Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research
Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research
Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research
Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research
Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research
Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research
Electrocardiographic Characteristics in 438 Neonates with Atrial Septal Defects
In conclusion, ASDs are associated with ECG changes from the neonatal phase. TheP-wave duration and PR interval are longer in neonates with ASDs when compared to controls as early as the first week after birth, indicating that these changes are not purely secondary, but that neonates with an ASD have altered cardiac electrical activity.ClinicalTrials.gov Identifier NCT02753348 (April 27, 2016) (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - February 28, 2024 Category: Cardiology Source Type: research
Comparison of atrial septal defect and patent foramen ovale in cryptogenic strokes
Paradoxical embolism from right-to-left shunt through atrial septal defect (ASD) and patent foramen ovale (PFO) is a well-accepted cause of “cryptogenic” strokes (CS). To better understand the pathogenic role of ASD, we compared ASD patients with CS having a high and low likelihood of being PFO-related. (Source: Journal of Stroke and Cerebrovascular Diseases)
Source: Journal of Stroke and Cerebrovascular Diseases - February 28, 2024 Category: Neurology Authors: Constant Delabays, Pamela Correia, Eric Eeckhout, Alain Delabays, Patrik Michel Source Type: research
Various techniques for transcatheter retrieval of the atrial septal defect or patent foramen ovale closure devices: a systematic review
J Invasive Cardiol. 2024 Feb 23. doi: 10.25270/jic/23.00290. Online ahead of print.ABSTRACTAtrial septal abnormalities are common congenital lesions that remain asymptomatic in many patients until adulthood. Adults with atrial septal defects (ASD) most commonly have ostium secundum ASD. Transcatheter closure has become increasingly popular in recent years as a successful alternative method to surgery for treating ASD and patent foramen ovale (PFO). The overall rate of ASD transcatheter closure device embolization has been reported to be less than 1%; however, retrieving the device via surgery or by trans-catheter route can...
Source: The Journal of Invasive Cardiology - February 27, 2024 Category: Cardiology Authors: Alireza Khosravi Seyedeh Mahnaz Mirbod Maryam Boshtam Farzad Shahsanaei Erfan Zaker Marzieh Tajmirriahi Arsalan Khaledifar Seyedeh Mojgan Mirbod Mohammad Reza Movahed Source Type: research
Electrocardiographic Characteristics in 438 Neonates with Atrial Septal Defects
In conclusion, ASDs are associated with ECG changes from the neonatal phase. TheP-wave duration and PR interval are longer in neonates with ASDs when compared to controls as early as the first week after birth, indicating that these changes are not purely secondary, but that neonates with an ASD have altered cardiac electrical activity.ClinicalTrials.gov Identifier NCT02753348 (April 27, 2016) (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - February 23, 2024 Category: Cardiology Source Type: research
HBNET: A blended ensemble model for the detection of cardiovascular anomalies using phonocardiogram
CONCLUSION: The results indicate that the HbNet model exhibits a high level of efficacy in the early detection of cardiac disorders. Results also imply that HbNet has the potential to serve as a valuable tool for the development of decision-support systems that aid medical practitioners in confirming their diagnoses. This method makes it easier for medical professionals to diagnose and initiate prompt treatment while performing preliminary auscultation and reduces unnecessary echocardiograms.PMID:38393859 | DOI:10.3233/THC-231290 (Source: Technology and Health Care)
Source: Technology and Health Care - February 23, 2024 Category: Medical Devices Authors: Ann Nita Netto Lizy Abraham Saji Philip Source Type: research
HBNET: A blended ensemble model for the detection of cardiovascular anomalies using phonocardiogram
CONCLUSION: The results indicate that the HbNet model exhibits a high level of efficacy in the early detection of cardiac disorders. Results also imply that HbNet has the potential to serve as a valuable tool for the development of decision-support systems that aid medical practitioners in confirming their diagnoses. This method makes it easier for medical professionals to diagnose and initiate prompt treatment while performing preliminary auscultation and reduces unnecessary echocardiograms.PMID:38393859 | DOI:10.3233/THC-231290 (Source: Technology and Health Care)
Source: Technology and Health Care - February 23, 2024 Category: Medical Devices Authors: Ann Nita Netto Lizy Abraham Saji Philip Source Type: research
HBNET: A blended ensemble model for the detection of cardiovascular anomalies using phonocardiogram
CONCLUSION: The results indicate that the HbNet model exhibits a high level of efficacy in the early detection of cardiac disorders. Results also imply that HbNet has the potential to serve as a valuable tool for the development of decision-support systems that aid medical practitioners in confirming their diagnoses. This method makes it easier for medical professionals to diagnose and initiate prompt treatment while performing preliminary auscultation and reduces unnecessary echocardiograms.PMID:38393859 | DOI:10.3233/THC-231290 (Source: Technology and Health Care)
Source: Technology and Health Care - February 23, 2024 Category: Medical Devices Authors: Ann Nita Netto Lizy Abraham Saji Philip Source Type: research
