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Congenital Heart Disease Imaging in Adults

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41. 2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards Full Text available with Trip Pro

to occur. The other domains include: congenital heart defect nomenclature, adult congenital heart disease, critical care, cardiomyopathy, cardiac transplantation, pulmonary hypertension, congenital cardiac surgery, echocardiography, diagnostic and interventional catheterization, exercise stress testing and physiology, electrophysiology, cardiac magnetic resonance imaging, fetal physiology, perfusion, and cardiac anesthesia. The reason that this domain was chosen first was that there are other nascent (...) and Congenital Cardiology 10 Appendix 3. History of Present Illness 11 Appendix 4. Risk Factors 27 Appendix 5. Past Medical History 40 Appendix 6. Physical Examination 50 A. Vital Signs 50 B. Cardiac Examination 51 C. Extracardiac Examination 66 Appendix 7. Common Cardiac Diagnoses 73 Preamble The American College of Cardiology (ACC) and the American Heart Association (AHA) support their members’ goal to improve the care of patients with cardiovascular disease through professional education, research

2017 American Heart Association

42. A novel method for evaluating regional RV function in the adult congenital heart with low-dose CT and SQUEEZ processing. Full Text available with Trip Pro

A novel method for evaluating regional RV function in the adult congenital heart with low-dose CT and SQUEEZ processing. Measuring local RV function in adult congenital heart disease (ACHD) with echocardiography or MRI is challenging because of the complex geometry and existing pacing devices. Visual assessment of ventricular function via low-dose cardiac CT has been recently performed. This pilot study assessed whether low-dose 4D cine CT combined with automatic measurement of regional (...) shortening could quantify right-ventricular function in ACHD patients.Seven patients with Tetralogy of Fallot either contraindicated for MRI or assessed for coronary artery disease and seven non-congenital patients were imaged with ECG-gated cardiac CT utilizing a 320-detector row scanner. Right ventricular global function and regional shortening were quantified.Non-congenital patients were imaged with 2.9±2.1mSv and 395±359 HU blood-myocardium contrast. The ACHD patients were imaged with 2.1±1.3mSv

2017 International journal of cardiology

43. BSG consensus guidelines on the management of inflammatory bowel disease in adults

BSG consensus guidelines on the management of inflammatory bowel disease in adults 1 Version accepted by Gut 10 th June 2019 British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults Authors Christopher A. Lamb 1,2 *, Nicholas A. Kennedy 3,4 , Tim Raine 5 , Philip Hendy 6,7 , Philip J. Smith 8 , Jimmy K. Limdi 9,10 , Bu’Hussain Hayee 11,12 , Miranda Lomer 12,13 , Gareth C. Parkes 14,15 , Christian P. Selinger 16,17 , Kevin J. Barrett 18 (...) , cognitive behavioural therapy, CBT, smoking Abbreviations 5-ASA: 5-aminosalicylate; AIDS: acquired immunodeficiency syndrome; ASUC: acute severe ulcerative colitis; AXR: abdominal x-ray; BCG: Bacillus Calmette-Guérin (TB vaccination); BMI: Body Mass Index; BSG: British Society of Gastroenterology; CBD: cannabinoid; CDAI: Crohn’s Disease Activity Index; CAMs: complementary and alternative medicines; CDEIS: Crohn’s Disease Endoscopic Index of Severity; CDI: Clostridium difficile infection; CI: Confidence

2019 British Society of Gastroenterology

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

Perfusion Imaging Pre-operative cardiac evaluation of patients undergoing non-cardiac surgery This guideline applies to patients undergoing non-emergency surgery. It is assumed that those who require emergency surgery will undergo inpatient preoperative evaluation. ? Patients with active cardiac conditions such as unstable coronary syndromes (unstable angina), decompensated heart failure (NYHA function of class IV, worsening or new onset heart failure), significant arrhythmias (third degree AV block (...) Intermediate Low Very Low Very Low 50-59 Men High Intermediate Intermediate Low Women Intermediate Intermediate Low Very Low 60-69 Men High Intermediate Intermediate Low Women High Intermediate Intermediate Low Cardiac Echocardiography Stress Echocardiography (SE)Stress Echocardiography (SE) | Copyright © 2018. AIM Specialty Health. All Rights Reserved. 17 Imaging Considerations Myocardial Perfusion Imaging and Stress Echocardiography may provide useful information on Coronary Heart Disease. Comparison

2018 AIM Specialty Health

45. Feasibility of low radiation dose retrospectively-gated cardiac CT for functional analysis in adult congenital heart disease. Full Text available with Trip Pro

Feasibility of low radiation dose retrospectively-gated cardiac CT for functional analysis in adult congenital heart disease. The use of cardiac computed tomography (CT) in the evaluation of adult congenital heart disease patients is limited due to concerns of high radiation doses. The purpose of this study was to prospectively assess whether low radiation dose cardiac CT is feasible to evaluate ventricular systolic function in adults with congenital heart disease.The study group included 30 (...) cardiac CT with a median radiation dose of less than 1mSv was successful in evaluating ventricular systolic function in 30 consecutive adult congenital heart disease patients who underwent a total of 35 scans.Published by Elsevier Ireland Ltd.

2016 International journal of cardiology

46. Right Ventricular Diastolic Function in Chronic Adverse RV Loading And Congenital Heart Disease

and compare these results to a population of patients with exclusion of coronary artery disease and absence of any known disease affecting the RV. Condition or disease Intervention/treatment Phase Pulmonary Regurgitation Congenital Heart Disease Diagnostic Test: Acquisition of pressure-volume-loops Not Applicable Detailed Description: One of the major problems in the expanding population of patients with congenital heart disease (CHD) is dysfunction of the right ventricular (RV) outflow tract (OT (...) : Recruiting First Posted : March 21, 2018 Last Update Posted : March 22, 2018 See Sponsor: University of Leipzig Information provided by (Responsible Party): Philipp Lurz, University of Leipzig Study Details Study Description Go to Brief Summary: The aim of the study is to assess the characteristics, incidence and predictors of load-independent right ventricle (RV) diastolic dysfunction in patients with congenital heart disease (CHD) and adverse RV loading conditions by acquiring pressure-volume loops

2018 Clinical Trials

47. Hypothyroidism With Congenital Heart Disease (CHD)

function in adult and pediatric population. However, there is no generally accepted guideline for screening thyroid dysfunction in congenital heart disease infants. An increased prevalence of thyroid disease, particularly sub-clinical hypothyroidism, has been reported in Down Syndrome. In children with Down Syndrome, a possible concomitant sub-clinical hypothyroidism-related impairment of cardiac function or structure may worsen their clinical condition and can ultimately affect their life expectancy (...) . According to the Italian Registry of Congenital Hypothyroidism, congenital heart disease is the most frequent disease condition associated with congenital hypothyroidism. Congenital heart disease is also reported to be a risk factor for non-autoimmune hypothyroidism in children. In addition, intravenous iodine contrast media is frequently used for diagnostic imaging and therapeutic intervention in congenital heart disease patients. Excess iodine exposed by iodine contrast media may disturb thyroid

2018 Clinical Trials

48. Innovative interventional catheterization techniques for congenital heart disease Full Text available with Trip Pro

Innovative interventional catheterization techniques for congenital heart disease Since 1929, when the first cardiac catheterization was safely performed in a human by Dr. Werner Forssmann (on himself), there has been a rapid progression of cardiac catheterization techniques and technologies. Today, these advances allow us to treat a wide variety of patients with congenital heart disease using minimally invasive techniques; from fetus to infants to adults, and from simple to complex congenital (...) cardiac lesions. In this article, we will explore some of the exciting advances in cardiac catheterization for the treatment of congenital heart disease, including transcatheter valve implantation, hybrid procedures, biodegradable technologies, and magnetic resonance imaging (MRI)-guided catheterization. Additionally, we will discuss innovations in imaging in the catheterization laboratory, including 3D rotational angiography (3DRA), fusion imaging, and 3D printing, which help to make innovative

2018 Translational pediatrics

49. Integrated Computational modelIng of Right Heart Mechanics and Blood Flow Dynamics in Congenital Heart Disease

study and clinical diagnosis of the RV structure-function relationship and physiology and its association with biomarker, and exercise capacity in CHD. Condition or disease Intervention/treatment Congenital Heart Disease Pulmonary Hypertension Procedure: Cardiac Magnetic Resonance - MRI Other: Cardiopulmonary Exercise Test Other: Blood Sampling for all participants Detailed Description: The incidence of Congenital Heart Disease (CHD) in live new-borns is estimated to vary from 4.1/1000 to 12.3/1000 (...) . The improvement in survival of CHD patients has led to burgeoning numbers of grown-up CHD.The majority of these CHD patients face a lifetime of problems including RV dilation, ventricular arrhythmias, and sudden cardiac death.Considering inflation to visit costs and added image technology for diagnosis, the cost of each patient is expected to increase .In contrast to adult patients with acquired heart disease, abnormalities of the RV are ubiquitous in children and adults with CHD. Currently, clinical

2017 Clinical Trials

50. Treatment for Bipolar Disorder in Adults: A Systematic Review

Treatment for Bipolar Disorder in Adults: A Systematic Review Comparative Effectiveness Review Number 208 Treatment for Bipolar Disorder in Adults: A Systematic Review eComparative Effectiveness Review Number 208 Treatment for Bipolar Disorder in Adults: A Systematic Review Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2012-00016-I Prepared by: Minnesota Evidence-based (...) Practice Center Minneapolis, MN Investigators: Mary Butler, Ph.D., M.B.A. Snezana Urosevic, Ph.D., L.P. Priyanka Desai, M.H.P. Scott R. Sponheim, Ph.D. Jonah Popp, M.S., M.A. Victoria A. Nelson, M.Sc. Viengneesee Thao, M.P.H. Benjamin Sunderlin, M.P.H. AHRQ Publication No. 18-EHC012-EF Aug ust 2018 ii Key Messages Purpose of Review • To assess the effectiveness of drug and nondrug therapies for treating acute mania or depression symptoms and preventing relapse in adults with bipolar disorder (BD

2018 Effective Health Care Program (AHRQ)

51. Knowledge-based 3D reconstruction of the right ventricle: comparison with cardiac magnetic resonance in adults with congenital heart disease Full Text available with Trip Pro

Knowledge-based 3D reconstruction of the right ventricle: comparison with cardiac magnetic resonance in adults with congenital heart disease Assessment of right ventricular (RV) function is a challenge, especially in patients with congenital heart disease (CHD). The aim of the present study is to assess whether knowledge-based RV reconstruction, used in the everyday practice of an echo-lab for adult CHD in a tertiary referral center, is accurate when compared to cardiac magnetic resonance (CMR (...) ) examination.Adult patients who would undergo CMR for assessment of the RV were asked to undergo an echo of the heart for further knowledge-based reconstruction (KBR). Echocardiographic images were acquired in standard views using a predefined imaging protocol. RV volumes and ejection fraction (EF) calculated using knowledge-based technology were compared with the CMR data of the same patient.Nineteen consecutive patients with congenital right heart disease were studied. Median age of the patients was 28 years

2015 Echo research and practice

52. Stable ischaemic heart disease

-33. http://www.ncbi.nlm.nih.gov/pubmed/15958808?tool=bestpractice.com The guidelines described here specifically address the clinical syndrome of SIHD, which is defined by the presence of confirmed obstructive coronary artery disease without recent (<1 year) acute coronary syndrome or percutaneous intervention. Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart (...) inactivity obesity family history of premature ischaemic heart disease illicit drug use male sex mental stress/depression plasma biomarkers polluted air Diagnostic investigations resting ECG haemoglobin fasting lipid profile fasting blood glucose or HbA1c thyroid-stimulating hormone stress exercise ECG without imaging stress single photon emission computed tomography (SPECT), stress echocardiography, stress cardiac magnetic resonance (CMR), stress positron emission tomography (PET) cardiac computed

2018 BMJ Best Practice

53. Stable ischaemic heart disease

-33. http://www.ncbi.nlm.nih.gov/pubmed/15958808?tool=bestpractice.com The guidelines described here specifically address the clinical syndrome of SIHD, which is defined by the presence of confirmed obstructive coronary artery disease without recent (<1 year) acute coronary syndrome or percutaneous intervention. Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart (...) inactivity obesity family history of premature ischaemic heart disease illicit drug use male sex mental stress/depression plasma biomarkers polluted air Diagnostic investigations resting ECG haemoglobin fasting lipid profile fasting blood glucose or HbA1c thyroid-stimulating hormone stress exercise ECG without imaging stress single photon emission computed tomography (SPECT), stress echocardiography, stress cardiac magnetic resonance (CMR), stress positron emission tomography (PET) cardiac computed

2018 BMJ Best Practice

54. Management of Cardiac Involvement Associated With Neuromuscular Diseases: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

cause of morbidity and mortality. The management of cardiac disease in NMDs is made challenging by the broad clinical heterogeneity that exists among many NMDs and by limited knowledge about disease-specific cardiovascular pathogenesis and course-modifying interventions. The overlay of compromise in peripheral muscle function and other organ systems, such as the lungs, also makes the simple application of endorsed adult or pediatric heart failure guidelines to the NMD population problematic (...) Management of Cardiac Involvement Associated With Neuromuscular Diseases: A Scientific Statement From the American Heart Association Management of Cardiac Involvement Associated With Neuromuscular Diseases: A Scientific Statement From the American Heart Association | 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 2019 January 2019 January 2019

2017 American Heart Association

55. Heart Disease and Stroke Statistics 2017 Update: A Report From the American Heart Association Full Text available with Trip Pro

. . . . . . . . . . . . . . . . . e295 11. Metabolic Syndrome . . . . . . . . . . . . . . . e313 12. Chronic Kidney Disease . . . . . . . . . . . . . e336 Cardiovascular Conditions/Diseases 13. Total Cardiovascular Diseases . . . . . . . . . . e349 14. Stroke (Cerebrovascular Disease). . . . . . . . . e374 15. Global CVD and Stroke . . . . . . . . . . . . . . e414 16. Congenital Cardiovascular Defects and Kawasaki Disease . . . . . . . . . . . . . . . . e423 17. Disorders of Heart Rhythm . . . . . . . . . . . . e440 18. Sudden (...) , clini- cians, healthcare administrators, researchers, health advo- cates, and others seeking the best available data on these factors and conditions. Cardiovascular disease (CVD) and stroke produce immense health and economic burdens in the United States and globally. The Update also presents the latest data on a range of major clinical heart and circula- tory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart

2017 American Heart Association

56. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

(Updated Figure 4 From the 2014 VHD guideline). *MV repair is preferred over MV replacement when possible? AF indicates atrial fibrillation; CAD, coronary artery disease; CRT, cardiac resynchronization therapy; EF, ejection fraction; ERO, effective regurgitant orifice; HF, heart failure; LV, left ventricular; LVEF, left ventricular ejection fraction; LVESD, left ventricular end-systolic diameter; MR, mitral regurgitation; MV, mitral valve; NYHA, New York Heart Association; PASP, pulmonary artery (...) ? Circulation? 2008;117:3118–25? 25? Geist SM, Fitzpatrick S, Geist JR? American Heart Association 2007 guidelines on prevention of infective endocarditis? J Mich Dent Assoc? 2007;89:50–6? Downloaded from http://ahajournals.org by on March 27, 2019Nishimura et al June 20/27, 2017 Circulation. 2017;135:e1159–e1195. DOI: 10.1161/CIR.0000000000000503 e1182 26? Duval X, Alla F, Hoen B, et al? Estimated risk of endocarditis in adults with predisposing cardiac conditions undergoing dental procedures

2017 American Heart Association

57. Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease Full Text available with Trip Pro

in Children With CHD 2663 11.Primary Prevention and Treatment of Thrombi in Children With Arrhythmias 2666 11.1.Atrial Arrhythmias 2666 11.2.Pacemakers and Internal Cardiac Defibrillators 2668 11.3.Electrophysiology Studies and Catheter Ablation Procedures 2668 11.4.Special Considerations in Adults With CHD and Arrhythmias 2670 12.Primary Prevention and Treatment of Thrombi in Children With Acquired Heart Disease 2670 12.1.Kawasaki Disease 2670 12.1.1.General Guidelines 2670 12.1.2.Patients With Coronary (...) Prevention and Treatment of Thrombi 2680 15.Nursing Considerations in the Identification and Treatment of Thrombi in Infants and Children 2682 16.Special Circumstances Related to Thromboprophylaxis2683 16.1.Air Travel, Immobilization 2683 16.2.Oral Contraceptives 2683 16.3.Pregnancy 2683 16.4.Obesity 2683 16.5.Children and Adults With Developmental Delay 2683 1. Introduction Thrombosis has long been recognized as a potentially life-threatening complication in children with congenital heart disease (CHD

2013 American Heart Association

58. Myocardial Perfusion and Scarring in Adults With Congenital Heart Disease

of Health (NIH) Information provided by (Responsible Party): Laura Olivieri, Children's Research Institute Study Details Study Description Go to Brief Summary: This is a study of the perfusion of the myocardium in adults with specific forms of repaired congenital heart disease using established cardiac MRI techniques and correlating perfusion with clinical outcomes. Condition or disease Cardiac Disease Detailed Description: This is a study of the perfusion of the myocardium in adults with specific forms (...) of repaired congenital heart disease using established cardiac MRI techniques and correlating perfusion with clinical outcomes. The investigators objectives are to examine myocardial perfusion both during stress and at rest in adults with repaired or palliated congenital heart disease as well as quantify ventricular function, regional myocardial strain and evidence of myocardial fibrosis with quantitative measures of myocardial perfusion. The specific aim of this study is to understand whether clinical

2016 Clinical Trials

59. Valvular Heart Disease: A Proposal to Optimize Care for Patients

and tiered systems of care in other areas of medicine have been developed and embedded in the complex and large U.S. healthcare system. Often a key question is: what should constitute the designation of a centerwithinasystemasspecializedandcomprehensive? Examples of requirements for such a designation are available in multiple areas of medicine, both for acute problems (stroke, trauma, and myocardial infarction) and selected chronic disorders (bariatric surgery for obesity, adult congenital disease (...) NationalHealthService,congenital heart disease care has been redirected; 3 tiers of care, ranging from localtospecialistsurgicalcenters,havebeen organized to provide different levels of care according to patient need (44). In the United States, adult congenital heart disease centers (https://www.achaheart. org/provider-support/accreditation-program)aswellas pulmonary hypertension centers (https://phassociation. org/phcarecenters/medical-professionals/center-criteria/) have been formally designated after meeting

2019 American College of Cardiology

60. Valvular Heart Disease: A Proposal to Optimize Care for Patients

and tiered systems of care in other areas of medicine have been developed and embedded in the complex and large U.S. healthcare system. Often a key question is: what should constitute the designation of a centerwithinasystemasspecializedandcomprehensive? Examples of requirements for such a designation are available in multiple areas of medicine, both for acute problems (stroke, trauma, and myocardial infarction) and selected chronic disorders (bariatric surgery for obesity, adult congenital disease (...) NationalHealthService,congenital heart disease care has been redirected; 3 tiers of care, ranging from localtospecialistsurgicalcenters,havebeen organized to provide different levels of care according to patient need (44). In the United States, adult congenital heart disease centers (https://www.achaheart. org/provider-support/accreditation-program)aswellas pulmonary hypertension centers (https://phassociation. org/phcarecenters/medical-professionals/center-criteria/) have been formally designated after meeting

2019 American College of Cardiology

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