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Congenital Heart Disease Imaging in Adults

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61. 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

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

Myocardial Perfusion and Scarring in Adults With Congenital Heart Disease Myocardial Perfusion and Scarring 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 of saved studies (100). Please remove one or more studies before adding more. Myocardial (...) Perfusion and Scarring in Adults With Congenital Heart Disease 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. Read our for details. ClinicalTrials.gov Identifier: NCT02861365 Recruitment Status : Active, not recruiting First Posted : August 10, 2016 Last Update Posted : January 30, 2019 Sponsor: Children's Research Institute Collaborator: National Institutes

2016 Clinical Trials

63. Computed tomography imaging in patients with congenital heart disease, part I: Rationale and utility. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT). (Abstract)

Computed tomography imaging in patients with congenital heart disease, part I: Rationale and utility. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT). This is an expert consensus document created to provide information about the current use of cardiovascular computed tomography (CT) in patients of all ages with proven or suspected congenital heart disease (CHD). The discussion and recommendations are based on available literature and the judgment (...) . It will concentrate on the disease entities and circumstances in which CT may be used. The second document will focus on recommendations for the technical performance of cardiovascular CT in patients with CHD. Successful cardiovascular CT imaging of CHD requires an in depth understanding of the core teaching elements of both cardiology and radiology. The ability to perform and interpret high quality congenital cardiovascular CT in a clinical context requires focused time and effort regardless of the previous

2015 Journal of cardiovascular computed tomography

64. Homograft reconstruction of the right ventricular outflow tract in adults with congenital heart disease: a systematic review. Full Text available with Trip Pro

Homograft reconstruction of the right ventricular outflow tract in adults with congenital heart disease: a systematic review. Reconstruction of the right ventricular outflow tract with a homograft is an established surgical method in congenital heart disease. Studies from children and adolescents suggest that homograft durability is shorter than the life expectancy of the patient; therefore, durability in adults is addressed in this systematic review. The PubMed database was searched in May (...) 2012 and repeated in May 2015 with the terms 'homograft AND pulmonary valve', generating 665 hits. We included only studies involving more than 50 patients with a mean or median age >18 years. Six studies with a cumulative total of 560 patients were included. The long-term mortality rate was 2-8.8% at 8.1-10 years. Reintervention was common during patients' life spans, with a 10-year event-free survival rate of 78-80%. Early postoperative echocardiographic or magnetic resonance imaging defects

2015 Interactive cardiovascular and thoracic surgery

65. Myocardial factor revisited: The importance of myocardial fibrosis in adults with congenital heart disease. Full Text available with Trip Pro

Myocardial factor revisited: The importance of myocardial fibrosis in adults with congenital heart disease. Pioneers in congenital heart surgery observed that exercise capacity did not return to normal levels despite successful surgical repair, leading some to cite a "myocardial factor" playing a role. They conjectured that residual alterations in myocardial function would be significant for patients' long-term outlook. In fulfillment of their early observations, today's adult congenital heart (...) disease (ACHD) population shows well-recognized features of heart failure, even among patients without clear residual anatomic or hemodynamic abnormalities, demonstrating the vital role of the myocardium in their morbidity and mortality. Whereas the 'myocardial factor' was an elusive concept in the early history of congenital heart care, we now have imaging techniques to detect and quantify one such factor--myocardial fibrosis. Understanding the importance of myocardial fibrosis as a final common

2015 International journal of cardiology

66. Free breathing contrast-enhanced time-resolved magnetic resonance angiography in pediatric and adult congenital heart disease. Full Text available with Trip Pro

Free breathing contrast-enhanced time-resolved magnetic resonance angiography in pediatric and adult congenital heart disease. Contrast enhanced magnetic resonance angiography (MRA) is generally performed during a long breath-hold (BH), limiting its utility in infants and small children. This study proposes a free-breathing (FB) time resolved MRA (TRA) technique for use in pediatric and adult congenital heart disease (CHD).A TRA sequence was developed by combining spiral trajectories (...) with sensitivity encoding (SENSE, x4 kx-ky and x2 kz) and partial Fourier (75% in kz). As no temporal data sharing is used, an independent 3D data set was acquired every ~1.3s, with acceptable spatial resolution (~2.3x2.3x2.3 mm). The technique was tested during FB over 50 consecutive volumes. Conventional BH-MRA and FB-TRA data was acquired in 45 adults and children with CHD. We calculated quantitative image quality for both sequences. Diagnostic accuracy was assessed in all patients from both sequences

2015 Journal of Cardiovascular Magnetic Resonance

67. 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

68. A physician with congenital heart disease

of us out there. Only recently have doctors been able to do surgeries to “fix” the condition. Do these surgeries hold out in the long term? We honestly don’t know. The oldest individuals who have received these surgeries are only about fifty. As a matter of fact, due to the complexity of this disease, physicians who see patients with congenital heart disease regularly have to complete special fellowships in congenital issues. Only recently has “adult congenital heart disease” become something (...) physicians even try to understand, because all of us congenital heart disease kids just became adults! Before us, kids born with these diseases just died. Today, physicians have to grapple with the unique patients who underwent experimental surgeries over thirty years ago. As patients and as doctors, we have even more to deal with in terms of congenital heart disease and adulthood. What if these patients want a family? Can their hearts deal with the extra volume load pregnancy places on a woman’s body

2018 KevinMD blog

69. Valvular Heart Disease (Focused Update): Guidelines For the Management of Patients With

Valvular Heart Disease (Focused Update): Guidelines For the Management of Patients With CLINICAL PRACTICE GUIDELINE: FOCUSED UPDATE 2017AHA/ACCFocusedUpdateofthe 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 Developed in Collaboration With the American Association for Thoracic Surgery, American Society of Echocardiography, Society (...) considered, a heart valve team consisting of an integrated, multidisciplinary group of healthcare professionals with expertise in VHD, cardiac imaging, interventional cardiology, cardiac anesthesia, and cardiac surgery should collaborate to provide optimal patient care. 2014 recommendation remains current. I B-NR SurgicalARisrecommendedforsymptomaticpatients with severe AS (Stage D) and asymptomatic patients with severe AS (Stage C) who meet an indication for AVR when surgical risk is low or intermediate

2017 American College of Cardiology

70. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association Full Text available with Trip Pro

Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals 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 January 2019 January 2019 January 2019 Free Access article Share on Jump to Free Access article Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association , MD, MPH, FAHA, Chair , MD , MD, MPH, FAHA , MD , MD, FAHA , MD, FAHA , MSN, RN, CPNP , MD , MD, FAHA , MD , MD, PhD , MD, PhD , and MD, FAHA MD, FAHA, Co-ChairOn behalf of the American Heart Association Rheumatic

2017 American Heart Association

71. 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

72. A Pilot Study- Monitoring Cerebral Blood Flow in Neonates With Congenital Heart Defects

that the new design of Ornim's c-FLOW 3310-P is easy to operate and effective in monitoring changes in cerebral blood flow in neonates as demonstrated in adults. Condition or disease Intervention/treatment Congenital Heart Defect Cerebrovascular Circulation Device: c-FLOW 3310-P Detailed Description: 55 eligible neonates whom have been deemed as candidates for a cardiac surgery will be enroll to the study. At the first phase, 10 neonates will be monitored. After the investigator has assessed the patient (...) Volunteers: No Sampling Method: Non-Probability Sample Study Population Neonates with congenital heart disease scheduled for repair surgery Criteria Inclusion Criteria: Mutual parents' consent (outstanding exceptional cases who approved by the EC) Born at gestational age of more than 34+6/7 weeks Cardiac surgery between 0- 4 weeks of age Head circumference >= 31 cm Exclusion Criteria: Patient with implants located in the intended area of the c-FLOW 3310-P sensor location. Laceration of scalp injury

2018 Clinical Trials

73. Mirror image atrial dilatation in adult patients with atrial fibrillation and congenital heart disease. (Abstract)

Mirror image atrial dilatation in adult patients with atrial fibrillation and congenital heart disease. Atrial fibrillation (AF) is largely regarded to be initiated from left atrial (LA) dilatation, with subsequent dilatation of the right atrium (RA) in those who progress to chronic AF. We hypothesized that in adult patients with right-sided congenital heart disease (CHD) and AF, RA dilatation will predominate with subsequent dilatation of the left atrium, as a mirror image.Adult patients (...) . Multivariate analysis showed that age (p=0.0001), RA (p=0.025) and LA area (p=0.0016) were significantly related to AF. In patients with pure left-sided pathologies, there was progressive and predominant LA dilatation that paralleled the development of AF from none to paroxysmal to chronic AF. In patients with pure right-sided pathologies, there was a mirror image of progressive and predominant RA dilatation with the development of AF.We observed a mirror image atrial dilatation in patients with right

2013 International journal of cardiology

74. UK guideline on transition of adolescent and young persons with chronic digestive diseases from paediatric to adult care

- itiontodecreasedhospitalisationwithdiabeticketoacidosis. 32–35 In juvenile idiopathic arthritis and congenital heart disease, successful transition was associated with improved self- knowledge and improved disease knowledge among parents and carers. These were accompanied by increased satisfaction with the process and better quality of life. 36 37 In renal diseases, an integrated paediatric-adult clinical transition service was asso- ciated with a striking reduction in the rate of graft loss among the patients with renal transplants. 38 Evidence (...) UK guideline on transition of adolescent and young persons with chronic digestive diseases from paediatric to adult care UK guideline on transition of adolescent and young persons with chronic digestive diseases from paediatric to adult care Alenka J Brooks, 1 * Philip J Smith, 2 * Richard Cohen, 3 Paul Collins, 4 Andrew Douds, 5 Valda Forbes, 6 Daniel R Gaya, 7 Brian T Johnston, 8 Patrick J McKiernan, 9 Charles D Murray, 2 Shaji Sebastian, 10 Monica Smith, 11 Lisa Whitley, 12 Lesley Williams

2017 British Society of Gastroenterology

75. 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

2015 FP Notebook

76. Relation of Prolonged Tissue Doppler Imaging-Derived Atrial Conduction Time to Atrial Arrhythmia in Adult Patients With Congenital Heart Disease. (Abstract)

Relation of Prolonged Tissue Doppler Imaging-Derived Atrial Conduction Time to Atrial Arrhythmia in Adult Patients With Congenital Heart Disease. Atrial arrhythmia (AA) is common in adult patients with congenital heart disease (CHD). To enable the prevention of AA or its complications, timely identification of adult patients with CHD at risk of AA is crucial. Long total atrial activation times have been related to AA. Tissue Doppler imaging (TDI) permits noninvasive evaluation of the total (...) atrial conduction time (PA-TDI duration). The present study evaluated the association between the PA-TDI duration and the development of AA in adult patients with CHD. A total of 223 adult patients with CHD were followed up for the occurrence of AA after PA-TDI duration assessment. The PA-TDI duration was defined as the interval from the onset of the P wave on the electrocardiogram to the peak of the A' wave at the lateral atrial wall on TDI tracings. Among the various clinical and echocardiographic

2012 American Journal of Cardiology

77. Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

2018 Circulation. 2018;137:e578–e622 You are viewing the most recent version of this article. Previous versions: Abstract Background and Purpose: The diverse causes of right-sided heart failure (RHF) include, among others, primary cardiomyopathies with right ventricular (RV) involvement, RV ischemia and infarction, volume loading caused by cardiac lesions associated with congenital heart disease and valvular pathologies, and pressure loading resulting from pulmonic stenosis or pulmonary (...) options and enhanced outcomes in patients with acute and chronic disorders of the right side of the heart. RV dysfunction (RVD), defined here as evidence of abnormal RV structure or function, is associated with poor clinical outcomes independently of the underlying mechanism of disease: across the spectrum of left ventricular (LV) ejection fraction (EF) in patients with acute and chronic heart failure (HF), after cardiac surgery, acute myocardial infarction (MI), congenital heart disease (CHD), and PH

2018 American Heart Association

78. Neurodevelopment in Infants With Complex Congenital Heart Defects

University Collaborators: American Heart Association Nationwide Children's Hospital Information provided by (Responsible Party): Jill Heathcock, Ohio State University Study Details Study Description Go to Brief Summary: The primary goal of this study is to systematically describe early neurodevelopment using a complementary set of observational and neurophysiological measures that may predict cognitive and motor delays earlier than currently possible for infants with Complex Congenital Heart Disease (...) (CCHD). Condition or disease Complex Congenital Heart Defect Detailed Description: The investigators' long-term goals are to develop a method of identifying infants likely to have adverse neurodevelopmental outcomes following neonatal treatment for CCHD and to develop and test interventions that can be applied early in infancy. The necessary first step is to systematically describe early neurodevelopment using a complementary set of observational and neurophysiological measures that may predict

2017 Clinical Trials

79. AACE/ACE Guidelines for Management of Growth Hormone Deficiency in Adults and Patients Transitioning from Pediatric to Adult Care

strategy began with an environmental scan of the disease “space” to identify the most relevant clini- cal problems and needs facing the clinical endocrinologist (e.g., diagnosis of adult GHD or treatment of adult GHD in elderly patients and those with a distant history of cancer). This updated CPG methodology provides a framework for patient-first language, greater detail for evidence ratings, and structure for the involvement of the American College of Endocrinology Scientific Referencing Subcommittee (...) of Clinical Endocrinologists; ACE = American College of Endocrinology; ASeRT = ACE Scientific Referencing Team; CC = clinical checklist; CPA = clinical practice algorithm; CPG = clinical practice guidelines. GHD Clinical Practice Guidelines, Endocr Pract. 2019;25(No. 11) 1195 Copyright © 2019 AACE adult GHD in each individual patient with a history of hypothalamic-pituitary disease, as this condition is a well-defined clinical entity that is associated with excess morbidity and mortality (Grade B; BEL 2

2019 American Association of Clinical Endocrinologists

80. Unroofed coronary sinus newly diagnosed in adult patients after corrected congenital heart disease Full Text available with Trip Pro

Unroofed coronary sinus newly diagnosed in adult patients after corrected congenital heart disease Patients with congenital heart disease corrected in early childhood may later in life present with cardiac symptoms caused by other associated congenital anomalies that were initially not diagnosed. Nowadays, several noninvasive imaging modalities are available for the visualisation of cardiac anatomy in great detail. We describe two patients with an unroofed coronary sinus, a rare congenital

2014 Netherlands Heart Journal

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