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Congenital Heart Disease Imaging in Adults

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121. 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

122. 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

123. 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

124. 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

125. 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

126. 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

127. 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

128. 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

129. 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

130. 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

131. 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

132. Acute and Chronic Heart Failure

cardiomyopathy; DCM = dilated cardiomyopathy; EMF = endomyocardial fibrosis; GH = growth hormone; HCM = hypertrophic cardiomyopathy; HES = hypereosinophilic syndrome; HIV/AIDS = human immunodeficiency virus/acquired immune deficiency syndrome; LV = left ventricular. Many patients with HF and ischaemic heart disease (IHD) have a history of myocardial infarction or revascularization. However, a normal coronary angiogram does not exclude myocardial scar (e.g. by CMR imaging) or impaired coronary (...) navigation Article navigation 14 July 2016 Article Contents Article Navigation 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC Piotr Ponikowski (Chairperson) (Poland) Corresponding authors: Piotr Ponikowski, Department of Heart Diseases, Wroclaw Medical

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2016 European Society of Cardiology

133. The International Society for Heart and Lung Transplantation Guidelines for the management of pediatric heart failure

progression. Level of Evidence B 2. BNP/NT-proBNP can be used as an adjunctive marker, not a stand-alone test, to aid in the diagnosis of new HF in symptomatic patients. Level of Evidence B Imaging x 24 Lopez, L., Colan, S.D., Frommelt, P.C. et al. Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. J Am Soc (...) . Tissue velocities, strain, and strain rate for echocardiographic assessment of ventricular function in congenital heart disease. Eur J Echocardiogr . 2009 ; 10 : 585–593 | | | Table 2 compares the imaging modalities. Table 2 Comparison of Imaging Modalities Modality Advantages Limitations Use in pediatric HF Echocardiography First-line technique for all patients in acute/chronic HF; anatomic + functional assessment possible Limited by acoustic windows First-line technique in the assessment of HF M

2014 International Society for Heart and Lung Transplantation

134. 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 (...) Coronary Atherosclerosis Disease Early Identification and Risk Stratification by Noninvasive Imaging Coronary Atherosclerosis Disease Early Identification and Risk Stratification by Noninvasive Imaging - 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

2016 Clinical Trials

135. European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults

. (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 (...) for disease recurrence or progression. R.6.2. After complete resection, we suggest radiological imaging every 3 months for 2 years, then every 3–6 months for a further 3 years. The majority of the panel suggests continuation of follow-up imaging beyond 5 years, but surveillance should then be adapted. R.6.3. For advanced ACC, we recommend surveillance based on prognostic factors, expected treatment efficacy and treatment-related toxicity, as well as the available alternative treatment options. R.6.4

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2018 European Society of Endocrinology

136. Cyanotic Heart Disease and Thrombosis

Volunteers: No Criteria Inclusion Criteria: Patients with cyanotic congenital heart disease who have previously participated in the study 'cyanotic congenital heart disease: Hemostatic abnormalities and clinical manifestations' (H-KF-2006-4068). Clinically stable Exclusion Criteria: Patients who are not guardians for themselves (not adult). Age <18 years. 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 (...) : The purpose of the study is to examine previously examined patients with cyanotic congenital heart disease to assess how many of the patients have obtained additional blood clots since they were examined 8 years ago. Condition or disease Intervention/treatment Phase Thrombosis Radiation: Cerebral MRI and V/Q SPECT/CT Not Applicable Detailed Description: Patients with cyanotic congenital heart disease have reduced oxygen content in their blood due to abnormal connection between the heart's right and left

2016 Clinical Trials

137. Cerebrovascular Outcomes in Ischemic Heart Disease

to provide written informed consent, or to complete questionnaires or health history forms due to language or cognitive difficulties coronary artery disease Subjects will be excluded if they have: unstable heart rhythm congenital coronary abnormality cardiomyopathy severe congestive heart failure 2°-3° atrioventricular block more than 2 M.I.s major arrhythmias such as atrial fibrillation or more than 4 ectopic beats/min, sick sinus syndrome, or are scheduled to undergo PCI or CABG within 2 months (...) Cerebrovascular Outcomes in Ischemic Heart Disease Cerebrovascular Outcomes in Ischemic 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. Cerebrovascular Outcomes in Ischemic Heart Disease (IHD

2016 Clinical Trials

138. Contemporary outcomes of supraventricular tachycardia ablation in congenital heart disease: a single-center experience in 116 patients. (PubMed)

Contemporary outcomes of supraventricular tachycardia ablation in congenital heart disease: a single-center experience in 116 patients. Remote magnetic navigation-guided ablation with 3-dimensional (3D)-image integration could provide maximum benefit in patients with complex anatomy. We reviewed supraventricular tachycardia (SVT) ablation in adult patients with congenital heart disease to assess the contribution of these technologies.One hundred fifty-four SVT ablation procedures (228 SVTs (...) ) using a 3D-electroanatomic mapping system in 116 adult patients with congenital heart disease (mean age, 41; 76 male) were classified into 3 groups: Group A, manual mapping/ablation (n=60 procedures); Group B, remote magnetic navigation-guided mapping/ablation with normal femoral vein access (49); and Group C, remote magnetic navigation-guided mapping/ablation with difficult access (45). Group A included simple anomalies with less SVTs. Group B comprised predominantly Fontan patients with more SVTs

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2013 Circulation. Arrhythmia and electrophysiology

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

variability between hospitals, and this situation has likely not changed. 1.3 Scope As was the case in the 2004 KCE guideline, this guideline will focus on adult patients (i.e. 18+) undergoing elective non-cardiothoracic surgery. However, the scope was enlarged to include patients with ASA classification 4 too (Table 1). 10 Routine preoperative testing KCE Report 280 Table 1 – ASA classification ASA grade Definition ASA grade 1 A normal healthy patient. ASA grade 2 A patient with mild systemic disease (...) heart disease (angina pectoris and/or previous myocardial infarction), heart failure, stroke or transient ischaemic attack, renal dysfunction (serum creatinine >170 µmol/L or 2 mg/dL or a creatinine clearance of 65y Consider if >65y ASA 2 Consider if risk factors according to the revised cardiac risk index * Offer if risk factors according to the revised cardiac risk index *, consider if >65y without risk factors Offer if risk factors according to the revised cardiac risk index *, consider if >65y

2017 Belgian Health Care Knowledge Centre

140. Screening, diagnosis and management of congenital hypothyroidism

Guidelines for Congenital Hypothyroidism Horm Res Paediatr 2014;81:80–103 DOI: 10.1159/000358198 83 • For a precise diagnosis, L-T 4 treatment should be phased out over a 4- to 6-week period, and a full re- evaluation should be carried out, with both biochemi- cal testing and thyroid imaging if hypothyroidism is confirmed (2 | ? ? ? ). • If the presence or absence of primary CH is being assessed, rather than an exact diagnosis being sought, re-evaluation may be carried out by decreas- ing the dose of L-T (...) Recomme n d a tion s 2.5.1 A thorough physical examination should be car- ried out in all neonates with high TSH concentrations for the detection of congenital malformations, particularly those affecting the heart, and in children for the identifi- cation of any underlying dysmorphic syndrome or neu- rodevelopmental disorders (1 | ? ? ? ). 2 . 5 . 1 E v id e n ce The prevalence of congenital malformations, particu- larly cardiac malformations, including septal defects, re- nal abnormalities

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2015 Pediatric Endocrine Society

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