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Congenital Heart Disease Imaging in Adults


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61. 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

62. Heart Disease and Stroke Statistics Full Text available with Trip Pro

. Physical Inactivity e99 5. Nutrition e119 6. Overweight and Obesity e138 Health Factors and Other Risk Factors 7. High Blood Cholesterol and Other Lipids e161 8. High Blood Pressure e174 9. Diabetes Mellitus e193 10. Metabolic Syndrome e212 11. Kidney Disease e233 12. Sleep e249 Cardiovascular Conditions/Diseases 13. Total Cardiovascular Diseases e257 14. Stroke (Cerebrovascular Disease) e281 15. Congenital Cardiovascular Defects and Kawasaki Disease e327 16. Disorders of Heart Rhythm e346 17. Sudden (...) States and globally. The Statistical Update also presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease [CHD], heart failure [HF], valvular disease, venous disease, and peripheral arterial disease) and the associated outcomes (including quality of care, procedures, and economic costs). Since 2007, the annual versions of the Statistical Update have

2019 American Heart Association

63. AIM Clinical Appropriateness Guidelines for Genetic Testing for Hereditary Cardiac Disease

Dilated cardiomyopathy (DCM) is characterized by enlargement of the left ventricle of the heart and systolic impairment, in the absence of abnormal loading conditions or coronary artery disease sufficient to cause global systolic dysfunction (Haas 2015). The symptoms of DCM are similar to heart failure including shortness of breath, chest pain/tightness, fainting episodes and cardiac arrhythmias. The most serious complication of DCM is sudden, irregular heart rhythms that can be life threatening. Some (...) with an isolated type 2 or 3 Brugada pattern on EKG. In most cases, the primary value of genetic testing for Brugada syndrome is to benefit at-risk family members. Short QT Syndrome Short QT syndrome (SQTS) is a congenital, inherited, primary electric disorder of the heart characterized by abnormally short QT intervals on the surface ECG (<360 ms) and an increased proclivity to develop atrial and/or ventricular tachyarrhythmias (Gussak 2005). SQTS is a genetically heterogeneous disease caused by mutations

2019 AIM Specialty Health

64. Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management Full Text available with Trip Pro

catheterization, noninvasive imaging, and medical therapies have significantly lowered mortality rates for children and adolescents with complex congenital heart disease (CHD). , Survivors are at risk for neurodevelopmental morbidity caused by both biological and environmental risk factors. Biological risk factors include underlying syndromes or genetic/developmental disorders, the circulatory abnormalities specific to the heart defect, and the medical and surgical therapies required. Biological risk factors (...) >2-wk in the hospital) 3.8. Perioperative seizures related to CHD surgery 3.9. Significant abnormalities on neuroimaging or microcephaly 4. Other conditions determined at the discretion of the medical home providers CHD indicates congenital heart disease; HLHS, hypoplastic left heart syndrome; IAA, interrupted aortic arch; PA/IVS, pulmonary atresia with intact ventricular septum; TA, truncus arteriosus; TAPVC, total anomalous pulmonary venous connection; TGA, transposition of the great arteries

2012 American Heart Association

65. BSR guideline Management of Adults with Primary Sjögren's Syndrome Full Text available with Trip Pro

Standards, Guideline and Audit Working Group, The British Society for Rheumatology guideline for the management of adults with primary Sjögren’s Syndrome, Rheumatology , Volume 56, Issue 10, October 2017, Pages e24–e48, Download citation file: © 2019 Oxford University Press Navbar Search Filter Mobile Microsite Search Term Close search filter search input , , , Background Primary Sjogren's Syndrome (pSS) is a classic, immune-mediated, condition of unknown aetiology characterized by focal lymphocytic (...) pathology other than SS including sarcoidosis, IgG4 disease [ ] and graft vs host disease [ ] may be implicated. Salivary gland aplasia and ductal atresia [ ] are both rare causes of oral sicca and viral infections including hepatitis C and HIV can cause salivary gland disease with hypertrophy and sicca symptoms. Xerostomia can be a feature of oral dysaesthesias with no objective reduction in salivary flow rate. Oral dysaesthesia or burning mouth syndrome is a chronic pain condition currently classified

2017 British Society for Rheumatology

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

needs are transferred or transi- tioned on an ad hoc basis although there are not dedicated clinics for these patient groups in the UK. Until recently, the majority of patients with coeliac disease and other common GI illnesses (con- stipation, GORD), together with simple functional GI disorders, have been transferred from paediatric to adult care or discharged from paediatric care with the expectation that the primary care physician will refer to an appropriate adult consultant if required. However (...) , the most common indication for liver transplant in children is for congenital reasons (biliary atresia) compared with acquired liver disease in adulthood. Recommendations and practice points We recommend that AYP with IBD, coeliac disease and chronic liver disease should be involved in formal transition arrange- ments (GRADE recommendation: strong (C)). Practice points ? AYP with other chronic GI and liver conditions, including complex functional disorders, are likely to bene?tfrom formal transition

2017 British Society of Gastroenterology

67. 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

68. 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

69. Structural and congenital heart disease interventions: the role of three-dimensional printing Full Text available with Trip Pro

Structural and congenital heart disease interventions: the role of three-dimensional printing Advances in catheter-based interventions in structural and congenital heart disease have mandated an increased demand for three-dimensional (3D) visualisation of complex cardiac anatomy. Despite progress in 3D imaging modalities, the pre- and periprocedural visualisation of spatial anatomy is relegated to two-dimensional flat screen representations. 3D printing is an evolving technology based (...) in the catheter-based treatment of adult patients with structural and congenital heart disease while highlighting the current limitations of this technology in terms of segmentation, model accuracy and dynamic capabilities. Furthermore, we provide information on the resources needed to establish a hospital-based 3D printing laboratory.

2017 Netherlands Heart Journal

70. Acyanotic Congenital Heart Disease and Transesophageal Echocardiography Full Text available with Trip Pro

Acyanotic Congenital Heart Disease and Transesophageal Echocardiography The spectrum of congenital heart disease (CHD) seen in the adult varies widely. Malformations range from mild anomalies requiring no intervention to extremely complex pathologies characterized by the presence of multiple coexistent defects. Echocardiography represents the primary noninvasive imaging modality in the assessment of these lesions. The transesophageal approach expands the applications of echocardiography (...) by allowing the acquisition of anatomic and functional information that may not be obtainable by transthoracic imaging.

2017 Annals of cardiac anaesthesia

71. Multimodality imaging in congenital heart disease-related pulmonary arterial hypertension. Full Text available with Trip Pro

Multimodality imaging in congenital heart disease-related pulmonary arterial hypertension. Pulmonary arterial hypertension (PAH) in adult patients with congenital heart disease (CHD) is associated with increased morbidity and mortality. The present review aims to discuss the clinical applications of invasive and non-invasive diagnostic modalities and to describe the strengths and weaknesses of each technique. Chest radiograph is an inexpensive investigation providing information on pulmonary (...) and pulmonary circulation, may represent an ideal target for evaluation with cardiac magnetic resonance. This non-invasive imaging modality has a low biological impact. CT plays an important role for patients with limited echocardiographic windows and those who are unable to undergo MRI (claustrophobia, poor compliance, presence of a pacemaker/implantable cardioverter defibrillator). It is the modality of choice for detailed assessment of pulmonary vessel obstruction or thrombosis. Finally, heart

2016 Heart

72. An adult case of Bland-White-Garland syndrome with collaterals from giant right coronary artery and bronchial artery Full Text available with Trip Pro

An adult case of Bland-White-Garland syndrome with collaterals from giant right coronary artery and bronchial artery Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right (...) coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography. heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources

2017 Journal of cardiology cases

73. Cardiovascular Health in Turner Syndrome: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Kadian-Dodov , Leo Lopez , Kristian H. Mortensen , Siddharth K. Prakash , Elizabeth V. Ratchford , Arwa Saidi , Iris van Hagen , Luciana T. Young , and Originally published 24 Sep 2018 Circulation: Genomic and Precision Medicine. 2018;11 Abstract Girls and women with Turner syndrome face a lifelong struggle with both congenital heart disease and acquired cardiovascular conditions. Bicuspid aortic valve is common, and many have left-sided heart obstructive disease of varying severity, from hypoplastic (...) from Gravholt et al. Copyright ©2017, European Society of Endocrinology. Because of the high prevalence of congenital and acquired cardiovascular disease in TS, noninvasive cardiac imaging is critical for diagnosis, management, and risk assessment. , , The most common modalities include TTE, CMR, and CT. , , TTE is useful in the diagnosis of a BAV and other congenital heart defects, as well as in the surveillance of aortic dilatation. However, the high prevalence of undiagnosed abnormalities

2018 American Heart Association

74. Management of Valvular Heart Disease Full Text available with Trip Pro

navigation 21 September 2017 Article Contents Article Navigation 2017 ESC/EACTS Guidelines for the management of valvular heart disease Helmut Baumgartner Corresponding authors: Helmut Baumgartner, Division of Adult Congenital and Valvular Heart Disease, Department of Cardiovascular Medicine, University Hospital Muenster, Albert Schweitzer Campus 1, Building A1, 48149 Muenster, Germany. Tel: +49 251 834 6110, Fax: +49 251 834 6109, E-mail: . Volkmar Falk, Department of Cardiothoracic and Vascular Surgery (...) , German Heart Center, Augustenburger Platz 1, D-133353 Berlin, Germany and Department of Cardiovascular Surgery, Charite Berlin, Charite platz 1, D-10117 Berlin, Germany. Tel: +49 30 4593 2000, Fax: +49 30 4593 2100, E-mail: . Search for other works by this author on: Volkmar Falk Corresponding authors: Helmut Baumgartner, Division of Adult Congenital and Valvular Heart Disease, Department of Cardiovascular Medicine, University Hospital Muenster, Albert Schweitzer Campus 1, Building A1, 48149 Muenster

2017 European Society of Cardiology

75. Cardiopulmonary Resuscitation in Infants and Children With Cardiac Disease Full Text available with Trip Pro

of English-language articles from 1966 to 2015, cross-referencing congenital and acquired heart disease with pertinent MESH search terms, as follows: acute cardiac tamponade; acute kidney injury; adoles- cent; adult; amiodarone; aortic valve insufficiency/sur - gery; aortic valve stenosis/congenital; aortic valve steno- sis/surgery; aortic valve stenosis/therapy; arrhythmias, cardiac; atropine; bicarbonates; biomarkers; calcium; cardiac arrest; cardiac catheterization; cardiac output, low; cardiac (...) Chitra Ravishankar, MD Ricardo A. Samson, MD Ravi R. Thiagarajan, MBBS, MPH Rune Toms, MD James Tweddell, MD, FAHA Peter C. Laussen, MBBS, Co-Chair On behalf of the American Heart Association Congenital Cardiac Defects Committee of the Council on Cardiovascular Disease in the Young; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Cardio- vascular Surgery and Anesthe- sia; and Emergency Cardiovas- cular Care Committee Cardiopulmonary Resuscitation in Infants

2018 American Heart Association

76. 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 (...) background of the cardiac imager. This is reflected by a writing committee that consists of pediatric and adult radiologists and cardiologists, all whom have extensive experience in performing CT in this patient population. Cardiovascular CT is complementary to other imaging modalities and its optimal use will be in centers where all diagnostic modalities are available. The choice of modality for an individual patient should be determined by age, diagnosis, clinical condition, clinical question

2015 Journal of cardiovascular computed tomography

77. 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

78. Canadian Cardiovascular Society/Canadian Cardiac Transplant Network Position Statement on Heart Transplantation: Patient Eligibility, Selection, and Post-Transplantation Care Full Text available with Trip Pro

solid organ transplantation, adult congenital heart disease, cardiac amyloidosis, high sensitization, and post-transplantation management of antibodies to human leukocyte antigen, rejection, cardiac allograft vasculopathy, and long-term noncardiac care. Attention is also given to Canadian-specific management strategies including the prioritization of highly sensitized transplant candidates (status 4S) and heart organ allocation algorithms. The focus topics in this position statement highlight (...) year). Radovancevic B. McGiffin D.C. Kobashigawa J.A. et al. Retransplantation in 7,290 primary transplant patients: a 10-year multi-institutional study. J Heart Lung Transplant. 2003; 22 : 862-868 14. We recommend cardiac retransplantation for highly selected patients with severe chronic allograft dysfunction (Strong Recommendation, Moderate-Quality Evidence). Values and preferences. Retransplantation should be avoided in patients with AR. Adult congenital heart disease There are no published

2020 Canadian Cardiovascular Society

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

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 (...) with patients with AO-GHD, adults with CO-GHD tend to have lower BMI, waist-to-hip ratio, serum IGF-1 levels (77), and poorer social outcomes (80). Additionally, adults with CO-GHD due to organic hypothalamic-pituitary disease (e.g., craniopharyngioma, pituitary hypoplasia, ectopic posterior pituitary, or previous cranial irradiation) tend to have more severe long-term health consequences than those with AO-GHD, particularly with decreased muscle mass (81), BMD (82), and cardiac function (83). Q3. HOW

2019 American Association of Clinical Endocrinologists

80. Position Statement on the Management of Cardiac Electrophysiology and Cardiac Implantable Electronic Devices in Australia During the COVID-19 Pandemic: A Living Document Version 2

that is not urgent or emergent; (v) ablation of arrhythmias thought to be contributing to cardiomyopathy (Domain 4). • More detailed classification of elective EP and CIED procedures that could be considered as “non-urgent (Domain 4). • Addition of Domain 6, with recommendations for EP and CIED implications for children and adults with congenital heart disease. HRC COVID-19 9/4/2020, version 2 3 EXECUTIVE SUMMARY The COVID-19 pandemic poses a significant stress on health resources in Australia. The Heart Rhythm (...) a pneumonic respiratory illness, with the potential for severe cardiovascular damage. Its high infectivity rate has led to rapid escalation of affected cases around the world. It demonstrates a higher mortality rate amongst patients with pre- existing illness, in particular, those with cardiovascular disease. This has prompted a rapid evaluation of routine cardiac electrophysiology (EP) and Cardiac Implantable Electronic Devices (CIED) services within Australia. Major international societies (Heart Rhythm

2020 Cardiac Society of Australia and New Zealand

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