CJC Pediatric and Congenital Heart Disease最新文献

{"title":"Atrial Fibrillation-Induced Cardiomyopathy in Scimitar Syndrome With Electrically Silent Anomalous Pulmonary Vein: An Adult Case Report","authors":"Takahiko Kinjo MD, PhD , Fumitake Miura MD , Maiko Senoo MD, PhD , Shingo Sasaki MD, PhD , Yuichi Toyama MD, PhD , Shota Washima MD, PhD , Hirofumi Tomita MD, PhD","doi":"10.1016/j.cjcpc.2024.11.002","DOIUrl":"10.1016/j.cjcpc.2024.11.002","url":null,"abstract":"","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Pages 95-98"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S2772-8129(25)00031-4","DOIUrl":"10.1016/S2772-8129(25)00031-4","url":null,"abstract":"","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Page A1"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent Demographic Trends and Clinical Insights in Paediatric Vascular Rings and Slings: A Retrospective Case Series Analysis","authors":"Mark D. Bertone BSc ,&nbsp;Matthew R. Fuda BSc ,&nbsp;Muhammad Bajwa BSc ,&nbsp;Tapas Mondal MD, FRCPC","doi":"10.1016/j.cjcpc.2024.10.003","DOIUrl":"10.1016/j.cjcpc.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Vascular rings and slings are the most common aortic arch anomalies. The age of presentation and diagnosis is typically 0-6 months. Diagnostic methods have shifted with increasing preference for echocardiograms related to technique, quality, and understanding. Therefore, we aimed to examine the rising prevalence of vascular ring and sling diagnoses.</div></div><div><h3>Methods</h3><div>Retrospective analysis (n = 115) was performed using electronic medical records at McMaster Children’s Hospital from 2015 to 2021. Diagnostic modalities used in the diagnosis of vascular rings and slings include echocardiography, computed tomography scan, and magnetic resonance imaging. Routine use of a 3-vessel tracheal view was introduced in fetal echocardiography during the study period.</div></div><div><h3>Results</h3><div>A total of 115 patients (male 48) were diagnosed and/or followed up with a vascular ring or sling during the study period. Eighteen patients were diagnosed with a vascular ring or sling before 2015, whereas 97 patients were diagnosed with a vascular ring or sling from 2015 to 2021. The majority of patients were asymptomatic (82.5%). The antenatal and postnatal median age of diagnosis was 24 weeks of gestation and 1 year, respectively. The median age of symptom onset was 4 months. Ninety-six percent of patients were diagnosed using an echocardiogram.</div></div><div><h3>Conclusions</h3><div>Incidental diagnoses of fetal and paediatric vascular rings and slings have increased with the use of a routine 3-vessel tracheal view in fetal life, increasing diagnostic capabilities of echocardiograms, and improvements in our understanding. Clinicians must provide counselling and reassurance to families that intervention may not be necessary.</div></div>","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Pages 55-60"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interactive Telehealth Solutions for Patients With Congenital Heart Disease: A Systematic Review","authors":"Charlotte Schöneburg MSc ,&nbsp;Laura Willinger PhD ,&nbsp;Isabel Uphoff MSc ,&nbsp;Renate Oberhoffer-Fritz MD ,&nbsp;Peter Ewert MD ,&nbsp;Jan Müller PhD","doi":"10.1016/j.cjcpc.2024.11.005","DOIUrl":"10.1016/j.cjcpc.2024.11.005","url":null,"abstract":"<div><h3>Background</h3><div>As 95% of patients with congenital heart disease (CHD) reach adulthood, the focus has shifted from early mortality to long-term morbidity, necessitating regular specialized follow-ups and more emphasis on health promotion. In this regard, telehealth could represent an innovative care method for live supervision and promoting lifestyle changes. This systematic review investigates interactive telehealth solutions including application program interfaces for children and adults with CHD.</div></div><div><h3>Methods</h3><div>A systematic literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) from January 1, 2013, to April 1, 2024, on interactive telehealth solutions for children and adults with CHD.</div></div><div><h3>Results</h3><div>Of 16 included studies, 9 studies evaluated 318 pediatric patients with diagnosed CHD, 4 studies included 229 pediatric and adult patients with CHD, and 3 studies examined 188 adults. A total of 8 studies investigated teledevices: 5 explored mobile applications and 3 used wearables. Studies assessed telehealth interventions using maximum or peak oxygen consumption for physical performance, questionnaires for health-related quality of life, sleep, and well-being, and tracked emergency visits, intensive care unit stays, and disease complications. Additional measures included infant growth, body weight, and arrhythmias.</div></div><div><h3>Conclusions</h3><div>The majority of studies indicate that telehealth solutions have a positive impact on cardiovascular health. To ensure medical care for these patients, the implementation of more high-quality, interactive, and live telehealth solutions beyond home monitoring is essential. It could offer the opportunity to promote early prevention strategies, such as improving fitness and behavioral changes while ensuring the safety of each individual.</div></div>","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Pages 69-80"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Right Atrial Leadless Pacemaker After Glenn Repair","authors":"Jayant Kakarla MBBS,&nbsp;Intisar Ahmed MBBS,&nbsp;Krishnakumar Nair MD","doi":"10.1016/j.cjcpc.2024.11.004","DOIUrl":"10.1016/j.cjcpc.2024.11.004","url":null,"abstract":"","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Pages 99-102"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot Study on Integrating 3D-Printed Models Into Undergraduate Medical Education for Congenital Heart Disease","authors":"Wan Cheol Kim MD ,&nbsp;Suyeon Sarah Kim BSc ,&nbsp;Victor Neira MD ,&nbsp;John Lewis Sapp Jr. MD ,&nbsp;Osama Elkhateeb MD","doi":"10.1016/j.cjcpc.2024.11.001","DOIUrl":"10.1016/j.cjcpc.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to assess the feasibility and effectiveness of implementing 3-dimensional (3D)-printed heart models in the education of medical students in a Canadian Medical School.</div></div><div><h3>Methods</h3><div>Three types of 3D-printed models—normal, unrepaired tetralogy of Fallot (TOF), and surgically repaired adult TOF—were provided for medical students in their second year of training after a 30-minute lecture. The repaired TOF model depicted a transannular patch, ventricular septal defect closure, and right ventricular outflow tract resection. Knowledge acquisition was measured by comparing pre- and postsession tests consisting of 5 questions. Learner satisfaction ratings were measured with questionnaires completed after the session. A statistical analysis was performed using the <em>t</em> test.</div></div><div><h3>Results</h3><div>Twenty-two medical students participated in the study with 20 students submitting complete data for analysis. The students’ score on 5 questions improved after the 3D-printed model session. The average number of correct answers in the test was 2.1 ± 1.0 before the session and 4.3 ± 0.9 after the session (<em>P</em> &lt; 0.001) out of the possible total of 5. Participants reported a high level of satisfaction (86.4%), understanding (86.4%), and usefulness (90.9%) with the incorporation of 3D-printed models in the educational session.</div></div><div><h3>Conclusions</h3><div>An educational session that integrated 3D-printed anatomic models to teach congenital heart disease anatomy significantly enhanced knowledge outcomes. Learner assessment of the impact of the use of the 3D models was highly favourable.</div></div>","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Pages 103-108"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fontan Circulation and High Cardiac Output State: A Forgotten Phenotype","authors":"Hilary Bews MD ,&nbsp;Ishika Mittal ,&nbsp;James W. Tam MD ,&nbsp;Ashish H. Shah MD","doi":"10.1016/j.cjcpc.2024.10.001","DOIUrl":"10.1016/j.cjcpc.2024.10.001","url":null,"abstract":"","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Pages 92-94"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Medical Therapy in Management of Bicuspid Aortic Valve–Associated Aortopathy in Children","authors":"Arif Hussain MD ,&nbsp;Louis-Olivier Roy MSc ,&nbsp;Nagib Dahdah MD ,&nbsp;Tiscar Cavalle-Garrido MD ,&nbsp;Hamad Abdulrahman O. Alfuraian MD ,&nbsp;Christine Houde MD ,&nbsp;Michael Grattan MD, MSc ,&nbsp;Andrew Mackie MD ,&nbsp;Shreya Moodley MD ,&nbsp;Joshua Penslar MD ,&nbsp;Derek Wong MD ,&nbsp;Santokh S. Dhillon MD, FRCPC, FHRS ,&nbsp;Frédéric Dallaire MD, PhD ,&nbsp;Canadian Congenital and Pediatric Cardiology Research Network Investigators","doi":"10.1016/j.cjcpc.2024.11.003","DOIUrl":"10.1016/j.cjcpc.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Patients with bicuspid aortic valve (BAV) are often treated with medication to slow the rate of aortic dilatation, without established efficacy.</div></div><div><h3>Methods</h3><div>We conducted a retrospective, multicentre study of 558 children (83 treated and 475 not treated) with BAV and ascending aorta (AscAo) dilatation. The median follow-up was 3.6 years for treated patients and 5.6 years for not treated patients. Longitudinal mixed models assessed the rate of AscAo and sinus of Valsalva (SoV) dilatation expressed as a change in <em>Z</em> score units per year for patients treated and not treated with a β-blocker or an afterload-reducing agent. Secondary outcomes included time to significant AscAo dilatation (<em>Z</em> score ≥6) and proportions of patients achieving <em>Z</em> score stabilization (dilatation rate &lt;0.1 <em>Z</em>/y).</div></div><div><h3>Results</h3><div>Compared with untreated patients, those treated had a small reduction of AscAo and SoV dilatation rates with an absolute treatment difference of −0.032 <em>Z</em>/y (95% confidence interval [CI]: −0.086 to 0.022) and −0.021 <em>Z</em>/y (95% CI: −0.078 to 0.035), respectively. Patients treated had a small reduction of the time to significant dilatation of AscAo (hazard ratio: 0.83; 95% CI: 0.43-1.61). Patients treated were more likely to achieve <em>Z</em> score stabilization with an increase in the proportion of patients by 4.5% for AscAo (95% CI: −11.3% to 20.2%) and 7% for SoV (95% CI: −9.7% to 22.5%). Overall, the probability of a null effect was high, as the 95% CI for all outcomes between the groups overlapped.</div></div><div><h3>Conclusion</h3><div>Pharmacologic treatment was not associated with a meaningful reduction of AscAo and SoV dilatation rates in children with BAV.</div></div>","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Pages 61-68"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stable Longitudinal Quality of Life in the SERVE Trial Among Adults With Transposition of the Great Arteries and a Systemic Right Ventricle","authors":"Alessandro Castiglione MD ,&nbsp;Markus Schwerzmann MD ,&nbsp;Judith Bouchardy MD ,&nbsp;Ronny Ralf Buechel MD ,&nbsp;Reto Engel MD ,&nbsp;Michael Freese MD ,&nbsp;Harald Gabriel MD ,&nbsp;Matthias Greutmann MD ,&nbsp;Dik Heg PhD ,&nbsp;Christian Mueller MD ,&nbsp;Mathias Possner MD ,&nbsp;Francisco Javier Ruperti-Repilado MD ,&nbsp;Tobias Rutz MD ,&nbsp;Jurg Schwitter MD ,&nbsp;Corina Thomet PhD ,&nbsp;Daniel Tobler MD ,&nbsp;Matthias Wilhelm MD ,&nbsp;Kerstin Wustmann MD ,&nbsp;Fabienne Schwitz MD ,&nbsp;SERVE trial","doi":"10.1016/j.cjcpc.2024.12.001","DOIUrl":"10.1016/j.cjcpc.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Adults with a transposition anatomy and a systemic right ventricle (RV) face long-term complications that may impact their quality of life (QoL). Few data are available regarding the QoL in this patient group and its evolution over time.</div></div><div><h3>Methods</h3><div>This study was performed in the SERVE trial’s (identifier: <span><span>NCT03049540</span><svg><path></path></svg></span>) prospective cohort of patients (n = 100) with congenitally corrected transposition of the great arteries (TGA) or dextro-TGA after the atrial switch procedure and a longitudinal follow-up of 3 years. We aimed to describe the longitudinal QoL levels and their predictors. QoL was assessed using the Linear Analog Scale. QoL parameters were collected at baseline, after 12 months, and after 36 months, together with clinical parameters and a questionnaire assessing general self-efficacy (GSE).</div></div><div><h3>Results</h3><div>The mean QoL on the Linear Analog Scale was 79.1 ± 13.6 at baseline, 75.5 ± 14.8 at 1 year, and 79.2 ± 13.6 at 3-year follow-up (<em>P</em> = 0.900). No significant differences in QoL were observed between congenitally corrected TGA or dextro-TGA patients. Cardiopulmonary exercise testing maximum work rate and maximum oxygen uptake, New York Heart Association class, end-diastolic RV volumes, N-terminal pro–B-type natriuretic peptide concentration, and GSE showed significant correlations with QoL levels. Multivariable regression analysis identified GSE value and New York Heart Association class (<em>r</em>² = 0.283, <em>P</em> &lt; 0.001) as independent predictors of QoL at baseline.</div></div><div><h3>Conclusions</h3><div>Patients with a systemic RV reported a stable good QoL during 3 years of follow-up. Exercise capacity and self-efficacy were the only independent predictors of QoL.</div></div><div><h3>Clinical Trial Registration</h3><div><span><span>NCT03049540</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 2","pages":"Pages 81-91"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Children With Congenital Heart Disease and the Canadian 24-Hour Movement Guidelines: A Scoping Review","authors":"Matthew S. Chapelski MSc ,&nbsp;Megan Tomyn BSc ,&nbsp;Kristina Sobolewski MSc ,&nbsp;Amanda Froehlich Chow PhD ,&nbsp;Leah J. Ferguson PhD ,&nbsp;Charissa Pockett MD ,&nbsp;Corey R. Tomczak PhD ,&nbsp;Marta C. Erlandson PhD","doi":"10.1016/j.cjcpc.2024.10.008","DOIUrl":"10.1016/j.cjcpc.2024.10.008","url":null,"abstract":"<div><div>Factors such as physical activity (PA), sedentary time, screen time, and sleep affect the holistic health of children with congenital heart disease (CHD). Despite this, their proximity to reaching the Canadian 24-hour movement guidelines is unknown. This review sought to synthesize evidence for PA, sedentary time, screen time, and sleep behaviour of children with CHD and compare them with the Canadian 24-hour movement guidelines. Six online databases were searched for research published from January 2010 to May 2024. Eligible articles included research involving children aged 4-20 years with any type of CHD lesion as well as a measure of one of PA, sedentary time, screen time, or sleep, reported in a unit of time. The search resulted in 9199 articles, and after removing ineligible articles, 30 were identified for this review. Of the included articles, 30 measured moderate-to-vigorous PA (MVPA), 8 measured light PA, 14 measured sedentary time, 1 measured screen time, and 3 measured sleep time. Forty percent of studies reported that children with CHD met the MVPA guidelines. Within these, a subset of studies (n = 20) examined the percentage of the sample that reached the guideline and found that an average of 43% of children with CHD attained the MVPA guideline. No conclusions could be made for light PA or sedentary time because there is no clear quantification or numerical recommendation in the Canadian 24-hour movement guidelines. In addition, future research should include evaluations of the screen and sleep time of children with CHD due to very limited research in the area.</div></div>","PeriodicalId":100249,"journal":{"name":"CJC Pediatric and Congenital Heart Disease","volume":"4 1","pages":"Pages 34-48"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}