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Congenital Heart Disease Imaging in Adults

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81. Haemodynamic consequences of targeted single- and dual-site right ventricular pacing in adults with congenital heart disease undergoing surgical pulmonary valve replacement Full Text available with Trip Pro

Haemodynamic consequences of targeted single- and dual-site right ventricular pacing in adults with congenital heart disease undergoing surgical pulmonary valve replacement The purpose of this study was to create an epicardial electroanatomic map of the right ventricle (RV) and then apply post-operative-targeted single- and dual-site RV temporary pacing with measurement of haemodynamic parameters. Cardiac resynchronization therapy is an established treatment for symptomatic left ventricular (LV (...) ) dysfunction. In congenital heart disease, RV dysfunction is a common cause of morbidity-little is known regarding the potential benefits of CRT in this setting.Sixteen adults (age = 32 ± 8 years; 6 M, 10 F) with right bundle branch block (RBBB) and repaired tetralogy of Fallot (n = 8) or corrected congenital pulmonary stenosis (n = 8) undergoing surgical pulmonary valve replacement (PVR) for pulmonary regurgitation underwent epicardial RV mapping and haemodynamic assessment of random pacing configurations

2014 Europace

82. Is the liberal use of preoperative 3-dimensional imaging and presternotomy femoral cutdown beneficial in reoperative adult congenital heart surgery? Full Text available with Trip Pro

Is the liberal use of preoperative 3-dimensional imaging and presternotomy femoral cutdown beneficial in reoperative adult congenital heart surgery? Patients with congenital heart disease frequently survive into adulthood, and many of them will require repeat surgery. Often, the unique anatomy can make reoperative sternotomy and the conduct of cardiopulmonary bypass challenging. We evaluated the utility of preoperative 3-dimensional imaging and presternotomy femoral cutdown in reoperative adult (...) congenital heart disease surgery.We retrospectively studied 205 adult patients, who had undergone reoperative cardiac surgery for congenital heart disease from 2006 to 2011. Using the operative history and 3-dimensional preoperative imaging findings, an algorithm was created to determine whether femoral cutdown or cannulation should be performed before sternal reentry. Analyses were performed to determine the benefits of this strategy. In addition, analyses were performed to identify adverse outcomes

2013 Journal of Thoracic and Cardiovascular Surgery

83. Imaging Program Guidelines: Pediatric Imaging

and/or standards of medical practice. These include: ¾ Oncologic imaging – Considerations include the type of malignancy and the point along the care continuum at which imaging is requested ¾ Conditions which span multiple anatomic regions – Examples include certain gastrointestinal indications or congenital spinal anomalies Repeated Imaging In general, repeated imaging of the same anatomic area should be limited to evaluation following an intervention, or when there is a change in clinical status (...) of clinical appropriateness under the guidelines for specific imaging exams is a determination that the following are true with respect to the imaging request: ? A clinical evaluation has been performed prior to the imaging request (which should include a complete history and physical exam and review of results from relevant laboratory studies, prior imaging and supplementary testing) to identify suspected or established diseases or conditions. ? For suspected diseases or conditions: ? Based

2017 AIM Specialty Health

84. Evaluation of Impedance Cardiography for Measurement of Stroke Volume in Congenital Heart Disease. (Abstract)

Evaluation of Impedance Cardiography for Measurement of Stroke Volume in Congenital Heart Disease. Noninvasive measurement of cardiac output (CO) and particularly stroke volume (SV) remain difficult but potentially valuable. These variables can be particularly challenging to measure in children with congenital heart disease (CHD). Impedance cardiography (IC) is a technique shown to be accurate in measuring SV in adults and in children with structurally normal hearts. The ease of use (...) and rapidity of SV measurement using IC makes it potentially attractive for young patients with CHD. Advances in IC technology have led to more sophisticated signal-morphology IC (SMIC) devices that may further improve accuracy. We tested the accuracy of SMIC to measure SV in 21 subjects with CHD by comparing measurements with those from cardiac magnetic resonance (CMR) imaging. There was good agreement between SMIC and CMR in measurement of SV: mean difference = 1.7 ml (p = 0.47); r = 0.89. The agreement

2016 Pediatric Cardiology

85. Study of RV Remodeling in Congenital Heart Disease

Study of RV Remodeling in Congenital Heart Disease Study of RV Remodeling in 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. Study of RV Remodeling in Congenital Heart Disease (...) in repaired TOF patients, PS patients with sex and age-matched controls 2, Assess the relationship of our proposed parameters to global RV function and exercise capacity in repaired TOF patients and PS patient Condition or disease Intervention/treatment Congenital Heart Disease Other: Cardiovascular Magnetic Resonance Imagine (MRI) Other: Cardiopulmonary exercise testing (CPET) Other: Echocardiography Detailed Description: Right ventricular (RV) function is increasingly recognized to play an important

2016 Clinical Trials

86. Cardiac output as a predictor in congenital heart disease: Are we stating the obvious? (Abstract)

Cardiac output as a predictor in congenital heart disease: Are we stating the obvious? Significant pulmonary regurgitation, declining right-sided ejection fraction, increased right ventricular (RV) volumes as well as left ventricular (LV) dysfunction have all been identified as predictors of poor outcomes in patients with congenital heart disease (CHD). The prognostic value of the cardiac output (CO) in these patients however has never been studied.All consecutive ambulatory adult patients (...) (hazard ratio 2.2, 95% confidence interval 1.3-4.0), superior to LVEF, RVEF, total regurgitant volume and RVESV parameters.In patients with congenital heart disease, cardiac index is the best predictor of cardiac hospitalizations and cardiac interventions.Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

2016 International journal of cardiology

87. Grown-Up Congenital Heart Disease

from the ESC. Permission can be obtained upon submission of a written request to Oxford University Press, the publisher of the European Heart Journal and the party authorized to handle such permissions on behalf of the ESC. * Corresponding author. Adult Congenital and Valvular Heart Disease Center (EMAH-Zentrum) Muenster, Department of Cardiology and Angiology, University Hospital Muenster, Albert-Schweitzer-Str. 33, D-48149 Muenster, Germany. Tel: +49 251 8346110, Fax:+49 251 8346109, Email (...) considerations . . . . . . . . . . . . . . . . . . . . . . . . . .2918 3.1 Prevalence of grown-up congenital heart disease and organization of care . . . . . . . . . . . . . . . . . . . . . . . . .2918 3.2 Diagnostic work-up . . . . . . . . . . . . . . . . . . . . . . . . .2918 3.2.1 Echocardiography . . . . . . . . . . . . . . . . . . . . . . . .2919 3.2.2 Cardiac magnetic resonance imaging . . . . . . . . . . . .2919 3.2.3 Computed tomography . . . . . . . . . . . . . . . . . . . . .2920 3.2.4

2010 European Society of Cardiology

88. The Life Experience of Young Women (Age 18-38) Who Live With Congenital Heart Disease

The Life Experience of Young Women (Age 18-38) Who Live With Congenital Heart Disease The Life Experience of Young Women (Age 18-38) Who Live 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. The Life Experience of Young Women (Age 18-38) Who Live 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: NCT02909543 Recruitment Status : Unknown Verified May 2016 by Hillel Yaffe Medical Center. Recruitment status was: Recruiting First Posted : September 21

2016 Clinical Trials

89. Assessing Neurodevelopment in Congenital Heart Disease.

. Children with CHD are a known risk population for brain injury, with neurodevelopmental alterations shown over time in up to 50% of cases. No adequate description exists of the type of neurocognitive anomalies or risk factors associated with CHD, and consequently no prognostic markers that may allow identification of high-risk cases are available. Condition or disease Intervention/treatment Phase Congenital Heart Disease Procedure: Sonography Device: Magnetic Resonance Imaging Other: Bailey Test (...) patients carrying a fetus with a moderate-severe congenital heart disease Interventions in this group will be: cord blood sample, sonography, Magnetic Resonance Imaging, Surgical intervention, brain monitoring and bailey test. Procedure: Sonography Fetal Ultrasound exploration Device: Magnetic Resonance Imaging Fetal MRI for brain study Other: Bailey Test Neurodevelopment paediatric assessment test performed at 2 years of age. Procedure: Surgical intervention Congenital Heart Disease repair Procedure

2016 Clinical Trials

90. The Application Value of STIC in the Diagnosis of Fetal Complex Congenital Heart Disease

and STIC images every 4-6 weeks during pregnancy and 1 weeks after the baby giving birth we finish their neonatal echocardiography. Study Design Go to Layout table for study information Study Type : Observational Estimated Enrollment : 265 participants Observational Model: Case-Only Time Perspective: Prospective Official Title: The Application Value of STIC in the Diagnosis of Fetal Complex Congenital Heart Disease Actual Study Start Date : April 25, 2017 Estimated Primary Completion Date : December (...) : September 2018 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Keywords provided by Xinhua Hospital, Shanghai Jiao Tong University School of Medicine: Spatio-Temporal Image Correlation Complicated congenital heart disease Echocardiography Additional relevant MeSH terms: Layout table for MeSH terms Heart Diseases Heart Defects, Congenital Cardiovascular Diseases Cardiovascular Abnormalities Congenital Abnormalities

2016 Clinical Trials

91. Integration of Computed Tomography and Three-Dimensional Echocardiography for Hybrid Three-Dimensional Printing in Congenital Heart Disease Full Text available with Trip Pro

Integration of Computed Tomography and Three-Dimensional Echocardiography for Hybrid Three-Dimensional Printing in Congenital Heart Disease Three-dimensional (3D) printing is an emerging technology aiding diagnostics, education, and interventional, and surgical planning in congenital heart disease (CHD). Three-dimensional printing has been derived from computed tomography, cardiac magnetic resonance, and 3D echocardiography. However, individually the imaging modalities may not provide adequate (...) visualization of complex CHD. The integration of the strengths of two or more imaging modalities has the potential to enhance visualization of cardiac pathomorphology. We describe the feasibility of hybrid 3D printing from two imaging modalities in a patient with congenitally corrected transposition of the great arteries (L-TGA). Hybrid 3D printing may be useful as an additional tool for cardiologists and cardiothoracic surgeons in planning interventions in children and adults with CHD.

2016 Journal of Digital Imaging

92. Papillary fibroelastoma associated with congenital heart disease: a coincidental association or a potential new syndrome? Full Text available with Trip Pro

. maliastarcioglu@hotmail.com. Astarcıoğlu Mehmet Ali MA Gündüz Sabahattin S Tuncer Altuğ A eng Case Reports Journal Article Turkey Anatol J Cardiol 101652981 2149-2263 IM Adult Coronary Angiography Diagnosis, Differential Ductus Arteriosus, Patent complications diagnosis diagnostic imaging Echocardiography, Transesophageal Female Heart Defects, Congenital complications diagnosis diagnostic imaging Heart Neoplasms complications diagnosis diagnostic imaging Heart Septal Defects, Atrial complications diagnosis (...) Papillary fibroelastoma associated with congenital heart disease: a coincidental association or a potential new syndrome? 26574764 2016 10 31 2018 11 13 2149-2271 15 11 2015 Nov Anatolian journal of cardiology Anatol J Cardiol Papillary fibroelastoma associated with congenital heart disease: a coincidental association or a potential new syndrome? 951-2 10.5152/AnatolJCardiol.2015.6371 Özkan Mehmet M Department of Cardiology, Koşuyolu Kartal Heart Training and Research Hospital; İstanbul-Turkey

2016 Anatolian journal of cardiology

93. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society

patients in this document is intended to direct healthcare providers to exercise clinical judgment, which is often required during the evaluation and management of patients with syncope. When a recommendation is made to refer a patient to a specialist with expertise for further evaluation, such as in the case of autonomic neurology, adult congenital heart disease (ACHD), older populations, or athletes, the writing committee agreed to make Class IIa recommendations because of the paucity of outcome data (...) , structural heart disease, previous arrhythmias, or reduced ventricular function Brief prodrome, such as palpitations, or sudden loss of consciousness without prodrome Syncope during exertion Syncope in the supine position Low number of syncope episodes (1 or 2) Abnormal cardiac examination Family history of inheritable conditions or premature SCD (<50 y of age) Presence of known congenital heart disease More Often Associated with Noncardiac Causes of Syncope Younger age No known cardiac disease Syncope

2017 American Heart Association

94. Effects of High-intensity Interval Training on Exercise Capacity in Patients With Grown-up Congenital Heart Disease

markers for heart failure as well as occurrence of irregular fast heart beats will be assessed. Condition or disease Intervention/treatment Phase Congenital Heart Defects Procedure: HIIT Other: MICE Not Applicable Detailed Description: Background Adults with congenital heart disease have long been recommended to refrain from physical exercise. Therefore, they often have significant reduction in exercise capacity. Only recently, regular exercise has been shown to be safe and is nowadays recommended (...) and important exercise modality in cardiac rehabilitation centers all over Europe for stable cardiac patients with left ventricular (LV) dysfunction. However, its safety and efficacy has not yet been tested in adults with congenital heart disease and to date there are no studies who have evaluated whether short term peaks of pulmonary artery or systemic pressure during bouts of 4 min of high-intensity exercise negatively affects the subpulmonary or systemic ventricle in GUCH patients. The investigators

2015 Clinical Trials

95. Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures in Patients With Congenital Heart Disease: 15-Year Data From a Population-Based Longitudinal Cohort. Full Text available with Trip Pro

Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures in Patients With Congenital Heart Disease: 15-Year Data From a Population-Based Longitudinal Cohort. The burden of low-dose ionizing radiation (LDIR) exposure from medical procedures among individuals with congenital heart disease (CHD) is unknown. In this longitudinal population-based study, we sought to determine exposure to LDIR-related cardiac imaging and therapeutic procedures in children and adults with CHD.In an analysis (...) of the Quebec CHD database, exposure to the following LDIR-related cardiac procedures was recorded: catheter-based diagnostic procedures, structural heart interventions, coronary interventions, computed tomography scans of the chest, nuclear procedures, and pacemaker/implantable cardioverter-defibrillator insertion and repair. From 1990 to 2005, there were 16 253 LDIR-exposed patients with CHD with 317 988 patient-years of available follow-up. The total number of LDIR-related procedures increased from 18.5

2015 Circulation

96. Near Infrared Spectroscopy in Cyanotic Congenital Heart Disease

. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: up to 18 Years (Child, Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Children with cyanotic congenital heart disease (...) Near Infrared Spectroscopy in Cyanotic Congenital Heart Disease Near Infrared Spectroscopy in Cyanotic 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. Near Infrared Spectroscopy

2015 Clinical Trials

97. NOACs for Atrial Tachyarrhythmias in Congenital Heart Disease

Posted : October 10, 2016 Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) Collaborator: The Interuniversity Cardiology Institute of the Netherlands Information provided by (Responsible Party): Berto J Bouma, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) Study Details Study Description Go to Brief Summary: Rationale: Adult patients with congenital heart disease (CHD) with atrial tachyarrhythmias need to be anticoagulated. It is not known whether non (...) -vitamin K antagonist oral anticoagulants (NOAC) in this patient group are efficient and safe. Aim: The purpose of the NOTE registry is to evaluate the efficacy and safety of NOACs for thromboembolic prevention in atrial tachyarrhythmias in adult patients with congenital heart disease (CHD). Methods: In this multicenter prospective registry adult CHD patients with atrial tachyarrhythmias on NOACs (switch from VKA or new on anticoagulants) will be followed for a minimum of two years. Primary efficacy

2015 Clinical Trials

98. T1 Mapping of Diffuse Myocardial Fibrosis in Congenital Heart Disease

T1 Mapping of Diffuse Myocardial Fibrosis in Congenital Heart Disease T1 Mapping of Diffuse Myocardial Fibrosis in 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. T1 Mapping (...) of Diffuse Myocardial Fibrosis in 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: NCT02350829 Recruitment Status : Unknown Verified April 2015 by Lars Grosse-Wortmann, The Hospital for Sick Children. Recruitment status was: Recruiting First Posted : January 30, 2015 Last Update

2015 Clinical Trials

99. Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention

English-language articles and used the following Medical Subject Headings terms: “acute bronchitis,” “respiratory tract infection,” “pharyngitis,” “rhinosinusitis,” and “the common cold”. The focus of the article was limited to healthy adults without chronic lung disease (such as cystic fibrosis, bronchiectasis, and chronic obstructive pulmonary disease) or immunocompromising conditions (congenital or acquired immunodeficiencies, HIV infection, chronic renal failure, nephrotic syndrome, leukemia (...) Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account

2016 American College of Physicians

100. Interventional cardiology in adults with congenital heart disease. (Abstract)

Interventional cardiology in adults with congenital heart disease. Interventional cardiac catheterization has become an integral component of the management of adults with congenital heart disease. The origins of this approach come from the paediatric interventional experience, although techniques and indications for interventional cardiac catheterization in adults are now being developed for use in the burgeoning field of adult congenital heart disease. Progress in the application (...) and acceptance of interventional cardiac catheterization in this setting has been swift, and the pace is quickening. This Review provides a broad overview of some of the most common procedures used in the treatment of adults with congenital heart lesions, with an emphasis on new tools that have revolutionized the field. Specifically, we discuss interventions that can be broadly classified into the following groups: techniques for closing shunt lesions, valvular interventions, methods for achieving patency

2013 Nature reviews. Cardiology

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