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Congenital Heart Disease Imaging in Adults

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81. 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

of childhood that leads to coronary artery aneurysms in ≈25% of untreated cases. It has been reported worldwide and is the leading cause of acquired heart disease in children in developed countries. Methods and Results: To revise the previous American Heart Association guidelines, a multidisciplinary writing group of experts was convened to review and appraise available evidence and practice-based opinion, as well as to provide updated recommendations for diagnosis, treatment of the acute illness, and long (...) , the potential for coronary artery complications was not appreciated. KD is now the most common cause of acquired heart disease in children in developed countries. In the absence of pathognomonic tests, the diagnosis continues to rest on the identification of principal clinical findings and the exclusion of other clinically similar entities with known causes. Timely initiation of treatment with intravenous immunoglobulin (IVIG) has reduced the incidence of coronary artery aneurysms defined from absolute

2017 American Heart Association

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

of symptoms. Dilated Cardiomyopathy 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 (...) cardiac conduction disease (i.e. first, second or third degree heart block) and/or family history of premature unexplained death. In addition, they state that genetic testing can be useful for patients with familial DCM to confirm diagnosis, to recognize those who are at highest risk of arrhythmia and syndromic PROPRIETARY Guidelines developed by, and used with permission from, Informed Medical Decisions, Inc. © 2017 Informed Medical Decisions, Inc. All Rights Reserved. 7 features, to facilitate

2017 AIM Specialty Health

83. 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

84. 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

85. 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

86. 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

87. Task Force 2: Pediatric Cardiology Fellowship Training in Noninvasive Cardiac Imaging

-dimensional, and speckle tracking to assess global and regional deformation, color Doppler imaging, as well as pulsed and continuous- wave spectral Doppler imaging for flow, hemodynamics, and tissue motion. Cardiac MRI refers to anatomic and functional cardiovascular MRI for assessment of congenital heart disease (CHD) in children and adults, as well as for assessment of acquired forms of heart disease in children. 1.3. Levels of Expertise—Core and Advanced Innovations in the field of echocardiography (...) in February 2015. It was endorsed by the American Society of Echocardiography and approved by the ACC in March 2015. This document is considered current until the SPCTPD revises or withdraws it. 1.2. Background and Scope For over 25 years, noninvasive cardiac imaging has been the mainstay of anatomic and physiological assessment in pedi- atric cardiology and congenital heart disease. An ACC/AAP/ AHA combined task force published pediatric noninvasive car- diac imaging training guidelines in 2005

2015 American Heart Association

88. Pediatric Post–Cardiac Arrest Care: A Scientific Statement From the American Heart Association

saturation Central venous pressure Chest radiograph Additional hemodynamic monitoring Echocardiography Neurological monitoring Neurological clinical examination, serial EEG, continuous Imaging: brain CT or brain MRI CT indicates computerized tomography; EEG, electroencephalography; MRI, magnetic resonance imaging; and PCAS, post–cardiac arrest syndrome. PCAC begins with establishment of monitoring as soon as possible after ROSC, with simultaneous investigation and treatment of underlying disease (...) illness peer-reviewed published literature. The statement summarizes the epidemiology, pathophysiology, management, and prognostication after return of sustained circulation after cardiac arrest, and it provides consensus on the current evidence supporting elements of pediatric post–cardiac arrest care. The authors of this statement were selected to ensure expertise relevant to post–cardiac arrest care (PCAC). The authors included adult and pediatric care providers with expertise in emergency medicine

2019 American Heart Association

89. 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 Full Text available with Trip Pro

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 (...) infection (ARTI) is the most common reason for antibiotic prescription in adults. Antibiotics are often inappropriately prescribed for patients with ARTI. This article presents best practices for antibiotic use in healthy adults (those without chronic lung disease or immunocompromising conditions) presenting with ARTI. Methods: A narrative literature review of evidence about appropriate antibiotic use for ARTI in adults was conducted. The most recent clinical guidelines from professional societies were

2016 American College of Physicians

90. 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

91. 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

92. ST2, a Novel Biomarker for Cardiac Remodeling in Adults With Congenital Heart Disease

publications in the medical literature. We believe that the newly discovered cardiac marker, ST2, will emerge as an important addition to cardiac evaluation in the coming years.The aim of this study is to measure ST2 levels in patients with congenital right heart disease and correlate ST2 levels to clinical status, imaging and prognosis. Condition or disease Congenital Heart Disease Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 35 participants (...) ST2, a Novel Biomarker for Cardiac Remodeling in Adults With Congenital Heart Disease ST2, a Novel Biomarker for Cardiac Remodeling 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

2013 Clinical Trials

93. Diagnosis and management of epilepsy in adults

cause of confusion with epilepsy; this diagnosis should not be missed due to the risk of sudden death from cardiac arrhythmia. Collapse with syncopal features but without warning, particularly if occurring on exercise, or in the context of a personal or family history of either congenital heart disease or sudden death, should raise suspicion of cardiac syncope. Non-epileptic attack disorder These are events (also known as psychogenic non-epileptic seizures, dissociative seizures or pseudoseizures (...) need cannot be met by licensed medicines within the marketing authorisation. Such use should be supported by appropriate evidence and experience. 6 “Prescribing medicines outside the conditions of their marketing authorisation alters (and probably increases) the prescribers’ professional responsibility and potential liability” . 6 Diagnosis and management of epilepsy in adults| 3 The General Medical Council recommends that when prescribing a medicine off label, doctors should: y be satisfied

2018 SIGN

94. 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

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 (...) = 9), or venous and arterial cannulation (n = 16) because of anatomic constraints within the chest cavity. Three patients experienced groin complications (pseudoaneurysm, abscess, ischemia) requiring surgery.Cardiac injury during reoperative surgery in adults with congenital heart disease is not uncommon. The preoperative history and imaging findings could be predictive of certain cardiac injury patterns. Using the preoperative history and 3-dimensional imaging findings, a more selective algorithm

2013 Journal of Thoracic and Cardiovascular Surgery

95. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

of it has evolved tremendously during the past 8 decades, especially in the past 5 years. On the basis of isolated case reports and small series, SCAD was initially described as a rare and almost universally fatal cause of acute coronary syndrome (ACS), myocardial infarction (MI), and sudden cardiac death in peripartum women, but contemporary reports have refuted these misconceptions. Indeed, advances in our understanding of the epidemiology of SCAD, the availability of intravascular imaging techniques (...) . Tweet , and Malissa J. Wood and On behalf of the American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council Originally published 22 Feb 2018 Circulation. 2018;137:e523–e557 You are viewing the most recent version of this article. Previous versions: Abstract Spontaneous coronary artery dissection (SCAD) has emerged as an important cause of acute coronary

2018 American Heart Association

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

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 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

2018 American Heart Association

97. 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

98. 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

99. Prevalence and characteristics of coronary artery anomalies in an adult population undergoing multidetector-row computed tomography for the evaluation of coronary artery disease. Full Text available with Trip Pro

Prevalence and characteristics of coronary artery anomalies in an adult population undergoing multidetector-row computed tomography for the evaluation of coronary artery disease. Congenital coronary anomalies are uncommon with an incidence ranging from 0.17 % in autopsy cases to 1.2 % in angiographically evaluated cases. The recent development of ECG-gated multi-detector row computed tomography (MDCT) coronary angiography allows accurate and noninvasive depiction of coronary artery (...) anomalies.This retrospective study included 2572 patients who underwent coronary 64-slice MDCT coronary angiography from January 2008 to March 2012. Coronary angiographic scans were obtained with injection of 80 ml nonionic contrast medium. Retrospective gating technique was used to synchronize data reconstruction with the ECG signal. Maximum intensity projection, multi-planar reformatted, and volume rendering images were derived from axial scans.Of the 2572 patients, sixty (2.33 %) were diagnosed

2015 BMC Cardiovascular Disorders

100. ACR-ASNR-SCBT-MR Practice Guideline for the Performance of Magnetic Resonance Imaging (MRI) of the Adult Spine

include, but are not limited to, the evaluation of: 1. Congenital spine and spinal cord malformations 2. Inflammatory/autoimmune disorders a. Demyelinating disease. i. Multiple sclerosis (MS). ii. Acute disseminated encephalomyelitis (ADEM). iii. Acute inflammatory demyelinating polyradiculopathy (Guillian-Barre syndrome). b. Connective tissue disorders, e.g., systemic lupus erythematosus. 3. Infectious conditions a. Spinal infection, including disk space infection, vertebral osteomyelitis (...) , and epidural abscess. b. Spinal cord infection including abscess. 4. Vascular disorders a. Spinal vascular malformations and/or the cause of occult subarachnoid hemorrhage. b. Spinal cord infarction. 5. Degenerative conditions a. Degenerative disk disease and its sequelae in the lumbar, thoracic, and cervical spine. b. Neurodegenerative disorders such as subacute combined degeneration, spinal muscular atrophy, amyotrophic lateral sclerosis. 6. Trauma Nature and extent of injury to spinal cord, vertebral

2012 American Society of Neuroradiology

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