journal
https://read.qxmd.com/read/38970655/early-impressions-and-adoption-of-the-atriamp-for-managing-arrhythmias-following-congenital-heart-surgery
#21
JOURNAL ARTICLE
Scott M Leopold, Diane H Brown, Xiao Zhang, Xuan T Nguyen, Awni M Al-Subu, Krisjon R Olson
AtriAmp is a new medical device that displays a continuous real-time atrial electrogram on telemetry using temporary atrial pacing leads. Our objective was to evaluate early adoption of this device into patient care within our pediatric intensive care unit (PICU). This is a qualitative study using inductive analysis of semi-structured interviews to identify dominant themes. The study was conducted in a single-center, tertiary, academic 21-bed mixed PICU. The subjects were PICU multidisciplinary team members (Pediatric Cardiac Intensivists, PICU Nurse Practitioners, PICU nurses and Pediatric Cardiologists) who were early adopters of the AtriAmp (n = 14)...
July 6, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38967792/pulmonary-atresia-with-intact-ventricular-septum-a-national-comparison-between-interventional-and-surgical-approach-in-combination-with-a-systemic-literature-review
#22
JOURNAL ARTICLE
Stina Manhem, Michal Odermarsky, Håkan Wåhlander, Britt-Marie Ekman-Joelsson
This study aimed to compare long-term morbidity in patients with pulmonary atresia with intact ventricular septum (PA-IVS) treated with catheter-based intervention (group A) versus those undergoing heart surgery (group B) as initial intervention. Additionally, we conducted a systematic literature review on PA-IVS treatment. All neonates born in Sweden with PA-IVS between 2007 and 2019 were screened for inclusion. The inclusion criterion was decompression of the right ventricle for initial intervention. Medical records were reviewed, as well as the initial preoperative angiogram, and the diagnostic echocardiogram...
July 5, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38965102/critical-event-checklists-for-simulated-in-hospital-dysrhythmias-in-children-with-heart-disease
#23
JOURNAL ARTICLE
Robert Spencer, Anita I Sen, David O Kessler, Kristina Salabay, Tammy Compagnone, Yun Zhang, Tarif A Choudhury
Children with heart disease are at increased risk of unstable dysrhythmias and in-hospital cardiac arrest (IHCA). Clinician adherence to lifesaving processes of care is an important contributor to improving patient outcomes. This study evaluated whether critical event checklists improve adherence to lifesaving processes during simulated acute events secondary to unstable dysrhythmias. A randomized controlled trial was conducted in a cardiac ward in a tertiary care, academic children's hospital. Unannounced simulated emergencies involving dysrhythmias in pediatric patients with underlying cardiac disease were conducted weekly...
July 4, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38953954/a-comparison-of-ductal-stenting-and-surgical-shunts-for-infants-with-duct-dependent-pulmonary-blood-flow-the-impact-of-single-versus-biventricular-repair-pathways-on-outcomes
#24
JOURNAL ARTICLE
Nicholas Fitzgerald, Paul Adams, Jonathan Mervis, Annabel Webb, Philip Roberts, Julian Ayer
Ductal stenting (DS) is an alternative to the Blalock-Taussig-Thomas Shunt (BTTS) as initial palliation for congenital heart disease with duct-dependent pulmonary blood flow (DDBPF). We sought to analyze the impact of intended single ventricle (SV) and biventricular (BiV) repair pathways on the outcome of DS and BTTS in infants with DDPBF. A single-center, retrospective comparison of infants with DDPBF who underwent either DS (2012-2022) or BTTS procedures (2013-2017). Primary outcomes included all-cause mortality and risk of unplanned re-intervention...
July 2, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38953953/pediatric-electrocardiogram-based-deep-learning-to-predict-secundum-atrial-septal-defects
#25
JOURNAL ARTICLE
Joshua Mayourian, Robert Geggel, William G La Cava, Sunil J Ghelani, John K Triedman
Secundum atrial septal defect (ASD2) detection is often delayed, with the potential for late diagnosis complications. Recent work demonstrated artificial intelligence-enhanced ECG analysis shows promise to detect ASD2 in adults. However, its application to pediatric populations remains underexplored. In this study, we trained a convolutional neural network (AI-pECG) on paired ECG-echocardiograms (≤ 2 days apart) to detect ASD2 from patients ≤ 18 years old without major congenital heart disease...
July 2, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38953952/decreased-serum-apolipoprotein-ciii-in-the-acute-phase-of-kawasaki-disease
#26
JOURNAL ARTICLE
Takahiro Kanai, Takane Ito, Toshihiro Tajima
Plasma exchange is an effective treatment for Kawasaki disease (KD), suggesting that plasma from patients with KD bears its causative agents. The aim of this study was to use mass spectrometry to identify candidate agents in patient sera. Serum samples were obtained from 17 KD patients. In six patients, samples were collected in each of three phases: the acute phase prior to acetylsalicylic acid (ASA) and intravenous immunoglobulin administration (Phase A1), the remission phase with ASA (Phase A2), and the remission phase without any medication (Phase A3)...
July 2, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38953951/pulmonary-atresia-with-intact-ventricular-septum-correlation-of-preoperative-computed-tomography-derived-parameters-with-echocardiographic-tricuspid-valve-z-score-and-surgical-outcomes
#27
JOURNAL ARTICLE
Hyun Woo Goo, Sang Hyub Park, Seon Young Goo
The role of preoperative cardiac computed tomography (CT) in neonates with pulmonary atresia and intact ventricular septum (PA-IVS) remains unclear. This study was aimed to elaborate the role of preoperative CT-derived anatomical and functional findings in planning treatment strategies in neonates with PA-IVS. The presence of ventriculocoronary arterial connections was evaluated by CT. CT-derived ventricular volumetric parameters were compared and correlated with echocardiographic tricuspid valve (TV) z-score in 12 neonates with PA-IVS...
July 2, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38953950/pecgreview-assessment-of-a-novel-tool-to-evaluate-the-accuracy-of-pediatric-ecg-interpretation-skills
#28
JOURNAL ARTICLE
Xander Jacquemyn, Karine Guerrier, Evan Harvey, Sean Tackett, Shelby Kutty, Glenn T Wetzel
The skill of interpretation of the electrocardiogram (ECG) remains poor despite existing educational initiatives. We sought to evaluate the validity of using a subjective scoring system to assess the accuracy of ECG interpretations submitted by pediatric cardiology fellows, trainees, and faculty to the Pediatric ECG Review (pECGreview), a web-based ECG interpretation training program. We conducted a retrospective, cross-sectional study of responses submitted to pECGreview. ECG interpretations were assessed independently by four individuals with a range of experience...
July 2, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38951145/thrombocytopenia-is-associated-with-higher-fontan-pressure-and-increased-morbidity-in-patients-with-fontan-circulation
#29
JOURNAL ARTICLE
Michael Gould, Megan Gunsaulus, Brian Feingold, Bryan Goldstein, Arvind Hoskoppal, Jacqueline Kreutzer, Lizabeth Lanford, Sara Trucco, Tarek Alsaied
After the Fontan procedure, patients require lifelong follow-up due to significant late morbidity and mortality. Thrombocytopenia is seen frequently post-Fontan, likely due to secondary hypersplenism from elevated Fontan pressure. We investigated platelet counts in patients with a Fontan circulation and assessed associations with catheterization data and clinical outcomes. This retrospective study included 92 patients (33% female) post-Fontan who had a complete blood count performed between January 2011 and July 2023...
July 1, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38951144/impact-of-appropriate-use-criteria-for-cross-sectional-imaging-on-medical-decision-making-in-patients-with-conotruncal-defects
#30
JOURNAL ARTICLE
Ryan Sheets, Sassan Hashemi, Clayton Smith, Fred H Rodriguez, Ritu Sachdeva, Hunter C Wilson
Associations between Appropriate Use Criteria (AUC) ratings and medical decision-making in congenital heart disease are not well-established. We applied the 2020 AUC for multimodality imaging in follow-up care of pediatric and young adult patients with conotruncal defects to evaluate appropriateness of cardiac magnetic resonance (CMR) and computed tomography (CCT) use in this population and impact on clinical decision-making. Records were reviewed and assigned AUC indications and corresponding ratings for CMR and CCT...
June 28, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38942985/adaptive-functioning-and-sleep-quality-associations-in-young-children-with-congenital-heart-disease
#31
JOURNAL ARTICLE
Danielle M Caissie, Anna Dollimount, Corey R Tomczak, Marta C Erlandson, Charissa Pockett, Darryl J Adamko, T Dylan Olver, Heather Switzer, Kristi D Wright
Congenital heart disease (CHD) is one of today's leading birth anomalies. Children with CHD are at risk for adaptive functioning challenges. Sleep difficulties are also common in children with CHD. Indeed, sleep-disordered breathing, a common type of sleep dysfunction, is associated with increased mortality for infants with CHD. The present study examined the associations between adaptive functioning and sleep quality (i.e., duration and disruptions) in children with CHD (n = 23) compared to healthy children (n = 38)...
June 28, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38940827/cardiopulmonary-exercise-testing-in-children-and-adolescents-with-repaired-tetralogy-of-fallot-mechanisms-of-exercise-intolerance-and-clinical-implications
#32
JOURNAL ARTICLE
Danton Mhd, Hadjisoteriou A, Noonan P, Young D, Burns P
By comparison with adults, cardiopulmonary exercise testing in children with Tetralogy of Fallot is limited, and its clinical application less clarified. This study provides a comprehensive CPET profile in a child-adolescent population with repaired TOF, explores mechanisms underpinning exercise intolerance and associations with clinical outcome. Seventy-four CPETs were completed in 58 child-adolescents with rTOF (age 13.8 SD 2.4 years). CPET parameters were corrected for age, sex and body size. At follow-up (4...
June 28, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38940826/five-year-outcomes-of-coarctoplasty-with-stents-in-the-pediatric-population-results-from-a-retrospective-single-center-cohort-with-centrally-adjudicated-outcomes
#33
JOURNAL ARTICLE
Hojjat Mortezaeian, Elham Rezanejad, Yeganeh Pasebani, Raheleh Zamani, Yasaman Khalili, Hamidreza Ghaemi, Farshad Jafari, Mahshad Sabri, Jamal Moosavi, Bahram Mohebbi, Amir Abdi, Sara Montazeri Namin, Parham Sadeghipour, Stephan Haulon, Alain Fraisse
Transcatheter stent implantation is a widely performed procedure for treating native coarctation of the aorta (CoA) in pediatric patients. However, data on mid- to long-term outcomes are limited. The aim of this study was to evaluate the mid-term safety and efficacy of transcatheter CoA stenting based on centrally adjudicated outcomes. This retrospective cohort study included patients aged 15 years or younger undergoing de novo stenting for CoA or recoarctation (reCoA) between 2006 and 2017. Immediate and 5-year outcomes were assessed...
June 28, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38940825/diagnostic-value-of-99m-tc-mibi-myocardial-perfusion-imaging-in-detecting-myocardial-ischemia-of-children-with-kawasaki-disease-and-coronary-artery-lesions
#34
JOURNAL ARTICLE
Yiting Gui, Yixiang Lin, Ha Wu, Guangan Dai, Xuecun Liang, Chen Chu, Yuanzheng Zheng, Quming Zhao, Feng Wang, Shuna Sun, Guoying Huang, Weili Yan, Lan He, Fang Liu
Pediatric patients with coronary artery lesions (CALs) after Kawasaki disease (KD) may be complicated with myocardial ischemia. Although previous studies in adults have proven the diagnostic value of 99m Tc-MIBI myocardial perfusion imaging (MPI) for ischemic heart disease, its feasibility and accuracy in this pediatric population remain uncertain. In this retrospective study, we collected data of 177 pediatric patients (Age range: 6 months to 14 years) who had undergone MPI and coronary artery angiography (CAG) between July 2019 and February 2023...
June 28, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38937337/recognition-of-patient-gender-a-machine-learning-preliminary-analysis-using-heart-sounds-from-children-and-adolescents
#35
JOURNAL ARTICLE
Rodrigo M Carrillo-Larco
Research has shown that X-rays and fundus images can classify gender, age group, and race, raising concerns about bias and fairness in medical AI applications. However, the potential for physiological sounds to classify sociodemographic traits has not been investigated. Exploring this gap is crucial for understanding the implications and ensuring fairness in the field of medical sound analysis. We aimed to develop classifiers to determine gender (men/women) based on heart sound recordings and using machine learning (ML)...
June 27, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38918240/long-term-outcomes-of-surgical-repair-of-supracardiac-total-anomalous-pulmonary-venous-connection
#36
JOURNAL ARTICLE
Zhangwei Wang, Kai Ma, Shoujun Li
The conventional surgery (CS) of supracardiac total anomalous pulmonary venous connection (TAPVC) is not always effective particularly in the setting of complex anatomy such as the mixed variety of TAPVC. This study aimed to analyze the outcomes of surgical treatment of supracardiac TAPVC and determine the optimal strategy. From December 2009 to December 2023, patients with supracardiac TAPVC undergoing surgical repair in our institution were included. The Kaplan-Meier curve was used to demonstrate the survival estimates...
June 25, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38918239/establishing-optimal-control-cohorts-for-phase-1-trials-retrospective-analysis-of-clinical-and-biological-outcomes-in-neonates-and-infants-undergoing-two-ventricle-repair
#37
JOURNAL ARTICLE
Kumi Kobayashi, Kei Kobayashi, Christopher Liu, Julia Ryan, David Zurakowski, Nobuyuki Ishibashi
Phase 1 trials are primarily conducted to evaluate the safety and feasibility of new interventions, usually without recruiting control patients. This retrospective study aims to characterize clinical and biological outcomes in historical and contemporary cases of neonates and infants undergoing two-ventricle repair to facilitate future secondary endpoint analyses for such trials. This retrospective study included neonates/infants (ages ≤ 6 months) who underwent two-ventricle repair between 2015 and 2021 using the same criteria as our phase 1 trial (n = 199)...
June 25, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38916670/clinical-course-of-residual-ventricular-septal-defects-after-congenital-heart-disease-repair
#38
JOURNAL ARTICLE
Yuki Nakayama, Yoshihiko Horimoto, Kazuhiro Suzuki, Makoto Takiguchi, Kazuaki Ishihara, Nobuhiro Umehara, Takeshi Shinkawa
The clinical course of residual ventricular septal defects after congenital heart disease repair is not completely elucidated in the medical literature. This study assessed the incidence, size, and clinical course of residual defects.This single-center retrospective study included 132 patients who survived after ventricular septal defect patch closure (n = 107) and intracardiac repair of double-outlet right ventricle (n = 16) and tetralogy of Fallot (n = 9). Residual defect was evaluated on transthoracic echocardiogram upon hospital discharge and at outpatient clinic visits...
June 25, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38916669/a-prospective-randomized-controlled-trial-using-virtual-reality-in-pediatric-pre-intervention-echocardiograms-to-decrease-child-anxiety-and-fear
#39
JOURNAL ARTICLE
Sarina K Behera, Rajesh Punn, Maria Menendez, Christine Be, Sandra Moon, Michelle Zuniga, Katie Jo Stauffer, Kelly Thorson, Nora Asi, Leo Lopez
Virtual reality (VR) as a distraction tool decreases anxiety and fear in children undergoing procedures, but its use has not been studied during transthoracic echocardiograms (TTEs). We hypothesized that VR in children undergoing pre-intervention TTEs decreases anxiety and fear and increases TTE study comprehensiveness and diagnostic accuracy when compared with standard distractors (television, mobile devices). Patients (6-18 years old) scheduled for pre-intervention TTEs at Lucile Packard Children's Hospital in 2021 and 2022 were prospectively enrolled and randomized to VR and non-VR groups...
June 25, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38916668/reducing-adverse-events-associated-with-pediatric-cardiac-catheterization-a-quality-improvement-project-focusing-on-decreasing-catheterization-associated-blood-transfusions
#40
JOURNAL ARTICLE
Michael Wilhelm, Jenna Torgeson, Connor Cook, Alexandra Erdmann, Juan Boriosi, Luke Lamers
The objective of this study is to describe interventions and outcomes of a quality improvement (QI) project to reduce red blood cell transfusion (RBCT) within 72 h of pediatric cardiac catheterization. Using Plan-Do-Study-Act (PDSA) methodology, we applied interventions including (1). Intraprocedural-to reduce hemodilution, blood loss, and excessive anticoagulation, (2). Standardization of institutional transfusion criteria, and (3). "Hard stop" requiring QI team consultation prior to elective post-catheterization RBCT...
June 25, 2024: Pediatric Cardiology
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