Danny ’s journey to a biventricular heart
The first hint that something wasn’t quite right with Danny Sanchez-Garcia’s heart came at his mom’s six-month prenatal visit. “There was a little blip on the ultrasound, but then it was gone on the next one, so they didn’t think it was anything and I didn’t worry any more about it,” says Danny’s mom, Cynthia. Cynthia was overjoyed when Danny was born at her local hospital seeming perfectly healthy. But as the hospital staff monitored Danny overnight, they noticed his oxygen level was lower than normal and decided to run more tests. His doctors believed the tests pointed to a congenital heart defect called tetralogy of Fallot with pulmonary atresia. “They transported him overnight to Boston Children’s Hospital,” says Cynthia. “I felt like I was on a roller coaster, especially as a first-time mom.” More tests and a new diagnosis Once Danny arrived at Boston Children’s, his story took another unexpected twist. Dr. Roger Breitbart, chief of Inpatient Cardiology, explained to Cynthia that Danny’s initial diagnosis was not correct. Upon more in-depth testing, Breitbart and his colleagues found that Danny had heterotaxy syndrome with double outlet right ventricle, pulmonary atresia and viscero-atrial situs inversus (abnormal connections of the large veins that return high-oxygen and low-oxygen blood to the heart). Heterotaxy is a rare, complex condition where the heart or other organs are not ...
Authors: Panhwar MS, Li J, Zidar DA, Clevenger J, Lipinski J, Patel TR, Karim A, Saric P, Patel SM, Kalra A, Attizzani G Abstract OBJECTIVES: To investigate the effect of TAVR technique on in-hospital and 30-day outcomes in patients with aortic stenosis (AS) and reduced ejection fraction (EF). BACKGROUND: Patients with AS and concomitant low EF may be at risk for adverse hemodynamic effects from general anesthesia utilized in transcatheter aortic valve replacement (TAVR) via the conventional strategy (CS). These patients may be better suited for the minimally invasive strategy (MIS), which employs conscious sed...
CONCLUSIONS: Patients with STEMI or HF can safely tolerate intra-arterial CCB during radial catheterization. PMID: 30555053 [PubMed - as supplied by publisher]
Conclusions Trends toward reduction in mean AGT distance suggest Lycra arm sleeves may be beneficial in glenohumeral subluxation (GHS) management. Further research is required to establish their effectiveness in acute and chronic settings using a well-designed fully powered randomized controlled trial.
I read the paper by Khan et al1 with great interest. The authors conducted a long-term survival study to evaluate the relationship between self-reported sleep duration and risk of fatal coronary heart disease, sudden cardiac death, cancer related death and all-cause mortality. Adjusted hazard ratios (HRs) (95% confidence intervals (CIs)) of long sleep duration (> 10 hours) against sleep duration under 8 hours was 1.19 (1.01-1.43) for all-cause mortality, 1.27 (0.88-1.84) for fatal coronary heart disease, 1.20 (0.78-1.86) for sudden cardiac death, and 1.29 (0.92-1.80) for cancer death, respectively.
Goals: The goal of this study was (A) to evaluate abdominal ultrasound signs in nonceliac wheat sensitivity (NCWS) patients for features useful in diagnosis and (B) to compare these aspects with those of celiac patients to assess whether ultrasound can be useful in the differential diagnosis between NCWS and celiac disease (CD). Background: NCWS diagnosis is difficult as no biomarkers of this condition have as yet been identified. In CD ultrasound aspects have been identified that have a good diagnostic accuracy. Study: We prospectively recruited 45 NCWS patients (11 males, 34 females; mean age 35.7 y). Thre...
Conclusions: Stylet use confers no significant advantage in diagnostic adequacy, accuracy, yield, contamination, bloodiness, or cellularity over no stylet. We reinforce that no stylet use may be used preferentially in EUS-FNA as a more convenient technique and is favored with a higher per-lesion malignant diagnosis.
Goals: The goal of this study was to evaluate outcomes of colonoscopy in the setting of post myocardial infarction (MI) gastrointestinal bleeding (GIB) in a large population-based data set. Background: The literature to substantiate the proposed safety of colonoscopy following an acute MI is limited. Study: The Nationwide Inpatient Sample (2007 to 2013) was utilized to identify all adult patients (age, 18 y or above) hospitalized with a primary diagnosis of ST-elevation MI and receiving left heart catheterization (STEMI-C). The outcomes of patients with concomitant diagnosis of GIB receiving endoscopic inter...
Statin therapy can help mitigate the risk of death in patients with nonobstructive...Read more on AuntMinnie.comRelated Reading: CCTA biomarker may predict mortality from heart disease Study finds heart disease risk similar in men and women CONFIRM study confirms gateway role for cardiac CTA CONFIRM: Worse heart disease leads to higher mortality Nonobstructive plaque at CT shows higher mortality risk
Researchers from Louisiana have created a 3D-printed full-body phantom that...Read more on AuntMinnie.comRelated Reading: 3D printing technique improves heart valve sizing 3D printing gives pediatric heart surgery a boost 3D-printed lungs improve patient understanding of surgery 3D head models reduce workload for brain radiotherapy 3D printing enhances training for cleft lip repair
New research strengthens the link between depression, anxiety and major health conditions like heart disease, perhaps at levels comparable to smoking and obesity.
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