Cardiology in the Young最新文献_第3页

The double scimitar sign. 双弯刀的标志。

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-07-03 DOI: 10.1017/S104795112510070X

Saileela Rajan, Arun Sundaram, Robert Coelho

引用次数: 0

Fontan-associated liver disease: paediatric experience in a reference centre in Colombia. 方丹相关肝病：哥伦比亚一个参考中心的儿科经验

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-07-03 DOI: 10.1017/S104795112510084X

Andrés David Aranzazu, Isabel C Sánchez, Sydney Goldfeder, Mónica Isabel Guzmán

{"title":"Fontan-associated liver disease: paediatric experience in a reference centre in Colombia.","authors":"Andrés David Aranzazu, Isabel C Sánchez, Sydney Goldfeder, Mónica Isabel Guzmán","doi":"10.1017/S104795112510084X","DOIUrl":"https://doi.org/10.1017/S104795112510084X","url":null,"abstract":"Fontan-associated liver disease is a condition characterised by structural, functional, and clinical alterations secondary to the haemodynamic changes of this circulation.Objective: To describe the experience of a series of paediatric patients with Fontan-associated liver dysfunction.Methods: A retrospective study including 12 patients with Fontan-associated liver disease. Patients were selected from the single-ventricle program at a high-complexity centre in Colombia between 2001 and 2024.Results: During the study period, 108 patients were in the Fontan stage. Among them, 12 met the criteria for Fontan-associated liver disease (11.1%). The median age at extracardiac Fontan completion was 3.9 years, while the median age at Fontan-associated liver disease diagnosis was 14.5 years. Concomitant protein-losing enteropathy and/or plastic bronchitis were present in 33% of cases. Echocardiographic follow-up showed systolic dysfunction in 41% and diastolic dysfunction in 16% of patients. All patients exhibited some degree of valvular insufficiency, mild in 83.3% and moderate in 16%. Haemodynamic variables at the time of diagnosis did not show significant abnormalities.Conclusions: Liver disease is a persistent concern in paediatric patients with Fontan physiology, posing diagnostic and therapeutic challenges. Healthcare professionals managing these patients should be aware of its early identification and appropriate treatment.","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-5"},"PeriodicalIF":0.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cardiac hemangioma in children: case report. 儿童心脏血管瘤1例。

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-07-03 DOI: 10.1017/S1047951125100656

Erica V Stelmaszewski, Mariel L Foti, Carlos F Rosental

引用次数: 0

Caudal Anaesthesia: clonidine and morphine dosing and outcomes in paediatric cardiac surgery. 尾侧麻醉：小儿心脏手术中可乐定和吗啡的剂量和结果。

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-07-03 DOI: 10.1017/S1047951125100620

Amy L Kiskaddon, Semerjit Bains, Andrew H Smith, James A Quintessenza, Shannon Frank, Gerson Rodriguez-Fazzi, Vyas M Kartha

引用次数: 0

Pulmonary artery banding in dilated cardiomyopathy: impact of age. 扩张型心肌病肺动脉束带：年龄的影响。

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-07-02 DOI: 10.1017/S1047951125001672

Dietmar Schranz

引用次数: 0

Middle aortic syndrome in a paediatric patient with Williams syndrome: a case report. 威廉斯综合征患儿中主动脉综合征1例报告。

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-07-02 DOI: 10.1017/S1047951125100589

Basil M Baccouche, Dakota Salazar, Claudia Algaze

引用次数: 0

Immunisation recommendations for children with single ventricle CHD. 单心室冠心病儿童的免疫接种建议

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-06-30 DOI: 10.1017/S1047951125100632

Sarah L Tallent, Trudy A Pierick, Jo Ann M Davis, Sonali S Patel, Sophia Marusic, Andrew W McCrary

引用次数: 0

Ventricular tachycardia in fetus and neonate: a single centre experience. 胎儿和新生儿室性心动过速：单中心经验。

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-06-30 DOI: 10.1017/S1047951125100814

Lisa Hornberger, Carolina Escudero, Hilal Al Riyami

{"title":"Ventricular tachycardia in fetus and neonate: a single centre experience.","authors":"Lisa Hornberger, Carolina Escudero, Hilal Al Riyami","doi":"10.1017/S1047951125100814","DOIUrl":"https://doi.org/10.1017/S1047951125100814","url":null,"abstract":"Background: Ventricular tachycardia is a rare condition in the fetus and neonate with a paucity of data regarding the management and outcomes.Methods: We reviewed the clinical histories, associated CHD and syndromes, diagnostic investigations, management strategies, and outcomes for all fetuses and neonates with ventricular tachycardia encountered between 2005 and 2020.Results: Five fetal and 8 neonatal cases of ventricular tachycardia were encountered. Two (40%) fetal cases, compared to 5 (62%) neonatal cases had CHD (p = 0.59), and only 1 fetus had cardiomyopathy with findings suggesting restriction before ventricular tachycardia onset. The median age at ventricular tachycardia presentation was 32 (26-37) weeks for fetal and 11 (1-27) days for neonatal cases. Of the fetal cases, 2 were initially treated trans-placentally with propranolol and 2 with amiodarone. Two fetuses (40%) had ventricular tachycardia suppression prenatally that recurred during the neonatal period necessitating propranolol therapy, 2 (40%) had resolution before birth with no postnatal recurrence, and the cardiomyopathy case never achieved full control, developed hydrops and demised. Of the neonatal cases, 4 received intravenous antiarrhythmics on admission: 3 amiodarone and 1 esmolol, and 2 of these were converted to propranolol and 2 to sotalol. Three other neonates initially received propranolol, with 1 discharged on propranolol, 1 on sotalol, and 1 on mexiletine after failed propranolol and sotalol treatment. The 8th neonate was discharged on no medication.Conclusion: Most fetal and neonatal ventricular tachycardia is manageable with pharmacologic therapy. Given its rarity, larger studies are needed to identify optimal management strategies.","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-5"},"PeriodicalIF":0.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Manoeuvering an alterra pre stent around obstacles. 在障碍物周围操纵一个另类支架。

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-06-27 DOI: 10.1017/S1047951125100759

Frank Han, Priti Patel

引用次数: 0

The association of the child opportunity index on outcomes in paediatric patients with Wolff-Parkinson-White. 儿童机会指数与小儿沃尔夫-帕金森-怀特患者预后的关系。

IF 0.9 4区医学

Cardiology in the Young Pub Date : 2025-06-27 DOI: 10.1017/S1047951125100802

Brock A Karolcik, Kevin L Smith, Michael J Calcaterra, Mary D Schiff, Maya I Ragavan, Tarek Alsaied, Christopher W Follansbee, Lee B Beerman, Gaurav Arora

{"title":"The association of the child opportunity index on outcomes in paediatric patients with Wolff-Parkinson-White.","authors":"Brock A Karolcik, Kevin L Smith, Michael J Calcaterra, Mary D Schiff, Maya I Ragavan, Tarek Alsaied, Christopher W Follansbee, Lee B Beerman, Gaurav Arora","doi":"10.1017/S1047951125100802","DOIUrl":"https://doi.org/10.1017/S1047951125100802","url":null,"abstract":"Background: The Child Opportunity Index is an index of 29 indicators of social determinants of health linked to the United States of America Census. Disparities in the treatment of Wolff-Parkinson-White have not be reported. We hypothesise that lower Child Opportunity Index levels are associated with greater disease burden (antiarrhythmic use, ablation success, and Wolff-Parkinson-White recurrence) and ablation utilisation.Methods: A retrospective, single-centre study was performed with Wolff-Parkinson-White patients who received care from January 2021 to July 2023. Following exclusion for <5 years old and with haemodynamically significant CHD, 267 patients were included (45% high, 30% moderate, and 25% low Child Opportunity Index). Multi-level logistic and log-linear regression was performed to assess the relationship between Child Opportunity Index levels and outcomes.Results: Low patients were more likely to be Black (p < 0.0001) and to have public insurance (p = 0.0006), though, there were no significant differences in ablation utilisation (p = 0.44) or time from diagnosis to ablation (p = 0.37) between groups. There was an inverse relationship with emergency department use (p = 0.007). The low group had 2.8 times greater odds of having one or more emergency department visits compared to the high group (p = 0.004).Conclusion: The Child Opportunity Index was not related with ablation utilisation, while there was an inverse relationship in emergency department use. These findings suggest that while social determinants of health, as measured by Child Opportunity Index, may influence emergency department utilisation, they do not appear to impact the overall management and procedural timing for Wolff-Parkinson-White treatment.","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-7"},"PeriodicalIF":0.9,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0