Guidelines for Standardization of Pediatric Anthracycline Cardiomyopathy Echocardiogram Surveillance —A Call for Harmonization in the Field to Enhance Research in the Cancer Survivor Population
(Source: Pediatric Cardiology)
Source: Pediatric Cardiology - January 10, 2024 Category: Cardiology Source Type: research
Percutaneous Closure of Hemodynamically Significant Postoperative Residual Ventricular Septal Defects
AbstractThe experience with percutaneous closure of postoperative residual ventricular septal defects (VSDs) is expanding with improved device technology and techniques. To report our experience with percutaneous closure of residual VSDs after cardiac surgeries. Retrospective clinical data review of patients who had percutaneous closure of postoperative residual VSDs at our institution between 2010 and 2022. Patients ’ demographics, procedural, and follow-up data were looked at. Twelve patients (50% males) with a median age of 9.2 years (range 0.9–22) were identified. Baseline surgeries were 8 tetralogy of Fallot corr...
Source: Pediatric Cardiology - January 9, 2024 Category: Cardiology Source Type: research
Utility of Balloon Occlusion Testing in Determining Fontan Suitability Among Patients with Elevated Pulmonary Artery Pressure and Additional Antegrade Pulmonary Blood Flow
AbstractIn individuals with a single ventricle undergoing evaluation before Fontan surgery, the presence of excessive pulmonary blood flow can contribute to increased pulmonary artery pressure, notably in those who had a Glenn procedure with antegrade pulmonary flow. 28 patients who had previously undergone Glenn anastomosis with antegrade pulmonary blood flow (APBF) and with elevated mean pulmonary artery (mPAP) pressure > 15 mmHg in diagnostic catheter angiography were included in the study. After addressing other anatomical factors that could affect pulmonary artery pressure, APBF was occluded with semi-compli...
Source: Pediatric Cardiology - January 5, 2024 Category: Cardiology Source Type: research
First Real-Life Data on the Diving Response in Healthy Children
This study was conducted to improve an understanding thereof. We used a stepwise apnea protocol with apnea at rest, apnea with facial immersion, and at last apnea during whole body submersion. Continuous measurement of heart rate, oxygen saturation, and peripheral resistance index was done. Physiologic data and analysis of influencing factors on heart rate, oxygen saturation, and peripheral vascular tone response are reported. The current study presents the first data of physiologic diving response in children. Data showed that facial or whole body submersion leads to a major drop in heart rate, and increase of peripheral ...
Source: Pediatric Cardiology - January 4, 2024 Category: Cardiology Source Type: research
Progression of an Artificial Intelligence Chatbot (ChatGPT) for Pediatric Cardiology Educational Knowledge Assessment
AbstractArtificial intelligence chatbots, like ChatGPT, have become powerful tools that are disrupting how humans interact with technology. The potential uses within medicine are vast. In medical education, these chatbots have shown improvements, in a short time span, in generalized medical examinations. We evaluated the overall performance and improvement between ChatGPT 3.5 and 4.0 in a test of pediatric cardiology knowledge. ChatGPT 3.5 and ChatGPT 4.0 were used to answer text-based multiple-choice questions derived from a Pediatric Cardiology Board Review textbook. Each chatbot was given an 88 question test, subcategor...
Source: Pediatric Cardiology - January 3, 2024 Category: Cardiology Source Type: research
The Association of Gestational Age and Size with Management Strategies and Outcomes in Symptomatic Neonatal Tetralogy of Fallot
Abstract In neonatal, symptomatic tetralogy of Fallot (sTOF), data are lacking on whether high-risk groups would benefit from staged (SR) or complete repair (CR). We studied the association of gestational age (GA) at birth and z-score for birth weight (BWz), with management strategy and outcomes in sTOF. California population-based cohort study (2011–2017) of infants with sTOF (defined as catheter or surgical intervention prior to 44 weeks corrected GA) was performed, comparing management strategy and timing by GA and BWz categories. Multivariable models evaluated composite outcomes and days aliv e and out of hospita...
Source: Pediatric Cardiology - January 2, 2024 Category: Cardiology Source Type: research
The Incidence and Factors Associated with the Recurrence of Supraventricular Tachycardia in Children: 15 Years Experience from Middle-Income Country
AbstractLimited data are available concerning supraventricular tachycardia (SVT) recurrence. Hence, this study aimed to determine the incidence, outcome, and factors associated with SVT recurrence. This retrospective, observational, population-based study was conducted among children with SVT from 2006 to 2020. The primary outcome measure was SVT recurrence. Kaplan Meier analysis was used to estimate SVT-free at 1, 5, and 10 years after diagnosis. Cox regression analysis was used to identify independent factors associated with recurrence. There were 156 patients with SVT with a median age at diagnosis of 1.9 years (Inte...
Source: Pediatric Cardiology - January 2, 2024 Category: Cardiology Source Type: research
The Association of Gestational Age and Size with Management Strategies and Outcomes in Symptomatic Neonatal Tetralogy of Fallot
Abstract In neonatal, symptomatic tetralogy of Fallot (sTOF), data are lacking on whether high-risk groups would benefit from staged (SR) or complete repair (CR). We studied the association of gestational age (GA) at birth and z-score for birth weight (BWz), with management strategy and outcomes in sTOF. California population-based cohort study (2011–2017) of infants with sTOF (defined as catheter or surgical intervention prior to 44 weeks corrected GA) was performed, comparing management strategy and timing by GA and BWz categories. Multivariable models evaluated composite outcomes and days aliv e and out of hospita...
Source: Pediatric Cardiology - January 2, 2024 Category: Cardiology Source Type: research
The Incidence and Factors Associated with the Recurrence of Supraventricular Tachycardia in Children: 15 Years Experience from Middle-Income Country
AbstractLimited data are available concerning supraventricular tachycardia (SVT) recurrence. Hence, this study aimed to determine the incidence, outcome, and factors associated with SVT recurrence. This retrospective, observational, population-based study was conducted among children with SVT from 2006 to 2020. The primary outcome measure was SVT recurrence. Kaplan Meier analysis was used to estimate SVT-free at 1, 5, and 10 years after diagnosis. Cox regression analysis was used to identify independent factors associated with recurrence. There were 156 patients with SVT with a median age at diagnosis of 1.9 years (Inte...
Source: Pediatric Cardiology - January 2, 2024 Category: Cardiology Source Type: research
“From Vision to Reality: Virtual Reality’s Impact on Baffle Planning in Congenital Heart Disease”
This study aims to evaluate the feasibility and utility of virtual reality (VR) for baffle planning in congenital heart disease (CHD), specifically by creating patient-specific 3D heart models and assessing a user-friendly VR interface. Patient-specific 3D heart models were created using high-resolution imaging data and a VR interface was developed for baffle planning. The process of model creation and the VR interface were assessed for their feasibility, usability, and clinical relevance. Collaborative and interactive planning within the VR space were also explored. The study findings demonstrate the feasibility and usefu...
Source: Pediatric Cardiology - January 1, 2024 Category: Cardiology Source Type: research
Postoperative Troponin Levels in Children Undergoing Open Heart Surgery With and Without Coronary Intervention
AbstractWe aimed to characterize the ranges, temporal trends, influencing factors, and prognostic significance of postoperative troponin levels after congenital heart surgery. This single-center retrospective study included patients from 2006 to 2021 who had ≥ 1 postoperative troponin-T measurement collected within 96 h of congenital heart surgery (CHS). Patients were grouped as Anomalous Aortic Origin of the Coronary Artery—“AAOCA repair,” or congenital heart surgery with “Other Coronary Interventions” other than AAOCA repair, or “N o Coronary Intervention.” In each group, information on concomitant ...
Source: Pediatric Cardiology - January 1, 2024 Category: Cardiology Source Type: research
