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Congenital Heart Disease Imaging in Adults

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121. Diagnosis and Treatment of Lymphatic Plastic Bronchitis in Adults Using Advanced Lymphatic Imaging and Percutaneous Embolization. (PubMed)

with congenital heart disease.To use advanced lymphatic imaging techniques, including dynamic contrast-enhanced magnetic resonance (MR) lymphangiography (DCMRL) and intranodal lymphangiography, to investigate the mechanism of cast formation in adult patients with plastic bronchitis, and to evaluate the therapeutic outcome of percutaneous lymphatic embolization for these patients.Seven adults (male/female = 3/4, mean age = 50 yr) who presented with expectoration of branching bronchial casts were evaluated (...) Diagnosis and Treatment of Lymphatic Plastic Bronchitis in Adults Using Advanced Lymphatic Imaging and Percutaneous Embolization. Plastic bronchitis is a condition characterized by expectoration of branching bronchial casts. Although the mechanism of cast formation in adults with plastic bronchitis remains poorly understood, abnormal pulmonary lymphatic flow resulting in molding of congealing lymphatic fluids in the airway has been documented as a cause of the disease in children

2016 Annals of the American Thoracic Society

122. Appropriate Use Criteria: Imaging of the Head & Neck

. 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 such that imaging is required to determine next (...) 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 on the clinical evaluation, there is a reasonable

2018 AIM Specialty Health

123. 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

124. 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

125. 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

126. Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes

. A prospective study of sudden cardiac death among children and young adults. N Engl J Med . 2016 ; 374 : 2441–2452 , x 30 Pilmer, C.M., Porter, B., Kirsh, J.A. et al. Scope and nature of sudden cardiac death before age 40 in Ontario: a report from the cardiac death advisory committee of the office of the chief coroner. Heart Rhythm . 2013 ; 10 : 517–523 One might argue that PPS might lead to a diagnosis of heart disease, and the provision of advice regarding vigorous physical activity that might reduce (...) , pulmonary hypertension, and cyanotic congenital heart disease. Strong Recommendation, Low-Quality Evidence Secondary Prevention of SCD and CV Emergencies Basic requirements Sport organizations

2018 Canadian Cardiovascular Society

127. 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

128. 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

129. Adult patent ductus arteriosus: An unusual cause of heart failure in an octogenarian female (PubMed)

Adult patent ductus arteriosus: An unusual cause of heart failure in an octogenarian female Patent ductus arteriosus (PDA) is the third most common congenital abnormality in which the arterial duct, which normally closes spontaneously after birth within 24-48 h in full-term infants, remains permanently open. Breathlessness is very common in elderly patients and can be caused by several comorbidities, mostly cardiac and pulmonary diseases. PDA as a cause of heart failure in this patient (...) population is very rare and diagnosis depends on high clinical awareness. Here we present a case diagnosed with multimodality imaging including 3‑dimensional (3D) transthoracic and transesophageal echocardiography and 3D-volume rendering technique (VRT) computed tomography.

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2016 Wiener klinische Wochenschrift

130. Healing Hearts and Mending Minds in Older Adults Living With HIV

Healing Hearts and Mending Minds in Older Adults Living With HIV Healing Hearts and Mending Minds in Older Adults Living With HIV - 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. Healing Hearts and Mending (...) : Emory University Information provided by (Responsible Party): Drenna Waldrop-Valverde, Emory University Study Details Study Description Go to Brief Summary: The purpose of this study is to see if exercise is helpful for improving memory, concentration thinking abilities, physical function, and quality of life for adults aged 50 to 89 years living with HIV and who have two or more cardiovascular disease risk factors. The study will test two kinds of intervention exercises: one group will walk

2016 Clinical Trials

131. 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

132. 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

133. 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

134. 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

135. 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

136. Heart Failure

. Strong FOR Low Invasive coronary angiography should be considered in patients with heart failure associated with refractory angina, resuscitated cardiac arrest, sustained ventricular arrhythmias, or with evidence of ischaemic heart disease on other investigations, or an intermediate-to-high pretest probability for coronary artery disease, to determine the need for coronary revascularisation. Strong FOR Low Either computed tomography (CT) coronary angiography or cardiac magnetic resonance imaging (CMR (...) 18 years or more with heart failure, representing 2.1% of the adult population [ x [8] Chan, Y.K., Tuttle, C., Ball, J., Teng, T.K., Ahamed, Y., Carrington, M.J. et al. Current and projected burden of heart failure in the Australian adult population: a substantive but still ill-defined major health issue. BMC Health Serv Res . 2016 ; 16 : 501 | | | ] [8] . Given the high rates of cardiovascular risk factors and the endemic rates of rheumatic heart disease (RHD) in Australia’s Indigenous

2018 Cardiac Society of Australia and New Zealand

137. 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

138. 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

139. 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

140. 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

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