Fetal Cardiac Intervention: a Review of the Current Literature

AbstractPurpose of ReviewCongenital heart disease (CHD), the most common of birth defects, can be serious enough to require a lifetime of medical care including multiple surgeries or other interventions.Recent FindingsAdvances in ultrasound technology and a better understanding of the progression of CHDs have made it possible to intervenein utero. This early-stage intervention allows the still plastic cardiovascular system to return to a more normal trajectory thus sparing the newborn from negative consequences to morbidity and mortality.SummaryFetal cardiac intervention (FCI) has been successful altering the course of right and left ventricular disease. This bodes well for expanding the use of FCI to lead to better postnatal adaptation and improved long-term function for more children with CHD. However, optimism with success must be tempered with small numbers of procedures performed thus far and current efforts with international registries and multi-centered studies are extremely important to document improved survival and resultant biventricular outcomes.
Source: Current Pediatrics Reports - Category: Pediatrics Source Type: research

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CONCLUSIONS: The fetal cerebral vascular response to MH varies based on underlying CHD diagnosis, suggesting that cardiovascular physiology may influence autoregulatory capacities of the fetal brain. Further studies are needed to determine clinical implications of these findings on long-term neurodevelopment in these at-risk children. This article is protected by copyright. All rights reserved. PMID: 32202689 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
How did the human heart adapt during our evolution as a species? To explore that question, Harvard cardiologist Dr. Aaron Baggish led a unique study that compared the hearts of African great apes, Mexican farmers, and American athletes. But the findings also have a practical message. “They reinforce the importance of regular brisk walking or jogging throughout life to stay healthy as you age,” says Dr. Baggish, director of the cardiac performance lab at Harvard-affiliated Massachusetts General Hospital. The study included great apes (gorillas and chimpanzees) and four different groups of men: inactive men, endu...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Exercise and Fitness Health Heart Health Men's Health Source Type: blogs
ConclusionUltrasonographically acquired HRI has a significant predictive impact on the detection of prediabetes and diabetes in patients with NAFLD.
Source: Indian Journal of Gastroenterology - Category: Gastroenterology Source Type: research
The American Society of Echocardiography (ASE) has published new recommendations...Read more on AuntMinnie.comRelated Reading: ASNC, ASE win CMS recognition for ImageGuide Registry ASE releases new guideline for stress echo Imaging criteria for congenital heart disease released Societies renew call to pull ultrasound contrast warning ACC, ASE release echocardiography training guidance
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
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Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Contrast echocardiography microbubbles are ultrasound-enhancing agents that were originally designed to help improve endocardial border definition, known as left ventricle opacification, and to enhance Doppler signals. Over time, contrast microbubbles are used to assess myocardial perfusion because they travel through the capillaries of the cardiac circulation. Current research provides good evidence that myocardial perfusion echocardiography improves comprehensive echocardiographic evaluations of ischemic heart disease.
Source: Ultrasound in Medicine and Biology - Category: Radiology Authors: Tags: Review Source Type: research
AbstractCranial ultrasound on neonatal intensive care units is generally performed by intensive care physicians, but radiologists often provide this crucial bedside test to children on specialist paediatric cardiac intensive care units. On a paediatric cardiac intensive care unit, complex congenital cardiac conditions are commonly encountered in both pre- and postoperative scenarios, often with the use of extracorporeal membrane oxygenation (ECMO), which both increases the risks of a number of neurologic complications and results in significant changes in vascular physiology. The aim of this pictorial essay is to discuss c...
Source: Pediatric Radiology - Category: Radiology Source Type: research
Caption Health, a company based outside of San Francisco, CA, won the first authorization from the FDA for an ultrasound software that guides clinicians at capturing images of the heart. The Caption Guidance software should work with any number of ul...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Cardiac Surgery Cardiology Critical Care Diagnostics Education Emergency Medicine Informatics Military Medicine Radiology Source Type: blogs
The majority of doctors will tell you that there is nothing you can do to reverse fatty liver and that health problems such as cirrhosis and liver failure may be in your future that they will address with the awful “solution” of liver transplant. The truth is the opposite: fatty liver is easily and readily reversible in virtually everybody, provided you take action before irreversible changes take place and are given the right information and tools. In this video, I discuss the three basic phenomena that drive fat deposition, liver damage, and inflammation that lead to this condition: Carbohydrate consumption ...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Open bowel flora carbohydrates carbs Inflammation NAFLD nash triglycerides undoctored wheat belly Source Type: blogs
Authors: Chekalina NI, Burmak YH, Petrov YY, Borysova ZO, Trybrat TA, Shut SV, Kazakov YM Abstract OBJECTIVE: The aim of the research was to determine the dependence of the blood flow velocity in the thyroid arteries in patients with Autoimmune Thyroiditis (AIT) on the presence of atherosclerotic carotid disease and the level of systemic blood pressure. METHODS: The research involved 20 patients with AIT in euthyroid state, 30 patients AIT in euthyroid state with stable Coronary Heart Disease (CHD), 30 patients with stable CHD and 30 healthy individuals. Participants of the research were examined using ultrasou...
Source: Current Medical Imaging Reviews - Category: Radiology Tags: Curr Med Imaging Rev Source Type: research
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