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Congenital Heart Disease Imaging in Adults


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121. Chronic Chest Pain - High Probability of Coronary Artery Disease

study for evaluation of the effect of image optimization with contrast on the diagnostic accuracy of dobutamine echocardiography in coronary artery disease The OPTIMIZE Trial. JACC Cardiovasc Imaging. 2008;1(2):145-152. 41. Al Sayari S, Kopp S, Bremerich J. Stress cardiac MR imaging: the role of stress functional assessment and perfusion imaging in the evaluation of ischemic heart disease. Radiol Clin North Am. 2015;53(2):355-367. 42. al-Saadi N, Gross M, Paetsch I, et al. Dobutamine induced (...) - SPECT and coronary angiography. J Magn Reson Imaging. 2000;11(6):607-615. 47. Kwong RY, Schussheim AE, Rekhraj S, et al. Detecting acute coronary syndrome in the emergency department with cardiac magnetic resonance imaging. Circulation. 2003;107(4):531-537. ACR Appropriateness Criteria ® 10 Chronic Chest Pain—High Probability of CAD 48. Nagel E, Klein C, Paetsch I, et al. Magnetic resonance perfusion measurements for the noninvasive detection of coronary artery disease. Circulation. 2003;108(4):432

2016 American College of Radiology

122. 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 Full Text available with Trip Pro

with prior SCA, sustained VT, or syncope caused by VA. Structural heart disease This term encompasses IHD, all types of cardiomyopathy, valvular heart disease, and adult congenital heart disease. Cardiac channelopathy Arrhythmogenic disease due to a genetic abnormality that results in dysfunction of a cardiac ion channel (eg, long QT syndrome, catecholaminergic polymorphic VT). *The definition of this term may differ across publications. Refer to the entry for the definition used in this document. AV (...) -effectiveness ratio; QALY, quality-adjusted life-years; and WHO-CHOICE, World Health Organization Choosing Interventions that are Cost-Effective. Reproduced from Anderson, et al. 1.2. Organization of the Writing Committee The writing committee consisted of cardiac electrophysiologists (including those specialized in pediatrics), general adult and pediatric cardiologists (including those specialized in critical care and acute coronary syndromes [ACS], genetic cardiology, heart failure, and cost-effectiveness

2017 American Heart Association

123. 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 Full Text available with Trip Pro

, 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 (...) : Recommendation e38 5.3. Carotid Sinus Syndrome: Recommendations e38 5.4. Other Reflex Conditions e38 6. Orthostatic Hypotension: Recommendations e38 6.1. Neurogenic Orthostatic Hypotension: Recommendations e38 6.2. Dehydration and Drugs: Recommendations e39 7. Orthostatic Intolerance e39 8. Pseudosyncope: Recommendations e40 9. Uncommon Conditions Associated with Syncope e40 10. Age, Lifestyle, and Special Populations: Recommendations e40 10.1. Pediatric Syncope: Recommendations e40 10.2. Adult Congenital

2017 American Heart Association

124. 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 Full Text available with Trip Pro

. In addition, a trend over time has suggested that out-of-hospital cardiac arrest patients who are admitted alive to a hospital are becoming more likely to have high-risk clinical profiles, as opposed to manifest disease. The younger population—children, adolescents, and young adults—is affected by a series of disorders that manifest earlier in life, including the genetic structural disorders and cardiac channelopathies, myocarditis, congenital heart disease, and other rare disorders. During the transition (...) al. 1.2. Organization of the Writing Committee The writing committee consisted of cardiac electrophysiologists (including those specialized in pediatrics), general adult and pediatric cardiologists (including those specialized in critical care and acute coronary syndromes [ACS], genetic cardiology, heart failure, and cost-effectiveness analyses), a geriatrician with expertise in terminal care and shared decision-making, and a lay representative, in addition to representatives from the ACC, AHA

2017 American Heart Association

125. European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults Full Text available with Trip Pro

. (ii) We recommend that every patient with (suspected) ACC should undergo careful clinical assessment, detailed endocrine work-up to identify autonomous hormone excess and adrenal-focused imaging. (iii) We recommend that adrenal surgery for (suspected) ACC should be performed only by surgeons experienced in adrenal and oncological surgery aiming at a complete en bloc resection (including resection of oligo-metastatic disease). (iv) We suggest that all suspected ACC should be reviewed by an expert (...) into account when assessing the prognosis and treatment options: tumor stage, resection status, Ki67 index (or mitotic count), autonomous cortisol secretion and the patient’s general condition (++OO). R.5.3. During follow-up, we recommend re-assessing prognosis at each evaluation, to guide treatment strategy (++OO). 1.6. Methods and time interval for imaging and hormonal assessment during follow-up R.6.1. We recommend following patients with regular cross-sectional imaging of the abdomen, pelvis and chest

2018 European Society of Endocrinology

126. Portable Normothermic Cardiac Perfusion System in Donation After Cardiocirculatory Death

a perfusion system and the experiences, preferences, and values of people with heart failure and family members of organ donors. BACKGROUND Health Condition Heart failure can occur as a result of congenital heart defects, coronary heart disease, and cardiomyopathy of various aetiologies, among other causes. 1 There were 419,551 incident cases of heart failure in Ontario over the period 1997 to 2007. 2 Interventions to manage end- stage heart failure include medication and mechanical circulatory support (...) as a result of congenital heart defects (problems with the structure of the heart that are present at birth), coronary heart disease (a narrowing of the heart’s coronary arteries), or any number of diseases that cause the heart muscle to become thick or rigid or to harden. Interventions to manage end-stage heart failure include medications and mechanical circulatory support; however, heart transplantation is the most effective treatment for some people with end-stage heart failure. It is considered

2020 Health Quality Ontario

127. Eligibility and Disqualification Recommendations for Competitive Athletes with Cardiovascular Abnormalities: Task Force 8: Coronary Artery Disease

to ASCAD, other coronary conditions such as coronary vasospasm, myocardial bridging, and coronary dissection, as well as infection such as Kawasaki disease, vasculitis, and cardiac transplant vasculopathy, may also cause acute cardiac events during exercise. The present section makes recommendations on how to evaluate patients with disease of the coronary arteries and make appropriate recommendations for athletic competition. Anomalous coronary arteries are considered in the Task Force 4 report. We (...) is greater in those who have had a previous acute cardiac syndrome and lower in those whose ASCAD is clinically silent and was diagnosed by such techniques as coronary artery calcification scanning or computed tomography angiography. (2) The risk of an acute exertion-related cardiac event increases with increasing extent of coronary artery disease, reduced left ventricular systolic function, the presence and extent of ischemia, and increased electrical instability. Unstable or “vulnerable” plaques

2015 American Heart Association

128. Near Infrared Spectroscopy in Cyanotic Congenital Heart Disease

undergoing cardiac surgery Criteria Inclusion Criteria: Pre-operative diagnosis of cyanotic congenital heart disease Undergoing any form of cardiac surgery Informed consent was given by the caregiver/parent Exclusion Criteria: Premature infants <35 weeks corrected age who will be cared for in the neonatal ICU postoperatively Congenital lactic acidosis syndromes Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact (...) by (Responsible Party): Judith Wong Ju-Ming, KK Women's and Children's Hospital Study Details Study Description Go to Brief Summary: We are conducting a prospective cohort study of 20 children with cyanotic congenital heart disease who are admitted for cardiac surgery. We will record cerebral and somatic near infrared spectroscopy (NIRS) at two sites - forehead and flank regions using the Covidien INVOS™ 5100C Cerebral / Somatic Oximeter. The monitoring will begin one hour pre-operatively (baseline

2015 Clinical Trials

129. 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

130. NOACs for Atrial Tachyarrhythmias in Congenital Heart Disease

tachyarrhythmia in adult CHD patients. Primary endpoint assessment will be performed with a per protocol analysis, and demonstrated as Kaplan Meyer estimates of event free survival and event rates per year. Condition or disease Congenital Heart Defects Atrial Fibrillation Ectopic Atrial Tachycardia Study Design Go to Layout table for study information Study Type : Observational [Patient Registry] Estimated Enrollment : 300 participants Observational Model: Cohort Time Perspective: Prospective Target Follow-Up (...) 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

2015 Clinical Trials

131. T1 Mapping of Diffuse Myocardial Fibrosis in Congenital Heart Disease

. Condition or disease Intervention/treatment Phase Cardiomyopathy Other: Cardiac magnetic resonance sequence T1 mapping Not Applicable Detailed Description: A better understanding of the mechanisms by which the heart muscle fails in pediatric heart disease may result in novel therapies directed at preventing rather than treating ventricular failure. The most likely mediator candidate for cardiac demise in congenital heart disease as well as the cardiomyopathies is diffuse myocardial fibrosis and non (...) Posted : April 16, 2015 Sponsor: The Hospital for Sick Children Information provided by (Responsible Party): Lars Grosse-Wortmann, The Hospital for Sick Children Study Details Study Description Go to Brief Summary: Diffuse fibrosis (or scarring) of the heart muscle is found in a variety of congenital heart diseases and in cardiomyopathies (heart muscle disease), and is considered a mediator of decreased cardiac function. The detection and quantification of diffuse myocardial fibrosis has recently

2015 Clinical Trials

132. Chest imaging

intraluminal obstructions. However, practice consensus is that CT may be indicated when bronchoscopy is inconclusive. Recurrent pneumonia in the same area is likely due to underlying structural disease—primarily right middle lobe syndrome (airway disease of uncertain pathophysiology) (61%) and congenital lung malformations (21%); diagnostic imaging involving bronchoscopy with or without CT is indicated. 6,11 Recurrent pneumonia in different areas is more likely due to systemic illness (60% related (...) treatment decisions. IMAGING STUDY - CT chest - Consider chest HRCT technique Occupational lung disease (Adult only) Advanced imaging is considered medically necessary for diagnosis and management of the following conditions when the results of imaging will impact treatment decisions. ? Silicosis ? Coal worker’s pneumoconiosis ? Progressive massive fibrosis ? Hard metal pneumoconiosis ? Talcosis ? Caplan’s syndrome in patients with rheumatoid arthritis Imaging of the Chest Copyright © 2020. AIM

2020 AIM Specialty Health

133. Post-interventional three-dimensional dark blood MRI in the adult with congenital heart disease. (Abstract)

Post-interventional three-dimensional dark blood MRI in the adult with congenital heart disease. Investigate a novel three-dimensional (3D) turbo spin echo (TSE) magnetic resonance imaging (MRI) sequence to assess stented segments in adults with congenital heart disease (CHD) after transcatheter intervention.Adults with CHD referred for computed tomography (CT) after transcatheter intervention underwent MR exam with a 3D respiratory gated TSE sequence. Data obtained at the time of the study

2012 International journal of cardiology

134. Routine preoperative testing in adults undergoing elective non-cardiothoracic surgery

predictors included mild stable chronic angina, a history of known myocardial infarction or Q waves on a preoperative electrocardiogram (ECG), compensated or prior congestive heart failure, or a history of diabetes mellitus (insulin or noninsulin dependent). Patients with high-risk clinical predictors such as unstable coronary syndromes, severe valvular disease, or decompensated congestive heart failure were excluded. Of 46 patients randomized to preoperative stress testing, 41 (89%) patients underwent (...) preoperative testing KCE Report 280 3.12 GLYCATED HAEMOGLOBIN TEST (HBA1C) 49 3.12.1 Introduction 49 3.12.2 HbA1c in diabetes 49 3.12.3 HbA1c in undiagnosed diabetes 51 3.13 LIVER FUNCTION TESTS 52 3.14 URINALYSIS 53 3.14.1 Introduction 53 3.14.2 Urine culture 53 3.14.3 Biochemical and other urinary tests 55 3.15 NON-INVASIVE CARDIAC STRESS IMAGING 56 3.15.1 Stress echocardiography 56 3.15.2 Myocardial scintigraphy 58 3.16 CORONARY CT ANGIOGRAPHY 60 3.16.1 Introduction 60 3.16.2 Evidence for clinical

2017 Belgian Health Care Knowledge Centre

135. Normal values for myocardial deformation within the right heart measured by feature-tracking cardiovascular magnetic resonance imaging. Full Text available with Trip Pro

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

2017 International journal of cardiology

136. 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 (...) on a table that slides in and out of the MRI scanner as it makes pictures. Participants will get earplugs for the loud knocking noise. They can talk on an intercom. They will be inside the scanner for up to 2 hours. They can ask to stop at any time. For right heart catheterization, catheters will be inserted through the tubes already in place. The catheters are guided by MRI fluoroscopy into the chambers of the heart and vessels. The guidewire will help position the catheter. Condition or disease

2017 Clinical Trials

137. ISHLT Consensus Statement on Donor Organ Acceptability and Management in Pediatric Heart Transplantation Full Text available with Trip Pro

. Mortality varies by several factors including recipient age, diagnosis, and acuity of illness. Approximately 25% of infants in the US die waiting for a heart, compared with around 15% for children and adolescents. x 8 Mah, D, Singh, TP, Thiagarajan, RR et al. Incidence and risk factors for mortality in infants awaiting heart transplantation in the USA. J Heart Lung Transplant . 2009 ; 28 : 1292–1298 Waitlist mortality for patients with congenital heart disease (CHD, 22%) x 1 Almond, CSD, Thiagarajan, RR (...) , FRCPC b , x Ryan R. Davies Affiliations Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, Texas , MD c , x Oliver Miera Affiliations Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany , MD d , x Gretchen Chapman Affiliations Carnegie Mellon University, Pittsburgh, Pennsylvania , PhD e , x Jennifer Conway Affiliations Department of Pediatrics, Division

2020 International Society for Heart and Lung Transplantation

138. Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

published 4 May 2020 Circulation. 2020;141:e884–e903 Abstract Cardio-obstetrics has emerged as an important multidisciplinary field that requires a team approach to the management of cardiovascular disease during pregnancy. Cardiac conditions during pregnancy include hypertensive disorders, hypercholesterolemia, myocardial infarction, cardiomyopathies, arrhythmias, valvular disease, thromboembolic disease, aortic disease, and cerebrovascular diseases. Cardiovascular disease is the primary cause (...) attributed to increasing numbers of women at advanced maternal age undertaking pregnancy, comorbid preexisting conditions such as diabetes mellitus and hypertension, and the growing number of women with congenital heart disease surviving to childbearing age. , Racial and ethnic disparities in pregnancy-related mortality are significant, peaking among black non-Hispanic women followed by American Indian/Alaskan Native non-Hispanic women, Asian/Pacific Islander non-Hispanic women, white non-Hispanic women

2020 American Heart Association

139. EHRA/HRS/APHRS/LAHRS Expert Consensus on Risk Assessment in Cardiac Arrhythmias: Use the Right Tool for the Right Outcome

Electrocardiography 15 Biomarkers 15 Imaging 15 Genetics 15 Patients with obesity, hypertension, diabetes, sleep apnea, or structural heart disease 16 Patients who have undergone cardiac surgery 17 Patients with cryptogenic stroke 17 How to assess high risk of atrial?brillation in professional athletes 18 Atrial ?brillation risk in athletes— general 18 Atrial ?brillation risk in athletes— exercise paradox 18 Atrial ?brillation risk in athletes— structural cardiac changes 19 Patients with inherited rhythm disease (...) ,and heartrateturbulencemeasurements,whichcanpredictmortal- ity risk at least in ischemic cardiomyopathy (ICM), but have notbeenincorporatedintoclinicalpractice. 19,46 Imaging Risk assessment of ventricular tachyarrhythmia using imaging modalities Evaluation for the presence of structural heart disease (SHD) is important for patients suspected of being at risk for sudden cardiac death. Left ventricular ejection fraction remainsthekeyindependentparameterforriskstrati?cation of sudden cardiac death and to guide implantation

2020 Heart Rhythm Society

140. Coronary Atherosclerosis Disease Early Identification and Risk Stratification by Noninvasive Imaging

Criteria: suspected of coronary heart disease, coronary CTA has been completed. age > 18 years old. have biochemical test results. signed informed consent. Exclusion Criteria: malignant tumor, severe liver and kidney diseases. combination of cardiomyopathy, valvular disease, congenital heart disease, a variety of reasons the left cardiac insufficiency. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study (...) adverse cardiac events (MACE).The investigator aim to evaluate the prognostic value of CTA, risk factors and bio-markers for MACE. Condition or disease Coronary Artery Disease Detailed Description: The investigator prospectively enroll 30,000 outpatients who were suspected of coronary artery disease (CAD) and underwent cardiac computed tomography (CT). Cardiac CT was assessed for coronary artery calcification score (CACS) and the extent, the location, the stenosis severity, and the composition

2016 Clinical Trials

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