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Total 158228 results found since Jan 2013.

Challenges of healthcare administration: optimizing quality and value at an affordable cost in pediatric cardiology
Purpose of review The purpose of this review is to explore the paradigm shift in healthcare delivery that will need to take place over the next few years away from an emphasis on supply-driven health care to better quality transparent-driven health care whose focus is on the consumer's best interest. Recent findings The current healthcare system is fragmented and costs continue to rise. The best way to contain costs is to improve quality to the consumer, the patient. Physicians and hospitals need to align in a team-based approach that allows physicians to understand current costs and how to strive toward a focus on he...
Source: Current Opinion in Cardiology - January 1, 2018 Category: Cardiology Tags: PEDIATRIC CARDIOLOGY: Edited by Mitchell I. Cohen Source Type: research

Predictive efficacy of procalcitonin, platelets, and white blood cells for sepsis in pediatric patients undergoing cardiac surgeries who are admitted to intensive care units: Single-center experience
Conclusion: We may conclude that in Indian pediatric population platelet levels are highly associated with sepsis as compared to any other hematological parameter. The immediate postoperative level of platelet is the strongest predictor of sepsis and could be effectively used in the clinical settings.
Source: Annals of Pediatric Cardiology - May 4, 2018 Category: Cardiology Authors: Jigar Surti Imelda Jain Komal Shah Amit Mishra Yogini Kandre Pankaj Garg Jatin Shah Ashok Shah Payal Tripathi Source Type: research

Birth prevalence and late diagnosis of critical congenital heart disease: A population-based study from a middle-income country
Conclusions : Due to limited resources in the MIC, the late diagnosis of CCHD is high but does not affect the outcome. Nevertheless, the timing of diagnosis has improved over time.
Source: Annals of Pediatric Cardiology - October 4, 2020 Category: Cardiology Authors: Mohd Nizam Mat Bah Mohd Hanafi Sapian Emieliyuza Yusnita Alias Source Type: research

Pediatric Cardiology Fellowship Training in Exercise Medicine: A General Needs Assessment
AbstractThe aim of this study was to improve understanding of exercise medicine training needs for pediatric cardiology fellows. A survey was sent via email to all (N = 63) pediatric cardiology training program directors in the United States to evaluate the perceived exercise training needs of pediatric cardiology fellows. The survey consisted of multiple-choice responses as well as a few open-ended responses. A 60% response rate was achieved. 74% of program s did not have a pre-existing exercise core program. This type of training was felt to be important or very important in 84%. A wide variability of time allotted f...
Source: Pediatric Cardiology - April 20, 2021 Category: Cardiology Source Type: research

The syndrome of vanishing ACS : Who activates spontaneous thrombolysis doctor ?
Background “Your husband was really lucky, his heart attack got spontaneously aborted. His ECG is near normal now. The angiogram is normal.No stent, no lysis. He secreted his own Tpa and got rid of the clot. We will discharge him to tomorrow.” Thank you very much, Doctor. How did this happen, doctor? Don’t thank me. Definitely, I don’t have an answer. Spontaneous successful thrombolysis (Ref 4) happens up to 15 % of ACS. All I can say is he has a very disciplined mast cell network and fibrinolytic system. Vascular events: Pathobiology Vascular highway accidents that happen with sudden freezing...
Source: Dr.S.Venkatesan MD - October 8, 2021 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized anti fibrinolytic system thrombolysis Source Type: blogs

The syndrome of vanishing ACS : Who activates spontaneous thrombolysis ?
Background “Your husband was really lucky, his heart attack got spontaneously aborted. His ECG is near normal now. The angiogram is normal.No stent, no lysis. He secreted his own Tpa and got rid of the clot. We will discharge him to tomorrow.” Thank you very much, Doctor. How did this happen, doctor? Don’t thank me. Definitely, I don’t have an answer. Spontaneous successful thrombolysis (Ref 4) happens up to 15 % of ACS. All I can say is he has a very disciplined mast cell network and fibrinolytic system. Vascular events: Pathobiology Vascular highway accidents that happen due to the sudden fr...
Source: Dr.S.Venkatesan MD - October 8, 2021 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized anti fibrinolytic system thrombolysis Source Type: blogs

Remote Care Adoption in Underserved Congenital Heart Disease Patients During the COVID-19 Era
AbstractThe COVID-19 pandemic restricted in-person appointments and prompted an increase in remote healthcare delivery. Our goal was to assess access to remote care for complex pediatric cardiology patients. We performed a retrospective chart review of Texas Children ’s Hospital (TCH) pediatric cardiology outpatient appointments from March 2020 to December 2020 for established congenital heart disease (CHD) patients 1 to 17 yo. Primary outcome variables were remote care use of telemedicine and patient portal activation. Primary predictor variables were age, se x, insurance, race/ethnicity, language, and location. Descrip...
Source: Pediatric Cardiology - December 23, 2022 Category: Cardiology Source Type: research

Anesthetic Care of the Pregnant Patient With Cardiovascular Disease: A Scientific Statement From the American Heart Association
Circulation. 2023 Feb 13. doi: 10.1161/CIR.0000000000001121. Online ahead of print.ABSTRACTThe pregnancy-related mortality rate in the United States is excessively high. The American Heart Association is dedicated to fighting heart disease and recognizes that cardiovascular disease, preexisting or acquired during pregnancy, is the leading cause of maternal mortality in the United States. Comprehensive scientific statements from cardiology and obstetrics experts guide the treatment of cardio-obstetric patients before, during, and after pregnancy. This scientific statement aims to highlight the role of specialized cardio-obs...
Source: Circulation - February 13, 2023 Category: Cardiology Authors: Marie-Louise Meng Katherine W Arendt Jennifer M Banayan Elisa A Bradley Arthur J Vaught Afshan B Hameed Jade Harris Benjamin Bryner Laxmi S Mehta American Heart Association Council on Cardiovascular Surgery and Anesthesia; Council on Cardiopulmonary, Crit Source Type: research

Acute Effects of Sacubitril/Valsartan with Initial Initiation in Pediatric Patients in the Cardiac Intensive Care Unit
AbstractThere are very few objectively studied and proven medical interventions for the management of pediatric heart failure. Due to improvement in morbidity and mortality in the adult heart failure population, sacubitril/valsartan has started to be used in pediatric patients. The aim of this study was to characterize the acute cardiovascular effects of sacubitril/valsartan in the first 48  h after initiation. Single center retrospective study of pediatric patients in the cardiac intensive care unit who were initiated on sacubitril/valsartan for the first time over a three-year period. Clinical data was collected immedia...
Source: Pediatric Cardiology - March 17, 2023 Category: Cardiology Source Type: research

Toward Personalized Medicine: Does Genetic Diagnosis of Pediatric Cardiomyopathy Influence Patient Management?
A goal of personalized medicine is to provide increasingly sophisticated, individualized approaches to management and therapy for disease. Genetics is the engine that drives personalized medicine, holding the promise of therapeutics directed toward the unique needs of each patient. The 3rd International Conference on Cardiomyopathy in Children provided a forum to discuss the current status of personalized approaches to diagnosis, management, and therapy in the pediatric cardiomyopathy population.
Source: Progress in Pediatric Cardiology - January 30, 2015 Category: Cardiology Authors: Teresa M. Lee, Stephanie M. Ware Tags: Review Source Type: research