Emergency caesarean section of a patient with eisenmenger's syndrome: A tight-rope walk.

Emergency caesarean section of a patient with eisenmenger's syndrome: A tight-rope walk. Ann Card Anaesth. 2020 Jan-Mar;23(1):95-97 Authors: Gangakhedkar GR, Chhabria RD, Gour SD, Palani Y Abstract Successful management of a pregnant patient with complex congenital heart disease is a challenge for anesthesiologists, requiring thorough knowledge of the impact of pregnancy on the cardiac lesion. Hearing and speech impaired patients pose a barrier to effective communication between the patient and the doctors, thus increasing the anxiety and risk of complications. Here, we present a case of a hearing and speech impaired woman with the rare and dangerous Eisenmenger's syndrome, presenting for an emergency cesarean section (CS). PMID: 31929258 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research

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In Reply We thank Abbasi and Puusepp-Benazzouz for raising an important question about our study that was published in JAMA Pediatrics, “Association of Maternal Psychological Distress With In Utero Brain Development in Fetuses With Congenital Heart Disease.” In healthy fetuses, we reported that maternal trait anxiety was negatively associated with left and right hippocampal volumes. However, these associations were no longer sig nificant after adjusting for multiple testing. Following Abbasi and Puusepp-Benazzouz’s suggestion, we further investigated whether brain volumes were different in healthy fetuses...
Source: JAMA Pediatrics - Category: Pediatrics Source Type: research
To the Editor We read with interest the article by Wu et al, which demonstrated an association of maternal psychological distress with in utero brain development in fetuses with congenital heart disease (CHD). The study found that the maternal stress was associated with smaller left hippocampal, right hippocampal, and cerebellar volumes only among women carrying fetuses with CHD. However, this study did not show similar finding in women carrying healthy fetuses, despite the fact that 27% of women in the control group tested positive for stress, 26% for anxiety, and 9% for depression. Could authors please investigate whethe...
Source: JAMA Pediatrics - Category: Pediatrics Source Type: research
This report from Taiwan  reassures there is no adverse effect by measuring umbilical artery flow (Yu-Chi Wang European Journal of Obstetrics &Gynecology and Reproductive Biology 126 (2006) 268–274)While we consider DC shock during pregnancy is safe for the fetus, still, shock pads close to the abdomen, amniotic fluid being a good conductor of electricity at least one mother showed a sustained contraction of the uterus and fetal distress. This was possibly attributable to DC shock  Eleanor J. Barnes BJOG 2003 https://doi.org/10.1046/j.1471-0528.2002.02113. Final message Most cardiac arrhyt...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: cardiology women Pregnancy and heart Uncategorized amiodarone verapamil in pregnancy avnrt avrt during pregnancy cardioversion during pregnancy dc shock during pregnancy fetal distress during dc shock peripartum cardiomyopathy vt vpd managem Source Type: blogs
Transcript [00:00:00] Agatha: Hi!  It’s Agatha Luczo.  Welcome to “Mom Driven, Dr. Aligned”.  Dr. Alan Greene and I were just on with the HeyMama Community doing a Q&A about COVID-19.  Dr. Greene gave us such amazing advice and tips about how to deal with immunity health and how to take care of ourselves during this time. And some advice I haven’t heard anywhere else. I’m excited to bring all of the conversation to our family and friends.  [00:00:36] Dr. Greene:  Wonderful to get to be with the HeyMama Community. I’ve gotten a bunch of questions already that...
Source: Conversations with Dr Greene - Category: Child Development Authors: Tags: Dr. Greene's Blog Uncategorized COVID COVID-19 Parenting Source Type: blogs
Discussion Tachycardia is a rapid heart rate that is above normal for age and level of exertion. Tachycardia is common, particularly sinus tachycardia due to normally encountered circumstances such as pain, fever or exercise. It is usually a normal physiologic process but sustained tachycardia often indicates a potentially abnormal underlying cause. Sinus tachycardia has a rapid heart rate with normal P waves and P-R intervals and variations from moment to moment and respiration. Generally it is not over 200 beats/minute. Vagal stimulation can slow the heart rate; this is a gradual slowing, not an abrupt slowing seen in ...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
(CNN) — Science shows moderate to vigorous aerobic exercise is good for us — it improves sleep; lowers blood pressure; protects against heart disease, diabetes and cancer; reduces stress; boosts mood; and fights anxiety and depression. It’s especially important in adolescence, where the first signs of depression often begin, studies show. But unless your child is an athlete, it can be tough to wean them away from social media and the ever-present screen to swim laps or go for a blood-pumping jog. A new study has some good news: even light exercise may help protect children against developing depression. T...
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(Children's National Hospital) Knowing that your unborn fetus has congenital heart disease causes such pronounced maternal stress, anxiety and depression that these women's fetuses end up with impaired development in key brain regions before they are born, according to research published online Jan. 13, 2020, in JAMA Pediatrics.
Source: EurekAlert! - Social and Behavioral Science - Category: International Medicine & Public Health Source Type: news
Drinking alcohol causes damage to your health in both the short term and long term, even for moderate drinkers. For individuals who suffer from addiction to alcohol and frequently drink in excess, these risks become higher. Knowing the risks of drinking alcohol is important to help avoid drinking to excess and reduce the likelihood of these risks. Short-Term Risks of Drinking Alcohol There are many short-term risks that occur when drinking alcohol. These risks can happen to anyone, including individuals suffering from alcohol use disorder, or individuals who are drinking for the very first time. Injuries When you drink al...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Alcoholism alcohol abuse alcohol dependence alcohol dependency alcohol detox alcohol treatment alcohol treatment center alcohol treatment facility alcohol use risks Source Type: blogs
CONCLUSION: Obstetricians and midwives in New Zealand should be prepared to provide care for women with chronic conditions who may have surprise pregnancies. Comprehensive family planning services, preconception care and systemwide reduction in health inequities are needed to help women with chronic health conditions enter pregnancy as healthy as possible. PMID: 31352469 [PubMed - in process]
Source: New Zealand Medical Journal - Category: General Medicine Tags: N Z Med J Source Type: research
Yafei Tan1,2, Omer Van den Bergh2, Jiang Qiu1* and Andreas von Leupoldt2* 1Faculty of Psychology, Southwest University, Chongqing, China 2Health Psychology, KU Leuven, Leuven, Belgium Dyspnea is a prevalent interoceptive sensation and the aversive cardinal symptom in many cardiorespiratory diseases as well as in mental disorders. Especially the unpredictability of the occurrence of dyspnea episodes has been suggested to be highly anxiety provoking for affected patients. Moreover, previous studies demonstrated that unpredictable exteroceptive stimuli increased self-reports and electrophysiological responses of an...
Source: Frontiers in Physiology - Category: Physiology Source Type: research
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