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Congenital Heart Disease Imaging in Adults

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121. Appropriate Use Criteria: Imaging of the Chest

-52.e75. 26. Ghaye B, Szapiro D, Dacher JN, et al. Percutaneous ablation for atrial fibrillation: the role of cross-sectional imaging. Radiographics. 2003;23:S19-S33. 27. Gilkeson RC, Ciancibello L, Zahka K. Multidetector CT evaluation of congenital heart disease in pediatric and adult patients. AJR Am J Roentgenol. 2003;180(4):973-980. 28. Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL, Remy J. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008;246(3):697-722 (...) exams, particularly comparison studies There are certain clinical scenarios where simultaneous ordering of multiple imaging studies is consistent with current literature 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

2018 AIM Specialty Health

122. Appropriate Use Criteria: Imaging of the Abdomen & Pelvis

in transfusion-dependent thalassaemia major, sickle cell disease and other congenital anaemias. Intern Med J. 2011;41(7):516-524. 25. Holmes DR Jr, Mack MJ, Kaul S, et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement. J Am Coll Cardiol. 2012 Mar 27;59(13):1200-1254. 26. Jeong YY, Kang HK, Chung TW, et al. Uterine cervical carcinoma after therapy: CT and MR Imaging findings. Radiographics. 2003;23(4):969-981. 27. Jung SE. Lee JM, Rha SE, et al. CT and MR Imaging (...) difficile colitis: should CT guide therapy? AJR Am J Roentgenol. 2001;176(3):635-639 31. Lamba R, Fananapazir G, Corwin MT, et al. Diagnostic imaging of hepatic lesions in adults. Surg Oncol Clin N Am. 2014;23(4):789-820. 32. Lang G, Schmiegel W, Nicolas V, et al. Impact of Small Bowel MRI in Routine Clinical Practice on Staging of Crohn’s Disease. J Crohns Colitis. 2015;9(9):784-794. 33. Loch T. Prostate cancer diagnostics: innovative imaging in case of multiple negative biopsies. World J Urol. 2011;29

2018 AIM Specialty Health

123. ACR/SIR/SPR Practice Parameter for Specifications and Performance of Image-Guided Percutaneous Drainage/Aspiration of Abscesses and Fluid Collections (PDAFC)

of the benefits, alternatives, and risks of the procedures. The physician must have a thorough understanding of imaging anatomy (including congenital and developmental variants), the imaging equipment to be used during the procedures, radiation safety considerations, and physiologic monitoring equipment. The physician must also have access to adequate supplies and personnel to perform the procedure safely. PDAFC procedures must be performed by a physician who has the following qualifications. The physician’s (...) regarding patient radiation safety in imaging is available at the Image Gently ® for children (www.imagegently.org) and Image Wisely ® for adults (www.imagewisely.org) websites. These advocacy and awareness campaigns provide free educational materials for all stakeholders involved in imaging (patients, technologists, referring providers, medical physicists, and radiologists). Radiation exposures or other dose indices should be measured and patient radiation dose estimated for representative examinations

2018 Society of Interventional Radiology

124. 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 (...) time for the patient and by an appropriate healthcare professional (consultant neurologist, physician with an interest in epilepsy, specialist registrar, or epilepsy nurse specialist). 2.7 MODELS OF CARE D A structured management system for patients with epilepsy should be established in primary care. As with other chronic diseases, an annual review is desirable. Diagnosis and management of epilepsy in adults 2 • Key recommendations6 | 3 Diagnosis 3.1 WHO SHOULD MAKE THE DIAGNOSIS OF EPILEPSY

2018 SIGN

125. Pulmonary valve replacement in chronic pulmonary regurgitation in adults with congenital heart disease: impact of preoperative QRS-duration and NT-proBNP levels on postoperative right ventricular function. (PubMed)

Pulmonary valve replacement in chronic pulmonary regurgitation in adults with congenital heart disease: impact of preoperative QRS-duration and NT-proBNP levels on postoperative right ventricular function. Chronic severe pulmonary regurgitation (PR) causes progressive right ventricular (RV) dysfunction and heart failure. Parameters defining the optimal time point for surgery of chronic PR are lacking. The present study prospectively evaluated the impact of preoperative clinical parameters (...) , cardiorespiratory function, QRS duration and NT-proBNP levels on post operative RV function and volumes assessed by cardiac magnetic resonance imaging (CMR) in patients with chronic severe PR undergoing pulmonary valve replacement.CMR was performed pre- and 6 months postoperatively in 27 patients (23.6 ± 2.9 years, 15 women) with severe PR. Postoperatively, RV endsystolic (RVESVI) and enddiastolic volume indices (RVEDVI) decreased significantly (RVESVI pre 78.2 ± 20.4 ml/m² BSA vs. RVESVI post 52.2 ± 16.8 ml/m

2011 International journal of cardiology

126. Quality of Life Experienced by Adolescents and Young Adults With Congenital Heart Disease. (PubMed)

Quality of Life Experienced by Adolescents and Young Adults With Congenital Heart Disease. This study aimed to assess the quality of life (QOL) experienced by adolescents and young adults with congenital heart disease (CHD) and to determine which factors negatively affect adjustment and which factors increase resilience. The participants in the study were 74 patients with CHD (41 males and 33 females) ranging in age from 12 to 26 years (mean age, 18.76 ± 3.86 years). Demographic information (...) and a complete clinical history were obtained. The participants were interviewed regarding topics such as social support, family educational style, self-image, and physical limitations. They responded to questions in a standardized psychiatric interview (SADS-L) and completed a self-report questionnaire (WHOQOL-BREF) for assessment of QOL. Compared with the Portuguese population as a whole, the study patients had better QOL, especially with regard to the environmental dimension (t = 3.754; P = 0.000

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2011 Pediatric Cardiology

127. Interdisciplinary Models for Research and Clinical Endeavors in Genomic Medicine: A Scientific Statement From the American Heart Association

. Shah , Farah Sheikh , Thomas J. Wang , and Calum A. MacRae and On behalf of the American Heart Association Council on Genomic and Precision Medicine; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Radiology and Intervention; Council on Peripheral Vascular Disease; Council on Quality of Care and Outcomes Research; and Stroke Council Originally published 29 May 2018 Circulation: Genomic and Precision Medicine. 2018;11 Abstract (...) with diseases such as early-onset heart disease, hemorrhagic stroke, and hypertension through funding of Centers for Common Disease Genomics. Other large programs such as the UK Biobank Initiative and the Million Veteran Program (see Role of Healthcare Institutions in Genomic Medicine section), are also undertaking large-scale exome and genome sequencing efforts. The design of rare variant association studies (RVASs) is somewhat different from that of GWASs. Although an RVAS can be performed in the same way

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2018 American Heart Association

128. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association

, MD, PhD, FAHA , and MD MDOn 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 Sharonne N. Hayes , Esther S.H. Kim , Jacqueline Saw , David Adlam , Cynthia Arslanian-Engoren , Katherine E. Economy , Santhi K. Ganesh , Rajiv Gulati , Mark E. Lindsay , Jennifer H. Mieres , Sahar Naderi , Svati Shah , David E. Thaler , Marysia S (...) . 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

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2018 American Heart Association

129. Evaluation and Management of Right-Sided Heart Failure

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 hypertension from a variety of causes, including left-sided heart disease. Progressive RV dysfunction in these disease states is associated with increased morbidity and mortality (...) , 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. To distinguish right-sided HF (RHF) from structural RVD, we define RHF as a clinical syndrome with signs and symptoms of HF resulting from RVD. RHF is caused by the inability of the RV to support

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2018 International Society for Heart and Lung Transplantation

130. Cardiovascular Health in Turner Syndrome: A Scientific Statement From the American Heart Association

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

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2018 American Heart Association

131. 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 (...) visualisation of nasal pathologies including anatomical variations, mucosal inflammation, polyps and nasal discharge. 1, level III 4.2.2 Nasal Endoscopy Two types of nasal endoscope are available, rigid and flexible nasal endoscope (Figure 2 and 3). There is no current evidence comparing 6 Management of Rhinosinusitis in Adolescents and Adults the two types of endoscope. However the rigid nasal endoscope is preferred by local otorhinolaringologists because it provides superior image clarity and better

2019 Ministry of Health, Malaysia

132. Specialized Imaging and Procedures in Pediatric Pancreatology: A North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Clinical Report

aspiration (FNA) and fine needle biopsy. For adult patients with GI malignancies, including pancreaticobiliary (PB) cancers, this capability to image not only the pancreas but also surrounding tissues and organs has proven invaluable in staging of disease (31). Well established as a valuable diagnostic and therapeutic technique in the management of adult patients with PB disease (30,32), EUS has only recently been shown to be equally safe and effective in the care of children (33–36). Several factors may (...) , but has primarily What Is Known Transabdominal ultrasonography, computed tom- ography, magnetic resonance imaging/magnetic resonance cholangiopancreatography, endoscopic ultrasonography, endoscopic retrograde cholangio- pancreatography are all modalities used to evaluate (adult) pancreaticohepatobiliary abnormalities and disorders. The literature is limited on the use of these technol- ogies for pediatric pancreatology indications. What Is New This article reviews the pediatric literature regarding

2017 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

133. Magnetic resonance imaging of patients with suspected non-ischaemic cardiomyopathies

the evidence for other types of cardiomyopathies, would be considered at a later date. MSAC also noted that a separate application to use CMR for myocardial stress perfusion and viability imaging in patients with suspected or known coronary artery disease (Application 1237) was also under consideration by the Committee. 2 MSAC noted that cardiomyopathies are diseases of the heart muscle (myocardium) that are not caused by coronary artery disease (CAD), hypertension, valvular disease or congenital heart (...) the ability to measure, in one examination, multiple aspects of heart and vascular structure and function. These include, but are not limited to, assessment of left and right ventricular function, myocardial viability, ischaemia assessment, scar assessment, tissue characterisation, imaging of the aorta and great vessels, paediatric and adult congenital abnormality imaging, and imaging of the proximal coronary arteries. During preparation of the contracted assessment, the PASC-ratified clinical management

2016 Medical Services Advisory Committee

134. A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology

laboratory in infectious disease diagnosis calls for a close, positive working relationship between the physician/advanced practice provider and the microbiologists who provide enormous value to the healthcare team. This document, developed by experts in laboratory and adult and pediatric clinical medicine, provides information on which tests are valuable and in which contexts, and on tests that add little or no value for diagnostic decisions. This document presents a system-based approach rather than (...) A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology We use cookies to enhance your experience on our website. By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious

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2018 Infectious Diseases Society of America

135. Heart Disease and Stroke Statistics?2012 Update

. . . . . . . . . . . . . . . . . . . . .e45 Coronary Heart Disease, Acute Coronary Syndrome, and Angina Pectoris . . . . . . . . .e54 Stroke (Cerebrovascular Disease) . . . . . . . . . . . . . . . . . . . . . . . . . . . .e68 High Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .e88 Congenital Cardiovascular Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . .e97 Cardiomyopathy and Heart Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . .e102 Disorders of Heart Rhythm (...) Organization—mortality rates by country Youth Risk Behavior Surveillance System (YRBSS)—health-risk behaviors in youth and young adults Abbreviations Used in Chapter 1 AHA American Heart Association AP angina pectoris ARIC Atherosclerosis Risk in Communities Study BP blood pressure BRFSS Behavioral Risk Factor Surveillance System CDC Centers for Disease Control and Prevention CHS Cardiovascular Health Study CVD cardiovascular disease DM diabetes mellitus ED emergency department FHS Framingham Heart Study

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2012 American Heart Association

136. The Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease

and rheumatic heart disease (2nd edition) Full Guidelines Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) occur at very high rates among Aboriginal and Torres Strait Islander people. These diseases predominantly affect children, adolescents, and young adults, and are important causes of premature mortality. Almost all cases of RHD and associated deaths are preventable. In contrast, ARF is now rare in other population groups in Australia, and RHD in these groups occurs predominantly (...) susceptibility to ARF. 3 ARF is a condition seen predominantly in children aged 5–14 years, although recurrent episodes may continue well into the fourth decade of life. Because RHD represents the cumulative heart damage of previous ARF episodes, the prevalence of RHD peaks in the third and fourth decades of life. 3 Therefore, although ARF is a disease with roots in childhood, its effects are felt throughout adulthood, especially in the young adult years when people might otherwise be at their most

2012 Clinical Practice Guidelines Portal

137. Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

with ruptured and unruptured brain arteriovenous malformations, suggestions for management, and implications for future research. Brain arteriovenous malformations (bAVMs) are uncommon vascular lesions that present with spontaneous intracranial hemorrhage (ICH), seizures, or headache and typically in young adults. A large proportion of patients are diagnosed with incidental asymptomatic bAVMs after brain imaging is obtained for other reasons. Current treatment options include conservative management (...) risk factors for hemorrhage. The angiographic architectural findings pertinent in the adult setting are similar to those in the pediatric setting. Ellis et al reviewed imaging on 135 pediatric patients with bAVMs reporting bAVM size (OR, 0.57; P <0.01), exclusively deep venous drainage (OR, 4.94; P =0.02), and an infratentorial location (OR, 9.94; P =0.01) as associated with hemorrhagic presentation. Hetts et al compared angioarchitectural features in adult (n=630) and pediatric (n=203) patients

2017 American Heart Association

138. Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

with congenital heart disease requires explanation of how to visualize shunts at the atrial, ventricular, and ductal levels from several different echocardiographic views and a basic understanding of aortic arch abnormalities. It should also incorporate the ability to image ≥1 pulmonary vein connections to rule out total anomalous pulmonary venous return. In general, adult sonographers are less likely to be familiar and comfortable with suprasternal notch and subcostal views; therefore, it is suggested (...) performed by obstetricians, maternal-fetal medicine specialists, and pediatric cardiologists to screen for congenital heart disease and fetal arrhythmias. If pathology is suspected or detected, these providers can refer patients to a higher level of care. Commonly, a referring clinic or hospital uploads the fetal ultrasound or echocardiogram images to a secure virtual network or a computer server of a tertiary care fetal health center. The tertiary care center then provides consultation and management

2017 American Heart Association

139. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Gui

Annular VA e242 7.2. Papillary Muscle VA e242 7.3. Interfascicular Reentrant VT (Belhassen Tachycardia) e242 7.4. Idiopathic Polymorphic VT/VF e242 8. PVC-Induced Cardiomyopathy e243 9. VA and SCD Related to Specific Populations e243 9.1. Pregnancy e243 9.2. Older Patients With Comorbidities e243 9.3. Medication-Induced Arrhythmias e243 9.4. Adult Congenital Heart Disease e243 10. Defibrillators Other than Transvenous ICDs e246 10.1. Subcutaneous Implantable Cardioverter-Defibrillator e246 10.2 (...) of sudden cardiac death AHA 2016 Optimal implantable cardioverter defibrillator programming and testing HRS/EHRA/APHRS/SOLAECE 2016 Treatment of cardiac arrest: current status and future directions: strategies to improve cardiac arrest survival IOM 2015 Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities ACC/AHA 2015 Ventricular arrhythmias EHRA/HRS/APHRS 2014 Arrhythmias in adult congenital heart disease PACES/HRS 2014 Implantable cardioverter

2017 American Heart Association

140. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Hea

(Belhassen Tachycardia) e335 8.4. Idiopathic Polymorphic VT/VF e336 9. PVC-Induced Cardiomyopathy e337 10. VA and SCD Related to Specific Populations e338 10.1. Athletes e338 10.2. Pregnancy e338 10.3. Older Patients With Comorbidities e339 10.4. Chronic Kidney Disease e340 10.5. Valvular Heart Disease e340 10.6. Sex-Related Differences in the Risk of SCD e340 10.7. Medication-Induced Arrhythmias e341 10.8. Adult Congenital Heart Disease e342 11. Defibrillators Other than Transvenous ICDs e347 11.1 (...) of cardiac arrest: current status and future directions: strategies to improve cardiac arrest survival IOM 2015 Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities ACC/AHA 2015 Ventricular arrhythmias EHRA/HRS/APHRS 2014 Arrhythmias in adult congenital heart disease PACES/HRS 2014 Implantable cardioverter-defibrillator therapy in patients who are not included or not well represented in clinical trials HRS/ACC/AHA 2014 Cardiac sarcoidosis HRS 2014

2017 American Heart Association

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