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Specialty: Cardiology
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Selective use of the electrocardiogram in pediatric preparticipation athletic examinations among pediatric primary care providers
ConclusionBased on a survey of primary care providers, most practitioners are utilizing a selective approach of obtaining an ECG as a part of a PPE for athletic participation, which is in agreement with the current American Heart Association guidelines. Significant practice variation continues to exist, and may represent an area for future resource optimization.
Source: Annals of Noninvasive Electrocardiology - December 31, 2016 Category: Cardiology Authors: Bradley C. Clark, Joshua M. Hayman, Charles I. Berul, Kristin M. Burns, Jonathan R. Kaltman Tags: ORIGINAL ARTICLE Source Type: research
The Pediatric Heart Failure Workforce: An International, Multicenter Survey
AbstractOur objective was to understand the scope of pediatric heart failure (HF) and the current staffing environment of HF programs. An online survey was distributed to members of the Pediatric Heart Transplant Study and the Pediatric Council of the International Society for Heart and Lung Transplantation. All participants received the primary 23-question survey. Additionally, HF program directors received a 32-question supplemental survey. Of 235 invitations sent, there were 69 (29%) primary surveys and 34 program director surveys completed (24 U.S. programs, 9 outside non-U.S., and one non-specified location). A formal...
Source: Pediatric Cardiology - February 1, 2018 Category: Cardiology Source Type: research
Simulation training improves team dynamics and performance in a low-resource cardiac intensive care unit
Conclusions: This study demonstrates the feasibility and effectiveness of simulationbased training in improving team dynamics and performance in lowresource pediatric CICU environments, indicating its potential role in eliminating communication barriers in these settings.
Source: Annals of Pediatric Cardiology - May 4, 2018 Category: Cardiology Authors: Sivaram Subaya Emani Catherine K Allan Tess Forster Anna C Fisk Christine Lagrasta Bistra Zheleva Peter Weinstock Ravi R Thiagarajan Source Type: research
Risk-Adjusted Overall Mortality as a Quality Measure in the Cardiovascular Intensive Care Unit
Risk-adjusted mortality has been proposed as a quality of care indicator to gauge cardiovascular intensive care Unit (CICU) performance. Mortality is easily measured, readily understandable, and a meaningful outcome for the patient, provider, administrative agencies, and other key stakeholders. Disease-specific risk-adjusted mortality is commonly used in cardiovascular medicine as an indicator of care quality, for external accreditation, and to determine payer reimbursement. However, the evidence base for overall risk-adjusted mortality in the CICU is limited, with most available data coming from the general critical care ...
Source: Cardiology in Review - October 18, 2018 Category: Cardiology Tags: Review Articles Source Type: research
Changes in comorbidities, diagnoses, therapies and outcomes in a contemporary cardiac intensive care unit population
ConclusionsWe observed an increasing prevalence of critical care and organ failure diagnoses as well as increased utilization of critical care therapies in this CICU cohort, associated with a decrease in risk-adjusted hospital mortality over time.
Source: American Heart Journal - June 4, 2019 Category: Cardiology Source Type: research
Health Care Transition Perceptions Among Parents of Adolescents with Congenital Heart Defects in Georgia and New York
AbstractWith increasing survival trends for children and adolescents with congenital heart defects (CHD), there is a growing need to focus on transition from pediatric to adult specialty cardiac care. To better understand parental perspectives on the transition process, a survey was distributed to 451 parents of adolescents with CHD who had recent contact with the healthcare system in Georgia (GA) and New York (NY). Among respondents, 90.7% reported excellent, very good or good health-related quality of life (HRQoL) for their adolescent. While the majority of parents (77.8%) had been told by a provider about their adolesce...
Source: Pediatric Cardiology - June 3, 2020 Category: Cardiology Source Type: research
Telehealth for Pediatric Cardiology Practitioners in the Time of COVID-19
AbstractDue to the COVID-19 pandemic, there has been an increased interest in telehealth as a means of providing care for children by a pediatric cardiologist. In this article, we provide an overview of telehealth utilization as an extension of current pediatric cardiology practices and provide some insight into the rapid shift made to quickly implement these telehealth services into our everyday practices due to COVID-19 personal distancing requirements. Our panel will review helpful tips into the selection of appropriate patient populations and specific cardiac diagnoses for telehealth that put patient and family safety ...
Source: Pediatric Cardiology - July 11, 2020 Category: Cardiology Source Type: research
Atypical presentation of complete heart block in children with pediatric inflammatory multisystem syndrome: A case series of two patients
Rishika Mehta, Sanjiban Ghosh, Jayita Das Nandy, Shubhadeep Das, Amitabha ChattopadhyayAnnals of Pediatric Cardiology 2021 14(3):408-411
In the midst of the COVID-19 pandemic, we report two cases of children presenting with typical diagnosis of pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) who suffered from complete heart block requiring pacemaker placement which is an unusual presentation of PIMS-TS. We also compared it with the already existing data with similar manifestations. PIMS-TS is reported to occur in children with predominantly gastrointestinal symptoms, hemodynamic...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Rishika Mehta Sanjiban Ghosh Jayita Das Nandy Shubhadeep Das Amitabha Chattopadhyay Source Type: research
Quality of Heart Failure Care in the Intensive Care Unit
Acute heart failure (HF) resulting in hospitalization is a major cause of morbidity and mortality.1 Moreover, with increasing severity of illness and rapid HF treatment advancements, patients with HF often require critical care resources.2 In this context, new models of cardiac critical care in the intensive care unit (ICU) have been proposed.3,4 Therefore, there is a compelling rationale for understanding how to provide high-quality care to patients with HF who are receiving critical care. For a patient with HF in the ICU: How do we know we are doing a good job? What does the provision of high-quality care include? The go...
Source: Journal of Cardiac Failure - October 1, 2021 Category: Cardiology Authors: THOMAS S. Metkus, JOHN LINDSLEY, LINDA FAIR, SARAH RILEY, STEPHEN BERRY, SARINA SAHETYA, STEVEN HSU, NISHA A. GILOTRA Tags: Review Article Source Type: research
Current Practices in Treating Cardiomyopathy and Heart Failure in Duchenne Muscular Dystrophy (DMD): Understanding Care Practices in Order to Optimize DMD Heart Failure Through ACTION
AbstractCardiac disease has emerged as a leading cause of mortality in Duchenne muscular dystrophy in the current era. This survey sought to identify the diagnostic and therapeutic approach to DMD among pediatric cardiologists in Advanced Cardiac Therapies Improving Outcomes Network. Pediatric cardiology providers within ACTION (a multi-center pediatric heart failure learning network) were surveyed regarding their approaches to cardiac care in DMD. Thirty-one providers from 23 centers responded. Cardiac MRI and Holter monitoring are routinely obtained, but the frequency of use and indications for ordering these tests varie...
Source: Pediatric Cardiology - January 13, 2022 Category: Cardiology Source Type: research
Comparison of Strain-Encoding and Feature-Tracking Derived Myocardial Deformation Assessment of Left Ventricular Function in a Pediatric and Adult Congenital Heart Disease Cohort
ConclusionThere was poor agreement between SENC and FT derived GLS and GCS in a cohort of pediatric and ACHD patients, suggesting that SENC and FT cannot be used interchangeably.
Source: Pediatric Cardiology - March 3, 2022 Category: Cardiology Source Type: research
Current Practices in Treating Cardiomyopathy and Heart Failure in Duchenne Muscular Dystrophy (DMD): Understanding Care Practices in Order to Optimize DMD Heart Failure Through ACTION
AbstractCardiac disease has emerged as a leading cause of mortality in Duchenne muscular dystrophy in the current era. This survey sought to identify the diagnostic and therapeutic approach to DMD among pediatric cardiologists in Advanced Cardiac Therapies Improving Outcomes Network. Pediatric cardiology providers within ACTION (a multi-center pediatric heart failure learning network) were surveyed regarding their approaches to cardiac care in DMD. Thirty-one providers from 23 centers responded. Cardiac MRI and Holter monitoring are routinely obtained, but the frequency of use and indications for ordering these tests varie...
Source: Pediatric Cardiology - May 18, 2022 Category: Cardiology Source Type: research
The effects of a team-based planned care program on the quality of sleep in cardiac surgery patients hospitalized in the intensive care unit: A two-group controlled clinical trial
CONCLUSIONS: The team-based care plan significantly improves the quality of sleep. It may be due to the close coordination between all team members to avoid sleep disturbances.PMID:36177437 | PMC:PMC9514253 | DOI:10.4103/jehp.jehp_1357_21
Source: Atherosclerosis - September 30, 2022 Category: Cardiology Authors: Abolfazl Rahimi Fakhrudin Faizi Masoud Sirati Nir Ahmadali Amirifar Fatemeh Mahmoudikohani Source Type: research
What is Known About Critical Congenital Heart Disease Diagnosis and Management Experiences from the Perspectives of Family and Healthcare Providers? A Systematic Integrative Literature Review
AbstractThe experience of diagnosis, decision-making and management in critical congenital heart disease is layered with complexity for both families and clinicians. We synthesise the current evidence regarding the family and healthcare provider experience of critical congenital heart disease diagnosis and management. A systematic integrative literature review was conducted by keyword search of online databases, MEDLINE (Ovid), PsycINFO, Cochrane, cumulative index to nursing and allied health literature (CINAHL Plus) and two journals, the Journal of Indigenous Research and Midwifery Journal from 1990. Inclusion and exclusi...
Source: Pediatric Cardiology - February 1, 2023 Category: Cardiology Source Type: research
Association Between Race/Ethnicity and Severity of Illness in Pediatric Cardiomyopathy and Myocarditis
Conclusion: Black patients have higher severity of illness on firs t admission to the ICU, which may reflect differences in access to care. Black patients are less likely to receive a heart transplant. Additionally, Black patients and those with unreported race/ethnicity had higher odds of CPR, which was not mediated by severity of illness, suggesting variations in care may persist after admission.
Source: Pediatric Cardiology - June 17, 2023 Category: Cardiology Source Type: research
