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Congenital Heart Disease Imaging in Adults

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81. 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

82. 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

83. 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

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2016 American College of Physicians

84. Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement From the American Heart Association

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

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2018 American Heart Association

85. Is the liberal use of preoperative 3-dimensional imaging and presternotomy femoral cutdown beneficial in reoperative adult congenital heart surgery? (PubMed)

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

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2013 Journal of Thoracic and Cardiovascular Surgery

86. 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

87. 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

88. Normal values for myocardial deformation within the right heart measured by feature-tracking cardiovascular magnetic resonance imaging. (PubMed)

Normal values for myocardial deformation within the right heart measured by feature-tracking cardiovascular magnetic resonance imaging. Reproducible and repeatable assessment of right heart function is vital for monitoring congenital and acquired heart disease. There is increasing evidence for the additional value of myocardial deformation (strain and strain rate) in determining prognosis. This study aims to determine the reproducibility of deformation analyses in the right heart using (...) cardiovascular magnetic resonance feature tracking (FT-CMR); and to establish normal ranges within an adult population.A cohort of 100 healthy subjects containing 10 males and 10 females from each decade of life between the ages of 20 and 70 without known congenital or acquired cardiovascular disease, hypertension, diabetes, dyslipidaemia or renal, hepatic, haematologic and systemic inflammatory disorders underwent FT-CMR assessment of right ventricular (RV) and right atrial (RA) myocardial strain and strain

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2017 International journal of cardiology

89. Right Heart Catheterization Using Magnetic Resonance Imaging Fluoroscopy and Passive Guidewires

Intervention/treatment Phase Pulmonary Artery Hypertension Congenital Heart Disease Structural Heart Disease Procedure: MRI Right Heart guidewire catheterization Phase 1 Phase 2 Detailed Description: Heart catheterization is a minimally invasive procedure to measure pressure into specific heart cavities. Heart catheterization usually uses X-ray guidance, which involves radiation exposure, and which fails to visualize soft tissue. For several years, real-time magnetic resonance imaging (MRI) fluoroscopy has (...) Right Heart Catheterization Using Magnetic Resonance Imaging Fluoroscopy and Passive Guidewires Right Heart Catheterization Using Magnetic Resonance Imaging Fluoroscopy and Passive Guidewires - 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

2017 Clinical Trials

90. Interventional cardiology in adults with congenital heart disease. (PubMed)

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

91. 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 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 (...) adding more. ST2, a Novel Biomarker for Cardiac Remodeling 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: NCT01774890 Recruitment Status : Completed First Posted : January 24, 2013 Last Update Posted : August 10, 2017 Sponsor: Hadassah Medical Organization

2013 Clinical Trials

92. Magnetic Resonance Myocardial Perfusion Imaging: Safety and Indications in Pediatrics and Young Adults. (PubMed)

, exercise-induced stress MPI, and MPI for cardiac mass diagnosis. Relevant clinical history, exam indications, and adverse reactions following gadolinium-based contrast agent and adenosine administration were recorded. Studies were reviewed for the presence of myocardial perfusion defects, wall motion abnormalities, and delayed myocardial enhancement. The most common indications from MPI were congenital heart disease (CHD), Kawasaki disease, anomalous coronary artery, or myocardial mass characterization (...) Magnetic Resonance Myocardial Perfusion Imaging: Safety and Indications in Pediatrics and Young Adults. The purpose of this study was to assess the safety and indications for cardiac magnetic resonance (CMR) with myocardial perfusion imaging (MPI) in a cohort of children and young adults. A retrospective review of 178 children and young adults who underwent CMR with MPI was performed. Studies were categorized based on study protocols as MPI with resting perfusion only, adenosine stress MPI

2017 Pediatric Cardiology

93. 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

94. 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

95. 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

96. Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures in Patients With Congenital Heart Disease: 15-Year Data From a Population-Based Longitudinal Cohort. (PubMed)

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

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2015 Circulation

97. 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

98. Heart Disease and Stroke Statistics?2016 Update

. High Blood Pressure e135 10. Diabetes Mellitus e148 11. Metabolic Syndrome e162 12. Chronic Kidney Disease e178 Cardiovascular Conditions/Diseases 13. Total Cardiovascular Diseases e184 14. Stroke (Cerebrovascular Disease) e204 15. Congenital Cardiovascular Defects and Kawasaki Disease e235 16. Disorders of Heart Rhythm e247 17. Sudden Cardiac Arrest e268 18. Subclinical Atherosclerosis e279 19. Coronary Heart Disease, Acute Coronary Syndrome, and Angina Pectoris e292 20. Cardiomyopathy and Heart (...) States and globally. The Statistical Update brings together in a single document up-to-date information on the core health behaviors (including diet, physical activity [PA], smoking, and energy balance) and health factors (including blood pressure, cholesterol, and glucose) that define cardiovascular health; a range of major clinical disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease

2014 American Heart Association

99. Cardiovascular management in pregnancy: congenital heart disease. (PubMed)

Cardiovascular management in pregnancy: congenital heart disease. The population of adults with CHD continues to expand,and thus the number of women with CHD who contemplate pregnancy or become pregnant is also growing. Mothers with low-risk defects can be managed by general cardiologist,whereas those with more complex defects should be managed by or with the assistance of ACHD cardiologists. It is important to acknowledge that all patients with CHD may have unique anatomy or physiology (...) , despite their classification as having a simple, moderate, or complex defect. As such, clinicians evaluating these patients should have adequate knowledge and expertise when assessing patient's risk for pregnancy,when performing imaging or hemodynamic studies, and when managing these patients during pregnancy. The American Board of Medical Specialties has recently recognized ACHD as a subspecialty of cardiovascular disease to treat the specialized needs of these patients in adulthood. ACHD experts can

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2014 Circulation

100. White Matter Microstructure and Cognition in Adolescents with Congenital Heart Disease. (PubMed)

White Matter Microstructure and Cognition in Adolescents with Congenital Heart Disease. To describe the relationship between altered white matter microstructure and neurodevelopment in children with dextro-transposition of the great arteries (d-TGA).We report correlations between regional white matter microstructure as measured by fractional anisotropy (FA) and cognitive outcome in a homogeneous group of adolescents with d-TGA. Subjects with d-TGA (n = 49) and controls (n = 29) underwent (...) diffusion tensor imaging and neurocognitive testing. In the group with d-TGA, we correlated neurocognitive scores with FA in 14 composite regions of interest in which subjects with d-TGA had lower FA than controls.Among the patients with d-TGA, mathematics achievement correlated with left parietal FA (r = 0.39; P = .006), inattention/hyperactivity symptoms correlated with right precentral FA (r = -0.39; P = .006) and left parietal FA (r = -0.30; P = .04), executive function correlated with right

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2014 Journal of Pediatrics

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