International journal of cardiology. Congenital heart disease最新文献_第8页

Palliating the unpalliated adult single ventricle patient – Options and review of literature 缓解未配对的成年单心室患者——选择和文献综述

International journal of cardiology. Congenital heart disease Pub Date : 2023-09-01 DOI: 10.1016/j.ijcchd.2023.100464

Kelsey McLean , Tacy Downing , Anitha John , Pranava Sinha , Seiji Ito

引用次数: 0

Criss-cross pulmonary arteries in common arterial trunk – Implications to management and outcome 总动脉主干中的交叉肺动脉Cris——对治疗和结果的影响

International journal of cardiology. Congenital heart disease Pub Date : 2023-09-01 DOI: 10.1016/j.ijcchd.2023.100471

Magdi H. Yacoub , Mohamed Nagy , Hatem Hosny , Ahmed Afifi , Amr El Sawy , Ahmed Mahgoub , Hedaia Abdullah , Soha Romeih , Mahmoud Shehata , Abdelrahman Elafifi

{"title":"Criss-cross pulmonary arteries in common arterial trunk – Implications to management and outcome","authors":"Magdi H. Yacoub , Mohamed Nagy , Hatem Hosny , Ahmed Afifi , Amr El Sawy , Ahmed Mahgoub , Hedaia Abdullah , Soha Romeih , Mahmoud Shehata , Abdelrahman Elafifi","doi":"10.1016/j.ijcchd.2023.100471","DOIUrl":"https://doi.org/10.1016/j.ijcchd.2023.100471","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate the incidence, types and pathophysiology of criss-cross pattern of the proximal pulmonary arteries in common arterial trunk and its influence on management and outcomes.</p></div><div><h3>Methods</h3><p>Retrospective review of all patients with common arterial trunk who underwent Aswan Truncus Operation with regard to the origin and course of the proximal pulmonary artery branches as defined by 3D segmented models pre, immediately and 1 and 2 years after operation.</p></div><div><h3>Results</h3><p>Between January 2019 and September 2022, 39 patients (19 males, aged 1–12 months) underwent the Aswan Truncus Operation. 18 patients (46%) had criss-cross arrangement of the proximal pulmonary artery. The mortality, ICU and hospital stay were not affected by the presence or absence of the criss-cross pattern. However, following operation in the criss-cross group, there was evidence of different degrees of kinking and twisting of the right pulmonary artery. This resulted in severe narrowing which required stenting or reoperation at different stages (1 during ICU stay and another after 1 year). Separate origin of the left pulmonary artery (Criss-cross Type 2) from a long stenotic ductus arteriosus required resection of the stenotic segment followed by anastomosis to the right pulmonary artery recreating a 60° angle of bifurcation.</p></div><div><h3>Conclusion</h3><p>Criss-cross pattern of proximal pulmonary arteries is common in patients with common arterial trunk. Pre-operative diagnosis and tailored approaches of repair are required to prevent late complications.</p></div>","PeriodicalId":73429,"journal":{"name":"International journal of cardiology. Congenital heart disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49802362","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}

引用次数: 0

Psychologically informed medicine: A call for a holistic approach to improve mental health and wellbeing for those of us living with congenital heart disease 心理知情医学：呼吁采取全面的方法来改善我们这些先天性心脏病患者的心理健康和福祉

International journal of cardiology. Congenital heart disease Pub Date : 2023-09-01 DOI: 10.1016/j.ijcchd.2023.100468

Liza Morton

引用次数: 0

Exercise, prescription and training in ACHD ACHD的锻炼、处方和训练

International journal of cardiology. Congenital heart disease Pub Date : 2023-09-01 DOI: 10.1016/j.ijcchd.2023.100467

Guido Pieles , Michael Papadakis , Werner Budts

{"title":"Exercise, prescription and training in ACHD","authors":"Guido Pieles , Michael Papadakis , Werner Budts","doi":"10.1016/j.ijcchd.2023.100467","DOIUrl":"10.1016/j.ijcchd.2023.100467","url":null,"abstract":"<div><p>The number of adult patients with congenital heart disease (CHD) is steadily increasing and exceeds nowadays the number of children with CHD. This is due to significant advances in therapeutic possibilities that became available over the last four decades. As such, this aging population survives the CHD complications and is exposed to the traditional cardiovascular risk factors for atherosclerotic disease such as high blood pressure, elevated cholesterol levels, long-standing exposure to smoking, overweight and obesity, and a sedentary lifestyle. Consequently, it becomes important to put more emphasis on all these risk factors. A preventive strategy is central, and early encouragement of physical activity is part of this approach. A minimum of physical activity has a beneficial effect both physically and mentally. With this overview, we mainly want to emphasize the importance of preventive measures. We would like to emphasize that all individuals should receive an exercise prescription which adheres to the minimum recommendations by WHO/NICE and this advice should form the baseline. Moreover, we intend to show that physical activity can be done safely in patients with CHD and that recreational and competitive sports are feasible in many circumstances.</p></div>","PeriodicalId":73429,"journal":{"name":"International journal of cardiology. Congenital heart disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47310533","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}

引用次数: 1

Position statement for the development of adult congenital heart disease units in Latin America and the Caribbean: Recommendations by the adult congenital heart disease chapter and pediatric cardiology council of the interamerican society of cardiology … 拉丁美洲和加勒比地区成人先天性心脏病单位发展的立场声明：美洲心脏病学会成人先天性心病分会和儿科心脏病委员会的建议…

International journal of cardiology. Congenital heart disease Pub Date : 2023-09-01 DOI: 10.1016/j.ijcchd.2023.100461

John J. Araujo , Carla P. Rodríguez-Monserrate , Amalia Elizari , Lucelli Yáñez-Gutiérrez , Mariela Mouratian , Fernando Amaral , Manuel Huertas-Quiñonez , Mónica Rosario , Mauricio O'Connell , Oscar N. Aguirre-Zurita , Carlos Fernández , Marcelo Callau-Briceño , María M. Lorente- Coppola , Nancy Garay

{"title":"Position statement for the development of adult congenital heart disease units in Latin America and the Caribbean: Recommendations by the adult congenital heart disease chapter and pediatric cardiology council of the interamerican society of cardiology …","authors":"John J. Araujo , Carla P. Rodríguez-Monserrate , Amalia Elizari , Lucelli Yáñez-Gutiérrez , Mariela Mouratian , Fernando Amaral , Manuel Huertas-Quiñonez , Mónica Rosario , Mauricio O'Connell , Oscar N. Aguirre-Zurita , Carlos Fernández , Marcelo Callau-Briceño , María M. Lorente- Coppola , Nancy Garay","doi":"10.1016/j.ijcchd.2023.100461","DOIUrl":"https://doi.org/10.1016/j.ijcchd.2023.100461","url":null,"abstract":"<div><p>In 2020, there was an estimated prevalence of more than 1.8 million adults with congenital heart disease (ACHDs) living in South America, and 677,000 in Central America and the Caribbean. The ACHD mortality is higher in developing countries, compared with developed countries, and it has been shown that concentrating this population in specialized ACHD units improves their survival and prognosis. Currently, Latin American (LATAM) and Caribbean countries have an insufficient number of specialists and specialized ACHD units. Analyzing this situation, the Inter-American Society of Cardiology's (IASC) ACHD chapter and Pediatric Cardiology Council have prepared the first recommendations for developing ACHD units in LATAM and Caribbean countries. This article is the first collaborative work between South American, Central American and Caribbean countries. It describes the main points for organizing and developing ACHD units adapted to our own reality. Each point has been discussed in terms of barriers and challenges, followed by specific recommendations for improving and developing ACHD care. They have been reviewed and endorsed by the International Society for Adult Congenital Heart Disease (ISACHD), and the goal of their implementation is for each ACHD unit in the region to have the standards of quality and efficiency to improve the prognosis and survival of ACHDs in the region.</p></div>","PeriodicalId":73429,"journal":{"name":"International journal of cardiology. Congenital heart disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49802361","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}

引用次数: 0

Psychologically informed medicine: A holistic approach to improve mental health for people living with congenital heart disease 心理知情医学:改善先天性心脏病患者心理健康的整体方法

International journal of cardiology. Congenital heart disease Pub Date : 2023-07-01 DOI: 10.1016/j.ijcchd.2023.100468

L. Morton

引用次数: 1

Transcatheter secundum atrial septal defect closure using intracardiac echocardiography in adult patient with azygos/hemiazygos continuation of the inferior vena cava 经导管二次房间隔缺损闭合术在成人奇偶静脉/半奇偶静脉下腔静脉延续中的应用

International journal of cardiology. Congenital heart disease Pub Date : 2023-06-01 DOI: 10.1016/j.ijcchd.2023.100443

Leonardo Varotto, Alberto Dotto, Luca Spigolon, Gian Luca Spadaro, Francesco Caprioglio

引用次数: 0

Catheter ablation for supraventricular arrhythmias in adults with congenital heart disease: Recurrence rates and predictors of acute procedural success 导管消融治疗成人先天性心脏病室上性心律失常:复发率和急性手术成功的预测因素

International journal of cardiology. Congenital heart disease Pub Date : 2023-06-01 DOI: 10.1016/j.ijcchd.2023.100445

Ahmed El-Medany , Nicholas Sunderland , Richard Dobson , Graham Stuart , Ashley Nisbet

{"title":"Catheter ablation for supraventricular arrhythmias in adults with congenital heart disease: Recurrence rates and predictors of acute procedural success","authors":"Ahmed El-Medany , Nicholas Sunderland , Richard Dobson , Graham Stuart , Ashley Nisbet","doi":"10.1016/j.ijcchd.2023.100445","DOIUrl":"10.1016/j.ijcchd.2023.100445","url":null,"abstract":"<div><h3>Aims</h3><p>To define the cohort of adult congenital heart disease (ACHD) patients undergoing catheter ablation for supraventricular arrhythmia in a large tertiary centre, characterise outcomes, and determine factors associated with arrhythmia recurrence.</p></div><div><h3>Methods</h3><p>Single centre retrospective study of all catheter ablations for atrial arrhythmias in ACHD patients between September 2014 and October 2021. Patients were identified using a field search through a centralised database. Pre-specified clinical and procedural data of interest, and time from ablation to recurrence, were determined. Cox regression analyses were used to determine potential predictors of acute procedural success and arrhythmia recurrence.</p></div><div><h3>Results</h3><p>Cardiac ablation for supraventricular arrhythmia was undertaken in 142 cases across 100 unique patients (median age 41, interquartile range 31–52), with 70 (49%) cases treated for macro-reentrant atrial tachycardia, 16 (11%) for focal atrial tachycardia, 19 (13%) for multifocal atrial tachycardia, 17 (12%) for atrial fibrillation, 7 (5%) for atrioventricular nodal reentrant tachycardia, and 8 (6%) for atrioventricular reentrant tachycardia; and 68 cases (48%) had recurrent arrhythmia with a median time to recurrence of 800 days. Multivariable analysis identified acute procedural success as an independent predictor of freedom from arrhythmia, and ablation for persistent atrial fibrillation as an independent predictor for recurrence of arrhythmia.</p></div><div><h3>Conclusion</h3><p>Catheter ablation for supraventricular arrhythmia in ACHD patients is safe and effective, with most patients achieving multiple arrhythmia-free months. Procedural success and arrhythmia mechanism are important predictors of recurrence.</p></div>","PeriodicalId":73429,"journal":{"name":"International journal of cardiology. Congenital heart disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44367432","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}

引用次数: 0

Pharmacological therapy in adult congenital heart disease with coronary artery disease and atrial fibrillation 成人先天性心脏病合并冠状动脉疾病和心房颤动的药物治疗

International journal of cardiology. Congenital heart disease Pub Date : 2023-06-01 DOI: 10.1016/j.ijcchd.2023.100446

Rosaria Barracano, Giovanni Domenico Ciriello, Berardo Sarubbi

引用次数: 1

Nutrition, dietary recommendations, and supplements for patients with congenital heart disease 先天性心脏病患者的营养、饮食建议和补充剂

International journal of cardiology. Congenital heart disease Pub Date : 2023-06-01 DOI: 10.1016/j.ijcchd.2023.100449

Macarena Lorente , María Josefa Azpiroz , Paula Guedes , Rosa Burgos , Amador Lluch , Laura Dos

引用次数: 1