Pulp Therapy in Pediatric Patients with Congenital Heart Disease: Survey of American Academy of Pediatric Dentistry Members

Source: Journal of Dentistry for Children - Category: Dentistry Authors: Tags: Clinical Article Source Type: research

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Authors: Han B, Wang Q Abstract Pulmonary hypertension due to left heart disease (PH-LHD) is caused by left ventricular (LV) systolic and/or diastolic dysfunction and left heart valve disease. LV diseases lead to left ventricular filling pressure increases, pulmonary venous obstruction and pulmonary venous pressure increases, and thus to secondary PH. Exercise tolerance is lower and fatality rates are higher in patients with PH-LHD than those in subjects with normal pulmonary arterial pressure. In spite of the progress in the study of the mechanisms of PH-LHD in recent years, no specific treatment is currently avai...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
ConclusionIntravenous iodinated contrast medium in children with congenital heart disease caused transient thyroid-stimulating hormone decrease 48  h after CT, with thyroid-stimulating hormone returning to normal range at discharge.
Source: Pediatric Radiology - Category: Radiology Source Type: research
Patients with congenital heart disease with a pressure-overloaded right ventricle can develop liver disease and would benefit from non-invasive diagnostic modalities such as ultrasound shear wave elastography (US SWE). We sought to investigate the ability of US SWE to measure dynamic changes in liver stiffness with an acute fluid bolus in an animal model. Three piglets underwent surgical intervention to create a pressure-overloaded right ventricle and, 12 wk later, underwent US SWE, both pre- and post-intravenous infusion of a saline bolus.
Source: Ultrasound in Medicine and Biology - Category: Radiology Authors: Tags: Technical Note Source Type: research
Childhood obesity affects over 12.5 million children in the US [1]. Obese children are more likely to have poor metabolic profiles compared to their normal-weight peers [2,3]. Over their lifetimes, obese children are also at greater risk of chronic obesity, diabetes, heart disease, and cancer [4,5]. Childhood is an important stage during which to intervene, as it is a sensitive period for developing eating, physical activity, and screen time patterns [6,7]. The United States Department of Agriculture recommends that children consume 1-2 cups of fruits and 1-3 cups of vegetables daily, but only 40% of children meet the frui...
Source: Patient Education and Counseling - Category: International Medicine & Public Health Authors: Source Type: research
Variations in coronary anatomy are common and may relate to the position of the coronary ostium relative to the aortic sinus, the angle of coronary take off, or the course of the coronary arterial branches. Several classification systems have been proposed. However, they all lack a simple rationale that is applicable irrespective of the relative position of the great arteries, as well as in bicuspid aortic valves. Here, we present a modification of a relatively simple system introduced in the early eighties, designated the “The Leiden Convention“.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease and consists of a ventricular septal defect, right ventricular (RV) outflow tract stenosis, aortal overriding, and right ventricular hypertrophy. Surgical correction with RV outflow tract reconstruction and ventricular septal defect repair is necessary for long-term survival. After correction, pulmonary regurgitation (PR) and the subsequent RV dilatation and failure are common. A long-term follow-up study reported a low but significant risk of late cardiac death in patients with repaired TOF [1].
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Editorial Source Type: research
AbstractCongenital heart disease (CHD) usually occurs sporadically, with only a minority of cases associated with a known genetic mechanism. Cardiac-specific transcription factors NKX2-5 and GATA4 play key roles in the mammalian heart development, and the affected cardiac tissues of CHD patients are prone to somatic mutations which thus participate in the pathogenesis of CHD. We collected 98 patients with sporadic CHD, extracted genomic DNA from cardiac tissues and blood, and then screened NKX2-5 and GATA4 genes using PCR-direct sequence analysis. A novel heterozygous missense mutation (c.907G  >  A, p.V303I) ...
Source: Pediatric Cardiology - Category: Cardiology Source Type: research
AbstractThe complex nature of congenital heart disease (CHD) has hindered the establishment of management standards for peri-catheterization anticoagulation. We sought to describe anticoagulation practice variability among providers performing cardiac catheterization in children and adults with CHD. A web-based survey (http://www.surveymonkey.com) was distributed to pediatric and congenital interventional cardiologists. Respondents were queried on their training, practice setting, years in practice, and case volume. Clinical questions focused on general anticoagulation strategies and on five common clinical scenarios: two ...
Source: Pediatric Cardiology - Category: Cardiology Source Type: research
AbstractPatients with Eisenmenger syndrome (ES) have a higher mortality rate than patients with simple congenital heart disease (CHD). To determine factors associated with death in the era of advanced pulmonary vasodilator treatment, we analyzed the characteristics of adult ES patients depending on underlying CHD. Simple septal defects and patent ductus arteriosus were classified as simple CHD, and other conditions were classified as complex CHD. Sixty-seven adult ES patients (50.7% women) were reviewed retrospectively. CHD was diagnosed at a median of 10.0  years of age and ES was diagnosed at 18.6 years. Thirte...
Source: Pediatric Cardiology - Category: Cardiology Source Type: research
Pulmonary hypertension (PH) due to left heart disease, or WHO group 2 PH, is the most frequent cause of PH. It affects approximately 50% to 60% of patients with heart failure with preserved ejection fraction as well as 60% of those with heart failure with reduced ejection fraction and contributes significantly to disease progression and unfavorable outcomes. The diagnosis of PH is associated with poor prognosis and significant morbidity and mortality.
Source: Heart Failure Clinics - Category: Cardiology Authors: Source Type: research
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