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Congenital Heart Disease Imaging in Adults

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101. 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

102. 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

103. 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

104. 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

105. Neurodevelopment in Infants With Complex Congenital Heart Defects

: June 30, 2016 Estimated Primary Completion Date : January 30, 2019 Estimated Study Completion Date : January 30, 2019 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Group/Cohort Infants with Complex Congenital Heart Defect Infants diagnosed a Complex Congenital Heart Defect Comparison/Healthy Infants Infants born without genetic syndromes or cardiac condition. Outcome Measures Go to Primary Outcome Measures : Change in MRI (Magnetic Resonance (...) (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

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

, 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

107. Management of Rhinosinusitis in Adolescents and Adults

. 1, level III Smoking (active and passive), family history of chronic rhinosinusitis, asthma and gastroesophageal reflux disease are important risk factors for rhinosinusitis.Management of Rhinosinusitis in Adolescents and Adults 3 4. DIAGNOSIS The diagnosis of RS is usually based on clinical symptoms supported by diagnostic imaging or nasal endoscopy. 1, level III 4.1 Clinical Diagnosis • Clinical definition of rhinosinusitis in adults is defined as: ? Inflammation of the nose and the paranasal (...) of Rhinosinusitis in Adolescents and Adults 19 ABRS is unproven. 19, level III In local context, decongestants is prescribed in ARS. • Topical decongestants should not be prescribed for more than two weeks due to rebound phenomenon. Oral decongestants should be cautiously prescribed in those with medical conditions such as diabetes mellitus, cardiovascular diseases, glaucoma and benign prostate hyperplasia. c. Mucolytics There is no evidence to support the use of mucolytics in RS. 1, level III d. Antiviral

2019 Ministry of Health, Malaysia

108. BTS Guideline for Bronchiectasis in adults

erythematosus, and ankylosing spondylitis. A study of a 507 patient cohort with primary Sjogren’s syndrome (PSS) identified 120 patients with suspected pulmo- nary disease, and found bronchiectasis on CT scan in 50 patients. 41 Retrospective studies confirm the association. 42–44 A retrospective review of 79 patients with Marfan’s who underwent HRCT imaging found evidence of bronchiectasis in 28%. 45 Airway dilatation was described as not severe, often confined to one lobe and was said to localise (...) of cough in adults 61 ). SeCTion 6 investigations for causes of bronchiectasis Introduction Single centre studies have shown that investigations into the underlying cause of bronchiectasis can change patient manage- ment in a significant proportion of cases (5%–37%) and identify previously unrecognised conditions such as allergic broncho- pulmonary aspergillosis (ABPA), primary antibody deficiency syndromes and cystic fibrosis (CF) which have important ther- apeutic and prognostic implications. 23 62

2019 British Thoracic Society

109. Adult and Pediatric Antibiotic Prophylaxis during Vascular and IR Procedures: A Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radological Society of Europe and the Canadian Association for

in 2015 (37– 39) indicate that prophylaxis against a-hemolytic streptococci (Streptococcus viridans) is indicated only for patients at high risk, including those with prosthetic valves, a history of infective endocarditis, congenital heart disease repaired with foreign material, or cardiac transplant with valvulopathy. In thesepatients,antibioticagentsarerecommendedbeforelungorchestbiopsy or abscess/empyema drainage (37). Amoxicillin or cefazolin are effective agents, with clindamycin (...) are prescribed based on the patient’s age, weight, body surface area, and/or clinical condition (21). For pediatric antibiotic regimens, doses are usually weight-based, and therefore careful calculation is required to ensure correct dosage. Pediatric patients therefore are at a higher risk than adults for experiencing the effects of dosing errors; this may result in subtherapeutic antibiotic dosing causing treatment failure and the emergence of resistant organisms (22) or supratherapeutic dosing and toxicity

2019 Society of Interventional Radiology

110. Imaging Program Guidelines: Pediatric Imaging

or hereditary Examples include ataxia-telangiectasia, fragile X syndrome, congenital anomalies of the posterior fossa. Congenital or developmental anomaly Diagnosis or management (including perioperative evaluation) of a suspected or known congenital anomaly or developmental condition Examples include Chiari malformation, craniosynostosis, macrocephaly, and microcephaly. ? Ultrasound is required as the initial study to evaluate macrocephaly in patients under 5 months of age. Magnetic Resonance Imaging (MRI (...) 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

2017 AIM Specialty Health

111. Congenital Adrenal Hyperplasia Due to Steroid 21-Hydroxylase Deficiency Full Text available with Trip Pro

metabolic syndrome and related sequelae. (2|⊕○○○) 6.11 In adult patients with congenital adrenal hyperplasia, we suggest screening of bone mineral density in anyone subjected to a prolonged period of higher-than-average glucocorticoid dosing, or who has suffered a nontraumatic fracture. (2|⊕○○○) 6.12 In adults with classic congenital adrenal hyperplasia, we recommend against routine adrenal imaging. (1|⊕○○○) Technical remark: Reserve adrenal imaging for individuals with classic congenital adrenal (...) with congenital adrenal hyperplasia, we recommend educating patients and their guardians and close contacts on adrenal crisis prevention and increasing the dose of glucocorticoid (but not mineralocorticoid) during intercurrent illness. (1|⊕⊕⊕○) 4.11 We recommend equipping every patient with congenital adrenal hyperplasia with a glucocorticoid injection kit for emergency use and providing education on parenteral self-administration (young adult and older) or lay administration (parent or guardian) of emergency

2018 Pediatric Endocrine Society

112. 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

113. 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

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

, 2014; Hickey et al., 2012). Most qualitative studies focusing on the quality of life compare men and women, completely ignoring women's body image and the experience of womanhood (Hickey et al., 2012; Hövels-Gürich et al., 2007; Sarikouch, et al., 2013). This study aims to focus on women's stories about their life experiences and the influence of surgery(ies) on their daily life using an the qualitative phenomenological approach. Condition or disease Intervention/treatment Women With Congenital (...) 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

2016 Clinical Trials

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

counseling. Condition or disease Congenital Heart Disease Detailed Description: This is a diagnostic test in Shanghai Xinhua hospital from Nov.2016 to Dec.2017. 265 Cases are gravidas with fetal congenital heart disease diagnosed by echocardiography.Only gravidas who are willing to have complete pregnancy checks and finally delivery or abortion in the hospital are interviewed are eligible for the study. Study participants will be asked for their informed consent.We collect their fetal 2D echocardiography (...) 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

2016 Clinical Trials

116. 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 (...) 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: Child, Adult, Older Adult Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Single pregnancies Major Congenital Heart Disease Informed Consent Signed Exclusion Criteria: Major extra-cardiac malformations

2016 Clinical Trials

117. 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 (...) 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

2016 Clinical Trials

118. 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

119. Grown-Up Congenital Heart Disease

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 (...) valve area AVSD atrioventricular septal defect BAV bicuspid aortic valve BNP B-type natriuretic peptide BSA body surface area CAD coronary artery disease ccTGA congenitally corrected transposition of the great arteries CHD congenital heart disease CMR cardiac magnetic resonance CoA coarctation of the aorta CPET cardiopulmonary exercise testing CRT cardiac resynchronization therapy CT computed tomography DCRV double-chambered right ventricle ECG electrocardiogram EF ejection fraction EP

2010 European Society of Cardiology

120. Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients Full Text available with Trip Pro

) infarct (1C), the efficacy of fluid resuscitation (1C) and inotropic therapy (2C), presence of RV dysfunction (2C) in septic shock, the reason for cardiac arrest to assist in cardiopulmonary resuscitation (1B–2C depending on rhythm), status in acute coronary syndromes (ACS) (1C), the presence of pericardial effusion (1C), cardiac tamponade (1B), valvular dysfunction (1C), endocarditis in native (2C) or mechanical valves (1B), great vessel disease and injury (2C), penetrating chest trauma (1C (...) of technologies including pulse contour analysis ( ), transpulmonary thermodilution ( ), and bioreactance ( ) have shown promise in evaluation of critically ill patients, bedside cardiac ultrasound (BCU) is an established technique to evaluate cardiac function. BCU evaluation in the ICU is undertaken by a healthcare provider who serves as both the operator performing the study and the interpreter of the images captured in the context of their clinical significance. The purpose of the ultrasound evaluation

2016 Society of Critical Care Medicine

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