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Congenital Heart Disease Imaging in Adults

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181. Specialized Imaging and Procedures in Pediatric Pancreatology: A North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Clinical Report

visible on imaging include gland atrophy with fatty replacement of the parenchyma, pancreatic calcifications, and cystosis (refer to section Neoplasms and Cysts). Shwachman-Diamond syndrome represents the second most frequent cause of EPI in children. This disease is characterized by diffuse fatty replacement of the pancreatic glandular tissue. Findings in both of these conditions are well visualized by TUS, CT, MRI/MRCP, and EUS, and hence TUS is frequently used as initial modality. In?ammatory (...) , but has primarily What Is Known Transabdominal ultrasonography, computed tom- ography, magnetic resonance imaging/magnetic resonance cholangiopancreatography, endoscopic ultrasonography, endoscopic retrograde cholangio- pancreatography are all modalities used to evaluate (adult) pancreaticohepatobiliary abnormalities and disorders. The literature is limited on the use of these technol- ogies for pediatric pancreatology indications. What Is New This article reviews the pediatric literature regarding

2017 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

182. Diagnosis and Treatment of Lymphatic Plastic Bronchitis in Adults Using Advanced Lymphatic Imaging and Percutaneous Embolization. (Abstract)

Diagnosis and Treatment of Lymphatic Plastic Bronchitis in Adults Using Advanced Lymphatic Imaging and Percutaneous Embolization. Plastic bronchitis is a condition characterized by expectoration of branching bronchial casts. Although the mechanism of cast formation in adults with plastic bronchitis remains poorly understood, abnormal pulmonary lymphatic flow resulting in molding of congealing lymphatic fluids in the airway has been documented as a cause of the disease in children (...) with congenital heart disease.To use advanced lymphatic imaging techniques, including dynamic contrast-enhanced magnetic resonance (MR) lymphangiography (DCMRL) and intranodal lymphangiography, to investigate the mechanism of cast formation in adult patients with plastic bronchitis, and to evaluate the therapeutic outcome of percutaneous lymphatic embolization for these patients.Seven adults (male/female = 3/4, mean age = 50 yr) who presented with expectoration of branching bronchial casts were evaluated

2016 Annals of the American Thoracic Society

183. Cardiac Pacing and Cardiac Resynchronization Therapy

and cardiac resynchronization therapy in children and in congenital heart disease . . . . . . . . . . . . . . . . . . . .2315 4.4 Pacing in hypertrophic cardiomyopathy . . . . . . . . . . . .2316 4.5 Pacing in rare diseases . . . . . . . . . . . . . . . . . . . . . . .2317 4.5.1 Long QT syndrome . . . . . . . . . . . . . . . . . . . . . .2318 4.5.2 Muscular dystrophies . . . . . . . . . . . . . . . . . . . . .2318 4.5.3 Mitochondrial cytopathies . . . . . . . . . . . . . . . . . .2318 4.5.4 Metabolic (...) risk of misdiagnosis. 2.2 Persistentbradycardia This section refers to acquired bradycardia in adults. Refer to section 4.3 for bradycardia in children and in congenital heart disease 2.2.1 Indicationsforpacing Sinusnodedisease(Recommendations1,2,and3) In general, SB is only an indication for pacing if bradycardia is symp- tomatic. Symptoms may be present at rest but more frequently develop during exercise. The effect of cardiac pacing on the natural history of bradyarrhythmias comes from old non

2013 European Society of Cardiology

184. Evaluation, diagnosis, and management of congenital muscular dystrophy

disease, and Walker–Warburg syndrome. Other rare CMDs do not fit into any of the classic categories. list these CMDs with their associated genes and clinical phenotypes. More recently, several other genes have been associated with CMDs, including GTDC2 , TMEM5 , B3GALNT2 , SGK196 , B3GNT1 , GMPPB , and DAG1 . View this table: Table 1 The congenital muscular dystrophies View this table: Table 2 Clinical features of the congenital muscular dystrophies Whereas the genetic, pathophysiologic (...) in 100% of patients (2 Class III studies). ,e32 In Walker–Warburg syndrome, only 40% of patients have mutations in the known genes (1 large Class III study e33 and 2 smaller Class III studies e34,e35 ). How often do patients with CMD experience cognitive, respiratory, or cardiac complications? Numerous reports highlight a wide spectrum of complications in children and young adults with CMD. Functional CNS complications. One Class II study found that 58% of patients with CMD had cognitive impairment

2015 American Academy of Neurology

185. Screening, diagnosis and management of congenital hypothyroidism Full Text available with Trip Pro

Recomme n d a tion s 2.5.1 A thorough physical examination should be car- ried out in all neonates with high TSH concentrations for the detection of congenital malformations, particularly those affecting the heart, and in children for the identifi- cation of any underlying dysmorphic syndrome or neu- rodevelopmental disorders (1 | ? ? ? ). 2 . 5 . 1 E v id e n ce The prevalence of congenital malformations, particu- larly cardiac malformations, including septal defects, re- nal abnormalities (...) in patients with ectopic or normally sized and sited thyroid gland to date) Kidney agenesis or any malformation of the genitourinary tract Athyreosis, ectopic thyroid gland, normally located thyroid +/– hypoplasia PAX8 PAX8 Choreoathetosis or neurological disease Normally located thyroid, hypoplasia (athyreosis) NKX2–1 (no mutations described in ectopic cases so far) NKX2–1 Lung disorders (surfactant deficiency syndrome at term, interstitial lung disease) Normally located thyroid, hypoplasia (athyreosis

2015 Pediatric Endocrine Society

186. The AutoPulse non-invasive cardiac support pump for cardiopulmonary resuscitation

, diabetes, a sedentary lifestyle, increased low-density lipoprotein cholesterol levels and hypertension (Zipes et al. 2006). Heart conditions such as coronary heart disease, heart attack, cardiomyopathy, valvular heart disease, congenital heart disease and electrical problems in the heart (such as Brugada syndrome and long QT syndrome) can lead to sudden cardiac arrest. Common non-cardiac causes of cardiac arrest include trauma, non-traumatic bleeding, intoxication, near drowning and pulmonary embolism (...) of 18.4% (Nolan et al. 2014). Out-of-hospital cardiac arrest affects approximately 60,000 people in the UK each year (Malhotra and Rakhit 2013), with an estimated survival to discharge rate of 2.2 to12% (Perkins and Cooke 2012). Non-modifiable risk factors for sudden cardiac arrest include coronary heart disease, a family history of coronary heart disease, age (incidence increases with age) and sex (men are at higher risk of sudden cardiac arrest). Modifiable risk factors include smoking, obesity

2015 National Institute for Health and Clinical Excellence - Advice

187. Adult patent ductus arteriosus: An unusual cause of heart failure in an octogenarian female Full Text available with Trip Pro

Adult patent ductus arteriosus: An unusual cause of heart failure in an octogenarian female Patent ductus arteriosus (PDA) is the third most common congenital abnormality in which the arterial duct, which normally closes spontaneously after birth within 24-48 h in full-term infants, remains permanently open. Breathlessness is very common in elderly patients and can be caused by several comorbidities, mostly cardiac and pulmonary diseases. PDA as a cause of heart failure in this patient (...) population is very rare and diagnosis depends on high clinical awareness. Here we present a case diagnosed with multimodality imaging including 3‑dimensional (3D) transthoracic and transesophageal echocardiography and 3D-volume rendering technique (VRT) computed tomography.

2016 Wiener klinische Wochenschrift

188. Healing Hearts and Mending Minds in Older Adults Living With HIV

Healing Hearts and Mending Minds in Older Adults Living With HIV Healing Hearts and Mending Minds in Older Adults Living With HIV - 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. Healing Hearts and Mending (...) : Emory University Information provided by (Responsible Party): Drenna Waldrop-Valverde, Emory University Study Details Study Description Go to Brief Summary: The purpose of this study is to see if exercise is helpful for improving memory, concentration thinking abilities, physical function, and quality of life for adults aged 50 to 89 years living with HIV and who have two or more cardiovascular disease risk factors. The study will test two kinds of intervention exercises: one group will walk

2016 Clinical Trials

189. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications Full Text available with Trip Pro

transesophageal echocardiography; and TTE, transthoracic echocardiography. Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal echocardiography; and TTE, transthoracic echocardiography. *For example, a patient with fever and a previously known heart murmur and no other stigmata of infective endocarditis (IE). †High initial patient risks include prosthetic heart valves, many congenital heart diseases, previous endocarditis, new murmur, heart (...) . These echocardiographic findings can occur in patients who have no heart failure symptoms. Both TEE and TTE may produce false-negative results if vegetations are small or have embolized. Even TEE may miss initial perivalvular abscesses, particularly when the study is performed early in the patient’s illness. In such cases, the incipient abscess may be seen only as nonspecific perivalvular thickening, which on repeat imaging across several days may become more recognizable as it expands and develops a cavity

2016 Infectious Diseases Society of America

190. Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Guideline For the Management of Patients With

for these events. Secondary prevention ICD (S2.2.2-2) ICD placement in a patient with prior SCA, sustained VT, or syncope caused by VA. Structural heart disease* This term encompasses IHD, all types of cardiomyopathy, valvular heart disease, and adult congenital heart disease. Cardiac channelopathy (S2.2.2-4) Arrhythmogenic disease due to a genetic abnormality that results in dysfunction of a cardiac ion channel (e.g., long-QT syndrome, catecholaminergic polymorphic VT). *The de?nition of this term may differ (...) acute coronary syndromes AED automated external de?brillator AMI acute myocardial infarction BNP B-type natriuretic peptide CABG coronary artery bypass graft CKD chronic kidney disease CPR cardiopulmonary resuscitation CRT cardiac resynchronization therapy CT computed tomography ECG electrocardiogram ERC evidence review committee ESRD end-stage renal disease GDMT guideline-directed management and therapy HCM hypertrophic cardiomyopathy HF heart failure HFpEF heart failure with preserved ejection

2017 American College of Cardiology

191. Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

motion in critically ill children and can also be used for the diagnosis or exclusion of congenital/critical heart disease. Widmer and colleagues prospectively validated remote interpretation of echocardiograms performed in a remote hospital by a sonographer experienced in pediatric echocardiography. The quality of transmitted echocardiographic images was sufficient for evaluation except in 1 case. In 191 (98%) children, he remote echocardiographic diagnosis was correct, as confirmed by follow-up (...) with congenital heart disease requires explanation of how to visualize shunts at the atrial, ventricular, and ductal levels from several different echocardiographic views and a basic understanding of aortic arch abnormalities. It should also incorporate the ability to image ≥1 pulmonary vein connections to rule out total anomalous pulmonary venous return. In general, adult sonographers are less likely to be familiar and comfortable with suprasternal notch and subcostal views; therefore, it is suggested

2017 American Heart Association

192. Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Full Text available with Trip Pro

specificity (77%). More recently, Koelfen et al examined 67 children undergoing MR with neurological disorders, 5 of whom had vascular malformations. The nidus and major arterial feeders were demonstrated, although definition was more difficult for larger, more complex, and hemorrhagic lesions. Despite limited data on the topic, the literature describing contemporary adult imaging may be largely applicable to the pediatric population. Use, however, should be different between adult and pediatric groups (...) with ruptured and unruptured brain arteriovenous malformations, suggestions for management, and implications for future research. Brain arteriovenous malformations (bAVMs) are uncommon vascular lesions that present with spontaneous intracranial hemorrhage (ICH), seizures, or headache and typically in young adults. A large proportion of patients are diagnosed with incidental asymptomatic bAVMs after brain imaging is obtained for other reasons. Current treatment options include conservative management

2017 American Heart Association

193. Screening With Whole Body MRI For Detection Of Primary Tumors In Children And Adults With Li-Fraumeni Syndrome (LFS) And Other Cancer Predisposition Syndromes

subjects of childbearing potential will undergo a pregnancy test prior to imaging. Signed document of informed consent completed by the parent or legal guardian Signed document of assent obtained if child ≥10 years of age Exclusion Criteria: Adults and Children Active cancer or metastatic disease, except in the case of Stage 0 Chronic Lymphocytic Leukemia or nonmelanoma skin cancer. Patients with a contraindication to sedation or general anesthesia Patients with a metal heart valve, surgical clips (...) tool to diagnose cancer for people with LFS and other inherited cancer predisposition syndromes. Condition or disease Intervention/treatment Phase Li-Fraumeni Syndrome Device: Whole Body MRI Not Applicable Detailed Description: Individuals who carry the TP53 mutation have a higher risk of developing different types of cancer over their lifetimes. This gene has been associated with Li Fraumeni syndrome in some families, but not all families that have cancer histories consistent with Li Fraumeni

2016 Clinical Trials

194. Echocardiogram Versus Cardiac Magnetic Resonance Imaging for Assessing Systolic Function of Subaortic Right Ventricle in Adults With Complete Transposition of Great Arteries and Previous Atrial Switch Operation. (Abstract)

Echocardiogram Versus Cardiac Magnetic Resonance Imaging for Assessing Systolic Function of Subaortic Right Ventricle in Adults With Complete Transposition of Great Arteries and Previous Atrial Switch Operation. In adults with congenital heart disease and a systemic right ventricle, subaortic ventricular systolic dysfunction is common. Echocardiographic assessment of systolic right ventricular (RV) function in these patients is important but challenging. The aim of the present study (...) was to assess the reliability of conventional echocardiographic RV functional parameters to quantify the systolic performance of a subaortic right ventricle. We compared 56 contemporary echocardiograms and cardiac magnetic resonance studies in 37 adults, aged 26.9 ± 7.4 years, with complete transposition and a subaortic right ventricle. The fractional area change (FAC), lateral tricuspid annular plane systolic excursion, lateral RV systolic motion velocities by tissue Doppler, RV myocardial performance

2012 American Journal of Cardiology

195. Management of Dengue Infection in Adults

e.g. Diabetes, Hypertension, Ischaemic • Heart Disease, Coagulopathy, Morbid Obesity, Renal failure, Chronic Liver disease, COPD Elderly more than 65 years old • Patients who are on anti-platelet and/or anticoagulants • Pregnancy • Social factors that limit follow-up e.g. living far from health facility, • no transport, patient living alone, etc. 4. Laboratory criteria: Rising HCT accompanied by reducing platelet count 16 17 CPG Management of Dengue Infection In Adults (Third Edition) 2015 7.3.2 (...) doctor (Appendix 8). The plan of management and monitoring should be based on the phase and severity of the disease. The clinical findings must also be documented in the Inpatient Dengue Monitoring Chart (Appendix 10). Table 5 and 6 summarise the issues, parameters and frequency of monitoring according to the different phases of the illness.18 19 CPG Management of Dengue Infection In Adults (Third Edition) 2015 Table 5: Issues of Monitoring According to Different Phases of Dengue Illness Phases

2015 Ministry of Health, Malaysia

196. Supraventricular Tachycardia: Guideline For the Management of Adult Patients With

ACCP 2012 (17) Atrial ?brillation ESC 2012 (18) 2010 (19) Device-based therapy ACC/AHA/HRS 2012 (20) Atrial ?brillation CCS 2014 (21) 2011 (22) Hypertrophic cardiomyopathy ACC/AHA 2011 (23) Secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease AHA/ACC 2011 (24) Adult congenital heart disease ACC/AHA 2008 (25)* Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC (...) VII) NHLBI 2003 (26) Statements Catheter ablation in children and patients with congenital heart disease PACES/HRS 2015 (in press) (27) Postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope HRS 2015 (28) Arrhythmias in adult congenital heart disease PACES/HRS 2014 (29) Catheter and surgical ablation of atrial ?brillation HRS/EHRA/ECAS 2012 (30) CPR and emergency cardiovascular care AHA 2010 (31)* *A revision to the current document is being prepared

2015 American College of Cardiology

197. 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia Full Text available with Trip Pro

-based therapy ACC/AHA/HRS 2012 Atrial fibrillation CCS 2014 2011 Hypertrophic cardiomyopathy ACC/AHA 2011 Secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease AHA/ACC 2011 Adult congenital heart disease ACC/AHA 2008 Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII) NHLBI 2003 Statements Catheter ablation in children and patients with congenital heart (...) disease PACES/HRS 2015 (in press) Postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope HRS 2015 Arrhythmias in adult congenital heart disease PACES/HRS 2014 Catheter and surgical ablation of atrial fibrillation HRS/EHRA/ECAS 2012 CPR and emergency cardiovascular care AHA 2010 * A revision to the current document is being prepared, with publication expected in late 2015. AATS indicates American Association for Thoracic Surgery; ACC, American College of Cardiology; ACCP

2015 American Heart Association

198. Quality Improvement Guidelines for Adult Diagnostic Cervicocerebral Angiography: Update Cooperative Study between the Society of Interventional Radiology (SIR), American Society of Neuroradiology (ASNR), and Society of NeuroInterventional Surgery (SNIS)

. Phase-contrast imaging can be performed with cardiac gating to allow for an assessment of the blood velocities at various phases throughout the cardiac cycle. Implementation of innovative tools such as hybrid angiography suites, cone-beam CT angiography, and perfusion imaging, and the growing necessity of multiparametric (anatomic, ?ow, functional, and metabolic) data in diagnosis and management of patients with cerebrovascular diseases, coupled with heightened awareness of potential harm of medical (...) heart failure. Patients should be screened for these predis- posing and perpetuating risk factors and conditions, and every effort should be made to control or correct them periprocedurally (43,161). SUCCESS RATE A successful examination is de?ned as suf?cient selective technical evaluation and image interpretation to establish or exclude pathologic conditions of the extracranial and intracranial circulation. Successful CCA routinely is performed in one session. Rarely, more than one session may

2015 Society of Interventional Radiology

199. European Society of Endocrinology Clinical Guideline: Treatment of chronic hypoparathyroidism in adults Full Text available with Trip Pro

Publication Date: Aug 2015 Copyright: © 2015 European Society of Endocrinology 2015 Free access Hypoparathyroidism (HypoPT) is a rare (orphan) endocrine disease with low calcium and inappropriately low (insufficient) circulating parathyroid hormone levels, most often in adults secondary to thyroid surgery. Standard treatment is activated vitamin D analogues and calcium supplementation and not replacement of the lacking hormone, as in other hormonal deficiency states. The purpose of this guideline (...) is to provide clinicians with guidance on the treatment and monitoring of chronic HypoPT in adults who do not have end-stage renal disease. We intend to draft a practical guideline, focusing on operationalized recommendations deemed to be useful in the daily management of patients. This guideline was developed and solely sponsored by The European Society of Endocrinology , supported by CBO (Dutch Institute for Health Care Improvement) and based on the Grading of Recommendations Assessment, Development

2015 European Society of Endocrinology

200. Transthoracic Echocardiography in Adult Patients with Ischemic Stroke

abnormalities: Valvular heart disease (with and without AF), LA/LA atrial appendage thrombus, LV thrombus, prosthetic valve, atrial myxoma, akinetic LV segment (wall motion abnormality), cardiomyopathy, LA spontaneous echo contrast, ASA, mitral valve prolapse, mitral annulus calcification, mitral stenosis, and PFO. What is the cost effectiveness of transthoracic echocardiography for identifying cardiac sources of emboli in adult patients with ischemic stroke? No studies reported on the cost effectiveness (...) on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. Transthoracic echocardiography (TTE) involves ultrasound visualization of the heart through the chest wall. Transoesophogeal echocardiography (TOE) involves introducing the probe into the patient’s esophagus, which allows better resolution of most of the cardiac structures due to proximity (with the exception of the left ventricle), but is more invasive

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

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