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Nature Reviews Cardiology, Published online: 20 January 2025; doi:10.1038/s41569-025-01118-1 The past 20 years have witnessed remarkable progress in the evolution of transcatheter procedures for the treatment of adult patients with congenitalheartdisease.
Our aim was to assess the impact on paediatric congenitalheartdisease (CHD) procedures during different pandemic periods compared with the prepandemic period, to inform appropriate responses to future major health services disruptions. Background The COVID-19 pandemic necessitated major reallocation of healthcare services.
Background Infants with congenitalheartdisease (CHD) are clinically vulnerable to cardiac deteriorations and intercurrent infections. We aimed to quantify the impact of health system disruptions during the COVID-19 pandemic, on their clinical outcomes and whether these differed by socioeconomic and ethnic subgroups.
Statement Highlights: A new American Heart Association scientific statement updates more than a decade of research identifying, managing and preventing neurodevelopmental delays and disorders among people with congenitalheartdisease.
Background Atrial arrhythmias (AA) and heart failure (HF) are major causes of hospitalisation in adult congenitalheartdisease (ACHD). Dates of first AA and HF presentations were documented, and outcomes of RFA, including acute and long-term success, were assessed.
Aim To assess the effectiveness and safety of strength training (ST) interventions in people with congenitalheartdisease (ConHD). Although the outcomes are positive, there is still insufficient evidence to establish the clinical significance of ST.
Journal of the American Heart Association, Ahead of Print. Survivorship from congenitalheartdisease has improved rapidly secondary to advances in surgical and medical management. This is an updated report of the American Heart Association's previous publications on exercise in children.
Over the past decade, new research has advanced scientific knowledge of neurodevelopmental trajectories, factors that increase neurodevelopmental risk, and neuroprotective strategies for individuals with congenitalheartdisease.
IntroductionVentricular septal defect (VSD) is a common congenitalheartdisease (CHD), accounting for 2030% of all CHD cases. Procedural success, complications, and follow-up outcomes were assessed at 1, 3, 12, and 18 months post-procedure. Data were analyzed using SPSS 20.0.ResultsThe
Due to improvements in recognition and management of their multisystem disease, the long‐term survival of infants, children, and adolescents with trisomy 21 and congenitalheartdisease now matches children with congenitalheartdisease and no genetic condition in many scenarios.
Congenitalheart defects are the most common type of birth defect, affecting 1% of live births. The underlying cause of congenitalheartdisease is frequently unknown. However, genetic testing and counselling indications can be challenging to identify in clinical practice.
6, 2025 Medtronic plc hasannounced it received CE ( Conformit Europenne ) Mark for the Harmony Transcatheter Pulmonary Valve (TPV) System, a minimally invasive alternative to open-heart surgery for congenitalheartdisease patients with native or surgically repaired right ventricular outflow tract (RVOT).
BackgroundCongenital heartdisease (CHD) is a major contributor to morbidity and infant mortality and imposes the highest burden on global healthcare costs. Early diagnosis and prompt treatment of CHD contribute to enhanced neonatal outcomes and survival rates; however, there is a shortage of proficient examiners in remote regions.
addressed the safety, tolerability, and outcomes of patients with adult congenitalheartdisease (ACHD) treated with sodium-glucose cotransporter 2 inhibitors (SGLT2i). Neijenhuis et al. and Fusco et al.
The following are key points to remember from an American Heart Association Scientific Statement on neurodevelopmental outcomes for individuals with congenitalheartdisease, which includes updates in neuroprotection, risk-stratification, evaluation, and management.
METHODS:The AHA, through its Epidemiology and Prevention Statistics Committee, continuously monitors and evaluates sources of data on heartdisease and stroke in the United States and globally to provide the most current information available in the annual Statistical Update with review of published literature through the year before writing.
It will also discuss the clinical applications of MRI in diagnosing and monitoring placental insufficiency, as well as its implications for fetal growth restriction (FGR) and congenitalheartdisease (CHD).
Adult patients surviving with congenitalheartdisease (ACHD) is growing. We examine the factors associated with heart transplant outcomes in this challenging population with complex anatomy requiring redo-sur.
The primary outcome was survival at the follow-up evaluation. The time point designated as time 0 was defined as the time of heart transplantation. A higher mortality rate was observed among children under three months of age with congenitalheartdisease.
This was a bold move at the time, when most patients with his congenitalheart condition — dextro-transposition of the great arteries, or d-TGA — were advised to avoid exercise and strenuous activity. News & World Report, the Heart Institute cares for all congenital and childhood heartdiseases.
Congenitalheartdisease is a daunting diagnosis for any parent. We’ll cover common types of medications used to treat congenitalheartdisease, what parents should know about their use, and potential side effects to watch out for. Be sure to talk to your doctor if you have any questions or concerns.
With continued medical and surgical advancements, most children and adolescents with congenitalheartdisease are expected to survive to adulthood. Circulation, Ahead of Print.
Outcomes data of catheter ablation (CA) for atrial tachyarrhythmias (AT) in the congenitalheartdisease (CHD) population are largely drawn from single center studies.
BackgroundAs a minimally invasive approach to treating congenitalheartdisease (CHD), the application of the right subaxillary small incision (RSSI) has been developing fast in its indication spectrum. The infants were divided into the RSSI group and the median sternotomy (MS) group.
More than a decade of new knowledge about neurodevelopmental risk in people with congenitalheartdisease has changed the thinking about who is most at risk and the factors that impact neurological development, learning, emotions and behaviors, according to a new American Heart Association statement published in Circulation.
Objective This study aimed to explore clinicians’ perspectives of ambulatory care in adult congenitalheartdisease (ACHD). The concerned clinicians raise the question whether increasing resource alone without changing structure will lead to better outcomes for patients.
ABSTRACT Introduction Data regarding safety and long-term outcome of very high-power-short duration (vHPSD) ablation in adult congenitalheartdisease (ACHD) patients with paroxysmal or persistent atrial fibrillation (AF) are lacking. Methods Retrospective observational single-center study.
BackgroundNeonates with congenitalheartdisease are at risk for impaired brain development in utero, predisposing children to postnatal brain injury and adverse long‐term neurodevelopmental outcomes. We applied a placental pathology severity score to relate placental abnormalities to neurological outcome.
Aims A proportion of patients with pulmonary arterial hypertension associated with congenitalheartdisease (PAH-CHD) do not fit in the current classification.
Objective To bring together patients, parents, charities and clinicians in a Priority Setting Partnership to establish national clinical priorities for research in children and adults with congenitalheartdisease. In a second survey, respondents identified the unanswered questions most important to them.
Background:Neonates with complex congenitalheartdisease and pulmonary overcirculation have been historically treated surgically. However, subcohorts may benefit from less invasive procedures. kilograms [IQR, 2.1–3.3])
This study aims to develop a risk adjustment methodology introducing a novel, clinically meaningful adverse event outcome and incorporating a modern understanding of risk.METHODS:Data from diagnostic only and interventional cases with defined case types were collected for patients ≤18 years of age and ≥2.5
BackgroundLittle is known about outcomes following heart failure (HF) hospitalization among adults with congenitalheartdisease (CHD) in the United States.
Abstract Introduction Cardiac resynchronization therapy (CRT) is a standard treatment for patients with heart failure with reduced ejection fraction. However, there is still a gap of evidence in congenitalheartdisease (CHD) patients regarding resynchronization therapy.
Advances in pediatric cardiac surgery have resulted in a recent growing epidemic of children and young adults with congenitalheartdiseases (CHDs). In these patients, congenital defects themselves, surgical operations and remaining lesions may alter cardiac anatomy and impact the mechanical performance of both ventricles.
We investigated the incidence of stroke and transient ischemic attack (TIA) in adults with congenitalheartdisease (ACHD).Methods:A Two independent reviewers screened studies, which were included if patients were age 16 and older with congenitalheartdisease, and if the outcome was stroke or TIA.
Zeke and Zane were both diagnosed with hypoplastic left heart syndrome (HLHS) before birth. As far as congenitalheartdiseases go, HLHS falls on the rarer end of the spectrum. News & World Report, the Heart Institute cares for all congenital and childhood heartdiseases.
Journal of the American Heart Association, Ahead of Print. BackgroundGaps in care (GIC) are common for patients with congenitalheartdisease (CHD) and can lead to worsening clinical status, unplanned hospitalization, and mortality. Several SDOH, including a low COI, were associated with GIC.
The purpose of this study was to evaluate cardiac reverse remodeling and temporal changes in heart failure indices after TT-VIVR in adults with congenitalheart disease.Methods:Retrospective cohort study of adults with congenitalheartdisease that underwent TT-VIVR and had >6 months of follow-up (January 1, 2011, to April 30, 2023).
Video Latin Heart Rounds: Tetralogy of Fallot Update kchalko Tue, 09/24/2024 - 16:04 This video is based on the Latin Heart Rounds webinar series on the current management of patients with tetralogy of Fallot, including neonates and on the current short and long term outcomes for this congenitalheartdisease.
"Swiss Cheese" ventricular septal defects represent a serious congenitalheartdisease with suboptimal clinical outcomes and a lack of consensus regarding its management. This study presents mid-term follow-up.
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