such as atrial septal defect and repaired (...) tetralogy of Fallot with severe pulmonary valve regurgitation. Congenitally corrected transposition and Mustard and Senning procedures maintain the right ventricle as the systemic ventricle, and the tricuspid valve is subject to unique hemodynamic stress not typically seen in normal circulation. Surgical treatment of tricuspid valve disease remains the mainstay of therapy; primary catheter-based interventions are uncommon. However, once a tricuspid valve has been replaced with a bioprosthesis

2019 JACC. Cardiovascular imaging

6. Arrhythmias in Congenital Heart Disease: A Position Paper of EHRA, AEPC, and ESC Working Group on Grown-up Congenital Heart Disease

modification . . . . . . . 6 Ventriculararrhythmias 6 Stablemonomorphicventriculartachycardia 6 Polymorphicventriculartachycardia 6 Work-up of patients with congenital heart disease andarrhythmias 6 Acute assessment of the congenital heart disease patientpresentingwitharrhythmia 7 Collaboration between adults with congenital heart diseaseandarrhythmiaspecialists 7 General assessment of the congenital heart disease patientwitharrhythmias 7 Arrhythmiamanagementviaimplanteddevices 8 Imaging requirements (...) - electrolytes - systemic illness and inbalance inflammation AV node injury Coronary artery injury Cyanosis Pressure overload Volume overload Ischemia Ventricular dyssynchrony Figure2 Post-operative factors resulting in supraventricular and ventricular arrhythmias in congenital heart disease patients. AV, atrioventricular. 6 A. Herna ´ndez-Madrid et al. Downloaded from https://academic.oup.com/europace/advance-article-abstract/doi/10.1093/europace/eux380/4944677 by guest on 21 March 2018cardiologist

2017 Heart Rhythm Society

7. The Combined Use of Ultrasound and Fetal Magnetic Resonance Imaging for a Comprehensive Fetal Neurological Assessment in Fetal Congenital Cardiac Defects

, Goodship, JA , van der Velde, ET , Baars, MJH , et al. 22q11.2 Deletion Syndrome is under‐recognised in adult patients with tetralogy of Fallot and pulmonary atresia . Heart 2010 ; 96 : 621 – 4 . 13 Joziasse, IC , Smagt, JJ , Smith, K , Bakkers, J , Sieswerda, GJ , Mulder, BJ , et al. Genes in congenital heart disease: atrioventricular valve formation . Basic Res Cardiol 2008 ; 103 : 216 – 27 . 14 Yano, S , Moseley, K , Bottiglieri, T , Arning, E , Azen, C . Maternal Phenylketonuria International (...) ‐Kobar, M , Tworetzky, W , McElhinney, DB , Brown, DW , et al. Delayed cortical development in fetuses with complex congenital heart disease . Cereb Cortex 2013 ; 23 : 2932 – 43 . 72 Jiang, S , Xue, H , Glover, A , Rutherford, M , Rueckert, D , Hajnal, JV . MRI of moving subjects using multislice snapshot images with volume reconstruction (SVR): application to fetal, neonatal, and adult brain studies . IEEE Trans Med Imaging 2007 ; 26 : 967 – 80 . 73 Limperopoulos, C , Tworetzky, W , McElhinney, DB

2019 Royal College of Obstetricians and Gynaecologists

8. Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures and Malignancy Risk in Adults With Congenital Heart Disease Full Text available with Trip Pro

Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures and Malignancy Risk in Adults With Congenital Heart Disease Adults with congenital heart disease (CHD) are exposed to increasing amounts of low-dose ionizing radiation (LDIR) from cardiac procedures. Cancer prevalence in this population is higher than in the general population. This study estimates the association between LDIR exposure from cardiac procedures and incident cancer in adult patients with CHD.The study population (...) derived from the Quebec Congenital Heart Disease Database. We measured cumulative numbers of LDIR-related cardiac procedures for each patient until 1 year before the time of cancer diagnosis or administrative censoring. To assess the association between LDIR exposure and cancer risk, we conducted a nested case-control study and matched cancer cases with controls on sex, CHD severity, birth year, and age.The study included 24 833 adult patients with CHD aged 18 to 64 years from 1995 to 2009. In >250

2018 EvidenceUpdates

9. Radiation Safety in Children with Congenital and Acquired Heart Disease: A Scientific Position Statement on Multimodality Dose Optimization from the Image Gently Alliance

in children with congenital and acquired heart disease (CAHD). These children often have complex diseases and may be exposed to a relatively high cumulative burden of ionizing radiation from medical imaging procedures, including cardiac computed tomography, nuclear cardiology studies, and ?uoroscopically guided diagnostic and interventional catheterization and electrophysiology procedures. Although these imaging procedures are all essential to the care of children with CAHD and have contributed (...) Radiation Safety in Children with Congenital and Acquired Heart Disease: A Scientific Position Statement on Multimodality Dose Optimization from the Image Gently Alliance STATE-OF-THE-ART PAPER RadiationSafetyinChildrenWith Congenital and Acquired Heart Disease A Scienti?c Position Statement on Multimodality Dose Optimization From the Image Gently Alliance Kevin D. Hill, MD, MS, a Donald P. Frush, MD, b B. Kelly Han, MD, c Brian G. Abbott, MD, d Aimee K. Armstrong, MD, e Robert A. DeKemp, PHD

2017 Heart Rhythm Society

10. Consensus recommendations for echocardiography in adults with congenital heart defects from the International Society of Adult Congenital Heart Disease (ISACHD). Full Text available with Trip Pro

Consensus recommendations for echocardiography in adults with congenital heart defects from the International Society of Adult Congenital Heart Disease (ISACHD). The population of adults with congenital heart disease (ACHD) is increasing constantly due to medical, surgical and interventional successes and the input from advanced cardiovascular imaging. ACHD patients are at continuing risk of residua and sequelae related to their CHD contributing to significant morbidity and mortality (...) . The International Society for Adult Congenital Heart Disease (ISACHD; www.isachd.org) is the leading organization of professionals worldwide dedicated to the pursuit of excellence in the care of ACHD patients. Recognizing the critical role of imaging in the diagnosis and management of ACHD, ISACHD established a task force to provide guidance on echocardiographic studies and reporting. The rationale is that standardization of echocardiographic imaging and reporting carries the potential to improve the overall

2018 International journal of cardiology

11. Structural brain abnormalities in adults with congenital heart disease: Prevalence and association with estimated intelligence quotient. (Abstract)

Structural brain abnormalities in adults with congenital heart disease: Prevalence and association with estimated intelligence quotient. Little is known about the prevalence of structural brain abnormalities and cognitive functioning in the growing population of patients with adult congenital heart disease (ACHD). Thus, our aim was to assess structural abnormalities on brain magnetic resonance imaging (MRI) and their association with intelligence quotient (IQ) in ACHD patients.Cross-sectional (...) study in ACHD patients and healthy controls as comparison group. Brain MRI was performed on a 3 T MR scanner, and inspection of structural abnormalities was performed blinded to ACHD or control status. IQ was estimated using the vocabulary and matrix reasoning subtests from the Wechsler Adult Intelligence Scale, Fourth Edition.A total number of 67 (55% males) ACHD patients and 55 (51% males) controls were included (mean age 26.9 and 26.0 years respectively). Abnormalities on brain MRI were detected

2020 International journal of cardiology

12. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease APPROPRIATE USE CRITERIA ACC/AATS/AHA/ASE/ASNC/ HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association (...) S, Mehran R, Schoenhagen P, Soman P. ACC/ AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 appropriate use criteria for multimodality imaging in the assessment of cardiac structure and function in nonvalvular heart disease: a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society

2019 Heart Rhythm Society

13. Adult Congenital Heart Disease (ACHD) Recommendations for Standards of Care

Adult Congenital Heart Disease (ACHD) Recommendations for Standards of Care The Cardiac Society of Australia and New Zealand Adult Congenital Heart Disease (ACHD) Recommendations for Standards of Care SUMMARY ? The Cardiac Society of Australia and New Zealand (CSANZ) recognises that adult congenital heart disease (ACHD) is a relatively new and rapidly growing area of need, for which appropriate planning is required to establish and maintain adequate standards of care. ? There are likely now (...) ACHD centre. A recent publication has also documented a mortality benefit for those young adults with ACHD cared for in specialist centres, compared to those who are not (Wray et al, Heart 2013; 99: 485-90). ? CSANZ wants to emphasise that a “whole of life” plan for the management of Congenital Heart Disease is appropriate, in which context the issues of excellence in paediatric cardiac services, excellence in adult CHD services and seamless transition of care arrangements should be available

2016 Cardiac Society of Australia and New Zealand

14. Known or Suspected Congenital Heart Disease in the Adult

with morphology, CTA chest, and MRA chest. It may be an alternative to CTA coronary arteries. ??? Tc-99m ventriculography 4 ??? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 3 Know or Suspected Congenital Heart Disease KNOWN OR SUSPECTED CONGENITAL HEART DISEASE IN THE ADULT Expert Panel on Cardiac Imaging: Pamela K. Woodard, MD 1 ; Vincent B. Ho, MD, MBA 2* ; Scott R. Akers, MD 3 ; Garth Beache, MD 4 (...) assess for atherosclerosis and coronary artery stenosis in the older adult patient [53-55]. Because the coronary arteries are ACR Appropriateness Criteria ® 6 Know or Suspected Congenital Heart Disease highly susceptible to motion artifact, depending upon the type of scanner used, patients with higher heart rates (above 65 beats per minute) may benefit from the administration of an oral or IV beta-blocker to decrease their heart rate if there is no contraindication. Recent advances in cardiac CT

2016 American College of Radiology

15. Noninvasive Imaging in Adult Congenital Heart Disease. Full Text available with Trip Pro

Noninvasive Imaging in Adult Congenital Heart Disease. Multimodality cardiovascular imaging plays a central role in caring for patients with congenital heart disease (CHD). CHD clinicians and scientists are interested not only in cardiac morphology but also in the maladaptive ventricular responses and extracellular changes predisposing to adverse outcomes in this population. Expertise in the applications, strengths, and pitfalls of these cardiovascular imaging techniques as they relate to CHD (...) is essential. The purpose of this article is to provide an overview of cardiovascular imaging in CHD. We focus on the role of 3 widely used noninvasive imaging techniques in CHD-echocardiography, cardiac magnetic resonance imaging, and cardiac computed tomography. Consideration is given to the common goals of cardiac imaging in CHD, including assessment of structural and residual heart disease before and after surgery, quantification of ventricular volume and function, stress imaging, shunt quantification

2017 Circulation Research

16. Task Force 6: Pediatric Cardiology Fellowship Training in Adult Congenital Heart Disease

the outcomes of CHD. The care of adults with CHD requires familiarity with common adult medical conditions, both cardiac and non- cardiac, and awareness of available guidelines to treat them. Important conditions include coronary artery disease, acute myocardial infarction, heart failure, hypertension, hyperlip- idemia, atrial fibrillation, stroke, diabetes mellitus, metabolic syndrome, sleep apnea, obstructive lung disease, obesity, life- style issues, including tobacco, alcohol, and drug use; exer- cise (...) , 2019Stout et al Pediatric Training Statement: Adult Congenital Heart Disease e93 Any diagnostic or interventional procedures for adults with moderate or complex CHD including (but not limited to) cath- eterization, surgery, echocardiography, or cardiac magnetic resonance imaging (MRI) should be performed in a location and by personnel with expertise in that modality and ACHD. For procedures requiring anesthesia, it is important to include cardiac anesthesiologists with experience with ACHD. 3. Core

2015 American Heart Association

17. Congenital Heart Disease in the Older Adult Full Text available with Trip Pro

to allow planning for the care of that patient and determination of severity of illness. Imaging of CHD patients requires a specialized set of skills within echocardiography, magnetic resonance imaging (MRI), and cardiac catheterization. Echocardiography laboratories certified in CHD in the pediatric population may be not always be appropriate for the adult population if additional skills are not available to evaluate superimposed acquired heart disease. After an initial evaluation, patients can (...) routine and episodic care, and caregivers need to be prepared to diagnose, follow up, and treat the older adult with congenital heart disease (CHD). The predictable natural progression of CHD entities and sequelae of previous interventions must now be treated in the setting of late complications, acquired cardiac disease, multiorgan effects of lifelong processes, and the unrelenting process of aging. Despite the advances in this field, death rates in the population from 20 to >70 years of age may

2015 American Heart Association

18. Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association Full Text available with Trip Pro

to high risk for both the mother and her fetus. Many such women, however, do not have access to adult congenital heart disease tertiary centers with experienced reproductive programs. Therefore, it is important that all practitioners who will be managing these women have current information not only on preconception counseling and diagnostic evaluation to determine maternal and fetal risk but also on how to manage them once they are pregnant and when to refer them to a regional center with expertise (...) in pregnancy management. Expanded diagnostic, medical, and surgical management options have improved the long-term survival of patients with congenital heart disease (CHD). Thus, most women born with CHD will reach reproductive age. The ability to bear children is a major point of care for this growing population. As a result, pregnancy counseling and management are among the major noncardiac issues facing pediatric and congenital cardiac providers. For the majority of patients, the ability to conceive

2017 American Heart Association

19. Congenital Heart Disease Imaging in Adults

Congenital Heart Disease Imaging in Adults Congenital Heart Disease Imaging in Adults Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Congenital Heart Disease Imaging in Adults Congenital Heart Disease Imaging in Adults Aka: Congenital Heart Disease Imaging in Adults II. Imaging: First Line tests (all cases of suspected CHD) III. Imaging: Second-line tests (preferred) (MRI ) Advantages Best consistent, operator and habitus-independent anatomic and functional information Evaluates shunts, pressure gradients, and other abnormal flow patterns (as opposed to CT) Uniquely shows complex congenital lesions, right ventricular outflow

2018 FP Notebook

20. White Matter Hyperintensities Burden in Adult Patients With Cyanotic Congenital Heart Disease: a Pilot Study

White Matter Hyperintensities Burden in Adult Patients With Cyanotic Congenital Heart Disease: a Pilot Study White Matter Hyperintensities Burden in Adult Patients With Cyanotic Congenital Heart Disease: a Pilot Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. White Matter Hyperintensities Burden in Adult Patients With Cyanotic Congenital Heart Disease: a Pilot Study The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier

2018 Clinical Trials

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