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Congenital Heart Disease Imaging in Adults

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21. Chronic heart failure in adults: diagnosis and management

] 1.2.14 When a diagnosis of heart failure has been made, assess severity, aetiology, precipitating factors, type of cardiac dysfunction and correctable causes. [2010] [2010] Chronic heart failure in adults: diagnosis and management (NG106) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 10 of 37Heart failure caused b Heart failure caused by valv y valve disease e disease 1.2.15 Refer people with heart failure caused (...) on the heart's performance. Finally, cardiac MRI provides valuable information about the myocardial structure and metabolism, including the presence of inflammation, scarring, fibrosis and infiltration. Cardiac MRI is an expensive form of imaging, and Chronic heart failure in adults: diagnosis and management (NG106) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 26 of 37much of this diagnostic information could be provided

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

22. Large-Deformation Image Registration of CT-TEE for Surgical Navigation of Congenital Heart Disease Full Text available with Trip Pro

was achieved by migrating parameters. This method was tested on a dataset of 240 images from 12 infant, children (≤ 3 years old), and adult patients with congenital heart disease. Compared to the "bronze standard" registration, the proposed method was more accurate with an average Dice coefficient of 0.91 and an average root mean square of target registration error of 1.2655 mm. (...) Large-Deformation Image Registration of CT-TEE for Surgical Navigation of Congenital Heart Disease The surgical treatment of congenital heart disease requires navigational assistance with transesophageal echocardiography (TEE); however, TEE images are often difficult to interpret and provide very limited anatomical information. Registering preoperative CT images to intraoperative TEE images provides surgeons with richer and more useful anatomical information. Yet, CT and TEE images differ

2018 Computational and mathematical methods in medicine

23. Advanced diffusion imaging for assessing normal white matter development in neonates and characterizing aberrant development in congenital heart disease Full Text available with Trip Pro

Advanced diffusion imaging for assessing normal white matter development in neonates and characterizing aberrant development in congenital heart disease Elucidating developmental trajectories of white matter (WM) microstructure is critically important for understanding normal development and regional vulnerabilities in several brain disorders. Diffusion Weighted Imaging (DWI) is currently the method of choice for in-vivo white matter assessment. A majority of neonatal studies use the standard (...) Diffusion Tensor Imaging (DTI) model although more advanced models such as the Neurite Orientation Dispersion and Density Imaging (NODDI) model and the Gaussian Mixture Model (GMM) have been used in adult population. In this study, we compare the ability of these three diffusion models to detect regional white matter maturation in typically developing control (TDC) neonates and regional abnormalities in neonates with congenital heart disease (CHD).Multiple b-value diffusion Magnetic Resonance Imaging

2018 NeuroImage : Clinical

24. Chronic Heart Failure in Congenital Heart Disease Full Text available with Trip Pro

disease (CHD). Exercise intolerance in adult CHD is the result of cardiac dysfunction, but also important are noncardiac factors relating to the congenital defect, previous surgery, and systemic effects of heart failure. , , General Evaluation and Management Because of the unique features of HF in CHD outlined above, we recommend that patients with CHD and HF should be evaluated and managed by or in consultation with cardiologists and cardiac surgeons with expertise in CHD, ideally at a center (...) in Congenital Heart Disease A Scientific Statement From the American Heart Association , MD, Chair , MD, Co-Chair , MD , MD , MD , MD, MSc , MD , MD, PhD , , MD, FAHA , MD, FAHA , MD , MD , MD, FAHA , MD, MHSc , and MD MD, FAHAon behalf of the American Heart Association Council on Clinical Cardiology, Council on Functional Genomics and Translational Biology, and Council on Cardiovascular Radiology and Imaging Karen K. Stout , Craig S. Broberg , Wendy M. Book , Frank Cecchin , Jonathan M. Chen , Konstantinos

2016 American Heart Association

25. Cardiac arrhythmias in coronary heart disease

of this guideline for the purpose of implementation in NHSScotland. Cardiac arrhythmias in coronary heart diseaseContents 1 Introduction 1 1.1 The need for a guideline 1 1.2 Remit of the guideline 2 1.3 Statement of intent 3 2 Key recommendations 5 2.1 Arrhythmias associated with cardiac arrest 5 2.2 Arrhythmias associated with acute coronary syndrome 5 2.3 Arrhythmias associated with chronic coronary heart disease/left ventricular dysfunction 5 3 Arrhythmias associated with cardiac arrest 6 3.1 Primary (...) prevention of sudden cardiac death 6 3.2 Bystander cardiopulmonary resuscitation 6 3.3 Defibrillation 7 3.4 Adjunctive therapies in the peri-arrest period 8 4 Arrhythmias associated with acute coronary syndrome 11 4.1 Atrial fibrillation 11 4.2 Conduction disturbances and bradycardia 12 4.3 Ventricular arrhythmias 13 5 Arrhythmias associated with chronic coronary heart disease/left ventricular dysfunction 16 5.1 Atrial fibrillation 16 5.2 Ventricular arrhythmias 23 6 Arrhythmias associated with coronary

2018 SIGN

26. Three-dimensional echocardiography in adult congenital heart disease Full Text available with Trip Pro

Three-dimensional echocardiography in adult congenital heart disease Congenital heart disease (CHD) is now more common in adults than in children due to improvements in fetal echo, neonatal and pediatric care, and surgical techniques leading to dramatically increased survivability into adulthood. Adult patients with CHD, regardless of prior cardiac surgery, experience further cardiac problems or therapeutic challenges; therefore, a non-invasive, easily accessible echocardiographic examination (...) . In repaired tetralogy of fallot with pulmonary regurgitation, preoperative 3D echocardiography- based right ventricular volume may be used to determine the timing of a pulmonary valve replacement in conjunction with cardiovascular magnetic imaging. For optimal adult CHD care, 3D echocardiography is an important complement to routine 2D echocardiography.

2017 The Korean journal of internal medicine

27. The Boston Circulatory Arrest Study: Antecedents and Correlates of Well-Being in Adults With Congenital Heart Disease

with childhood and adolescent executive function, other measures of mental health and cognitive function, adolescent brain MRI findings, and clinical variables; findings will guide the design of interventions in childhood to optimize outcomes in adults with congenital heart disease. Condition or disease Intervention/treatment Transposition Great Arteries Executive Dysfunction Diagnostic Test: Brain MRI, neurocognitive and psychological testing Detailed Description: Previously lethal, critical congenital (...) The Boston Circulatory Arrest Study: Antecedents and Correlates of Well-Being in Adults With Congenital Heart Disease The Boston Circulatory Arrest Study: Antecedents and Correlates of Well-Being in Adults With Congenital Heart Disease - 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

2017 Clinical Trials

28. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for Multimodality Imaging in Valvular Heart Disease

, or atrioventricular heart block) A (9) A (8) R (3) R (1) R (1) R (1) R (1) R (3) R (1) M (4) M (5) R (1) R (1) 3D ¼ 3-dimensional; A ¼ appropriate; ANG ¼ invasive coronary angiography/ventriculography/aortography; CCT ¼ cardiac computed tomography; CMR ¼ cardiovascular magnetic resonance imaging; DSE ¼ dobutamine stress echocardiography; Ex.-SE ¼ exercise stress echocardiography; FDG-PET ¼?uorodeoxyglucose-positron emission tomography; Fluoro ¼ ?uoroscopy; HF ¼ heart failure; IE ¼ infective endocarditis; M ¼ may (...) Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). J Am Coll Cardiol. 2008;52:e1–121. 8. Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/ SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College

2017 Heart Rhythm Society

29. Treatment of heart failure in adult congenital heart disease: a position paper of the Working Group of Grown-Up Congenital Heart Disease and the Heart Failure Association of the European Society of Cardiology Full Text available with Trip Pro

Department, ATTIKON University Hospital and Athens University, Athens, Greece. eng Journal Article Research Support, Non-U.S. Gov't Review 2016 01 18 England Eur Heart J 8006263 0195-668X 0 Cardiotonic Agents 0 Natriuretic Peptides IM Acute Disease Adult Algorithms Cardiac Imaging Techniques methods Cardiac Resynchronization Therapy methods Cardiotonic Agents therapeutic use Clinical Protocols Defibrillators, Implantable Exercise Test Heart Defects, Congenital complications Heart Failure complications (...) Treatment of heart failure in adult congenital heart disease: a position paper of the Working Group of Grown-Up Congenital Heart Disease and the Heart Failure Association of the European Society of Cardiology 26787434 2018 05 23 2019 02 05 1522-9645 37 18 2016 05 07 European heart journal Eur. Heart J. Treatment of heart failure in adult congenital heart disease: a position paper of the Working Group of Grown-Up Congenital Heart Disease and the Heart Failure Association of the European Society

2016 European Heart Journal

30. ACR–ASNR–SCBT-MR Practice Parameter for the Performance of Magnetic Resonance Imaging (MRI) of the Adult Spine

limit the usefulness of MRI. In selected cases, more than one imaging modality will be needed for a complete evaluation. II. INDICATIONS This section includes most but not all of the reasons one might perform spine MRI. Disorders affecting the spine that may warrant MRI include, but are not limited to, the evaluation of: 1. Congenital spine and spinal cord malformations 2. Inflammatory/autoimmune disorders a. Demyelinating disease i. Multiple sclerosis ii. Acute disseminated encephalomyelitis iii (...) , including abscess 4. Vascular disorders a. Spinal vascular malformations and/or the cause of occult subarachnoid hemorrhage b. Spinal cord infarction c. Extraspinal vascular malformations and neoplasms PRACTICE PARAMETER 3 MRI Adult Spine 5. Degenerative conditions a. Degenerative disc disease and its sequelae in the lumbar, thoracic, and cervical spine, including myelopathy b. Disc herniation and radiculopathy c. Neurodegenerative disorders, such as subacute combined degeneration, spinal muscular

2019 American Society of Neuroradiology

31. CCS/CPCA Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection of Critical Congenital Heart Disease Full Text available with Trip Pro

preoperative condition and outcome of surgery in neonates. Heart . 2006 ; 92 : 1298–1302 | | | , x 9 Meberg, A., Andreassen, A., Brunvand, L. et al. Pulse oximetry screening as a complementary strategy to detect critical congenital heart defects. Acta Paediatr . 2009 ; 98 : 682–686 | | | , x 10 Zhao, Q.M., Ma, X.J., Ge, X.L. et al. Pulse oximetry with clinical assessment to screen for congenital heart disease in neonates in China: a prospective study. Lancet . 2014 ; 384 : 747–754 | | | | | , x 11 (...) applying accommodations for existing newborn screening tests. Pulse Oximetry Enhances Detection of Other Disease States An abnormal pulse oximetry screen might detect other causes of hypoxemia, including important infections and respiratory disorders that require intervention. Pulmonary pathology has been identified in 39% of abnormal CCHD screen results, x 16 Meberg, A., Brügmann-Pieper, S., Due, R. et al. First day of life pulse oximetry screening to detect congenital heart defects. J Pediatr . 2008

2016 Canadian Cardiovascular Society

32. Evaluation and Management of the Child and Adult With Fontan Circulation: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

with Fontan circulation, and this population is expected to double in the next 20 years. In the absence of a subpulmonary ventricle, Fontan circulation is characterized by chronically elevated systemic venous pressures and decreased cardiac output. The addition of this acquired abnormal circulation to innate abnormalities associated with single-ventricle congenital heart disease exposes these patients to a variety of complications. Circulatory failure, ventricular dysfunction, atrioventricular valve (...) are just being recognized. The hallmark of the Fontan circulation is a sustained, abnormally elevated central venous pressure combined with decreased cardiac output, especially during periods of increased demands, resulting in a cascade of physiological consequences. Clinical hazards faced by patients include progressive fatigue, heart failure, arrhythmias, and end-organ complications such as liver disease, in addition to anxiety and concern about their condition and future. Whereas multiple reports

2019 American Heart Association

33. Recent advances in cardiac catheterization for congenital heart disease Full Text available with Trip Pro

Recent advances in cardiac catheterization for congenital heart disease The field of pediatric and adult congenital cardiac catheterization has evolved rapidly in recent years. This review will focus on some of the newer endovascular technological and management strategies now being applied in the pediatric interventional laboratory. Emerging imaging techniques such as three-dimensional (3D) rotational angiography, multi-modal image fusion, 3D printing, and holographic imaging have (...) the potential to enhance our understanding of complex congenital heart lesions for diagnostic or interventional purposes. While fluoroscopy and standard angiography remain procedural cornerstones, improved equipment design has allowed for effective radiation exposure reduction strategies. Innovations in device design and implantation techniques have enabled the application of percutaneous therapies in a wider range of patients, especially those with prohibitive surgical risk. For example, there is growing

2018 F1000Research

34. Transplantation and Mechanical Circulatory Support in Congenital Heart Disease Full Text available with Trip Pro

mortality across ACHD diagnosis ACHD indicates adult congenital heart disease; BNP, brain natriuretic peptide; CHD, congenital heart disease; d-TGA, dextro transposition of the great arteries; ES, Eisenmenger syndrome; HF, heart failure; LV, left ventricular; MRI, magnetic resonance imaging; NT-pro-BNP, N-terminal pro-brain natriuretic peptide; peak , peak oxygen consumption; PH, pulmonary hypertension; RA, right atrial; RV, right ventricular; TGA, transposition of the great arteries; TOF, tetralogy (...) are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Transplantation and Mechanical Circulatory Support in Congenital Heart Disease A Scientific Statement From the American Heart Association , MD, MHSc, Chair , MD, Vice Chair , MD , MD , MD , MD , MD , MD, MSc , MD, MSc , MD , MD, PhD , MBChB , MD, FAHA , MD, FAHA , MD , MD, FAHA , MD , and MD, FAHA MDon behalf of the American Heart Association Adults With Congenital Heart Disease Committee of the Council on Clinical

2016 American Heart Association

35. Imaging of congenital heart disease in adults. Full Text available with Trip Pro

Imaging of congenital heart disease in adults. Imaging is fundamental to the lifelong care of adult congenital heart disease (ACHD) patients. Echocardiography remains the first line imaging for inpatient, outpatient, or perioperative care. Cross-sectional imaging with cardiovascular magnetic resonance (CMR) or computed tomography (CT) provides complementary and invaluable information on cardiac and vascular anatomy and other intra-thoracic structures. Furthermore, CMR provides quantification (...) of cardiac function and vascular flow. Cardiac catheterization is mostly reserved for assessment of pulmonary vascular resistance, ventricular end-diastolic pressure, and percutaneous interventions. There have been further advances in non-invasive imaging for ACHD including the application of advanced echocardiographic techniques, faster automated CMR imaging, and radiation dose reduction in CT. As a result ACHD, a heterogeneous population, benefit from appropriate application of multiple imaging

2015 European heart journal

36. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 4: Congenital Heart Disease

of this article. Previous versions: Introduction Congenital heart disease (CHD) is the most common form of serious birth defect, occurring in 8 per 1000 live births. The past several decades have seen dramatic improvements in survival with palliative or corrective heart surgery, such that there are now more adult patients than pediatric patients alive with CHD. Although restriction from competitive athletics may well be indicated for some, the great majority of patients can and should engage in some form (...) Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 4: Congenital Heart Disease Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 4: Congenital Heart Disease | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February

2015 American Heart Association

37. Right ventricular failure in congenital heart disease. (Abstract)

Right ventricular failure in congenital heart disease. We aim to review select literature pertaining to congenital heart disease (CHD)-induced right ventricular (RV) function and failure.We review recent findings pertaining to children and adults with repaired tetralogy of Fallot (rTOF), systemic RV and hypoplastic left heart syndrome (HLHS). We emphasize pathophysiological mechanisms contributing to RV dysfunction in these conditions, the risk factors for adverse outcomes and the continuing (...) challenges in treating these patients. We discuss how recent pathology findings, as well as developments in imaging and computer modeling have broadened our understanding of the pathophysiology of these conditions. We further review developments in the molecular and cellular basis of RV failure; and in particular, the RV molecular response to stress in repaired tetralogy of Fallot (rTOF). We highlight some of the genetic complexities in HLHS and how these may influence the long-term outcomes

2019 Current opinion in pediatrics

38. Three-Dimensional Rotational Angiography in Pediatric Patients with Congenital Heart Disease: A Literature Review. Full Text available with Trip Pro

Three-Dimensional Rotational Angiography in Pediatric Patients with Congenital Heart Disease: A Literature Review. Cardiac catheterization is a commonly used form of imaging and treatment in pediatric patients with congenital heart disease. Traditionally, two-dimensional conventional angiography was the method used, but since 2000 three-dimensional rotational angiography (3DRA) is increasingly used in the field of cardiology in both adult and pediatric patients. To investigate the use (...) and applications of 3DRA in pediatric congenital cardiology, literature was systematically reviewed and 29 eligible articles were found. Those showed that 3DRA is already a greatly valued diagnostic and therapeutic technique in pediatric cardiology. However, the literature misses well-designed clinical, homogeneous, multicenter, prospective studies recording data in a standardized manner. These studies are necessary to ensure proper data analysis and to investigate the true advantages of 3DRA and how

2019 Pediatric Cardiology

39. Current Interventional and Surgical Management of Congenital Heart Disease: Specific Focus on Valvular Disease and Cardiac Arrhythmias. Full Text available with Trip Pro

Current Interventional and Surgical Management of Congenital Heart Disease: Specific Focus on Valvular Disease and Cardiac Arrhythmias. Successful outcome in the care of patients with congenital heart disease depends on a comprehensive multidisciplinary team. Surgery is offered for almost every heart defect, despite complexity. Early mortality for cardiac surgery in the neonatal period is ≈10% and beyond infancy is <5%, with 90% to 95% of patients surviving with a good quality of life (...) into the adult years. Advances in imaging have facilitated accurate diagnosis and planning of interventions and surgical procedures. Similarly, advances in the perioperative medical management of patients, particularly with intensive care, has also contributed to improving outcomes. Arrhythmias and heart failure are the most common late complications for the majority of defects, and reoperation for valvar problems is common. Lifelong surveillance for monitoring of recurrent or residual structural heart

2017 Circulation Research

40. AIM Clinical Appropriateness Guidelines for Advanced Imaging of the Heart.

in morbidly obese patients (BMI >40) is usually suboptimal such that consideration should be given to other imaging modalities. If imaging studies using other radioactive tracers have been recently performed, adequate time must elapse to allow for clearance of activity from the heart and surrounding regions. ? For patients who are unable to walk on a treadmill for non-cardiac reasons (orthopedic limitations, claudication, neurological conditions, advanced lung disease, etc.), exercise stress testing (...) 2019. AIM Specialty Health. All Rights Reserved. 7 Imaging Considerations Myocardial Perfusion Imaging and Stress Echocardiography may provide useful information on Coronary Heart Disease. Comparison data on Sensitivity and Specificity are provided in Table 2 below. Due to regional variation in technical expertise and interpretive proficiency, the clinician should use the diagnostic imaging modality that has been proven most accurate in his/her practices. Table 2: Comparison of Non-Invasive

2019 AIM Specialty Health

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