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Total 158228 results found since Jan 2013.

Abstract 253: The Importance of Spiritual Authorities in Critical Care Field: An International Survey Analysis Session Title: Poster Session PM
Conclusions: One in every two physicians/nurses in this study considered spiritual authorities, as part of the ICU team, beneficial in managing the patients and communicating with them and their families. We also found a correlation between the religious practice of the physicians/nurses and their opinion about its impact on the care of the patients. Physicians who are committed to a religious practice, tend to state that this could be beneficial; while nurses who are spiritual but not religious indicated no impact on the management.
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Alshami, A., Romero, C., Avila, A., Einav, S., Surani, S., Varon, J. Tags: Session Title: Poster Session PM Source Type: research

Reframing pediatric cardiac intensive care outcomes: The importance of the family and the role of pediatric medical traumatic stress
With mortality in the pediatric cardiac intensive care unit (CICU) low at 2 –4%, the majority of children survive their admission. While the CICU experience is often part of a broader story of living with and managing cardiac disease, many children are impacted by CICU experience with changes to their physical health, neurocognition, psychological health, and quality of l ife. Risk factors for poor outcomes after a CICU admission include potentially fixed and immutable factors such as congenital heart disease severity, therapeutic interventions, and hospitalization characteristics.
Source: Progress in Pediatric Cardiology - February 15, 2018 Category: Cardiology Authors: Lauren M. Yagiela, Felicity W.K. Harper, Kathleen L. Meert Tags: Review Source Type: research

Pediatric Pulmonary Artery Rehabilitation: A Review of Our Experience and a Novel Approach Using Bronchial Blockers
AbstractRecent advances in the field of pediatric interventional cardiology have resulted in therapies for patients in need of augmented pulmonary artery (PA) flow. Catheter-based PA rehabilitation can be performed safely but not without the potential risk of pulmonary hemorrhage. When severe, this bleeding has the ability to contaminate the bronchi and trachea, and possibly occlude the endotracheal tube. This can result in a critical inability to ventilate and oxygenate these patients. Herein, we review our institutional experience with pulmonary hemorrhage associated with these procedures and the feasibility of predictin...
Source: Pediatric Cardiology - May 9, 2018 Category: Cardiology Source Type: research

Stent Angioplasty for Critical Native Aortic Coarctation in Three Infants: Up to 15-Year Follow-Up Without Surgical Intervention and Review of the Literature
AbstractManagement of neonatal native coarctation is debated till now. Surgical therapy remains an option but may be unwarranted in critically sick infants with complex lesions. Balloon dilatation has been employed but with early re-stenosis. Stent angioplasty has also been used but as a bridge towards definitive surgical therapy. Four critically sick infants with complex coarctation and additional co-morbidity factors underwent primary stent therapy as surgical intervention was denied. One patient had died earlier due to reasons unrelated to the procedure. Three survivors underwent multiple dilatations of primary stents a...
Source: Pediatric Cardiology - June 12, 2018 Category: Cardiology Source Type: research

Focused Cardiac Ultrasound: A Prospective Randomized Study of Simulator-Based Training
In 2014, international evidence-based recommendations defined focused cardiac ultrasound (FoCUS) and its implementation and indications.1 It is recommended and currently used in critical care medicine, anesthesiology, emergency medicine, and internal medicine.2-5 In FoCUS, image acquisition requires the learning of five views1: parasternal short axis (PSA), parasternal long axis (PLA), apical four chambers (AFC), subcostal four chambers (SFC), and inferior vena cava (IVC) view. Comprehension of the anatomy and the probe position compared with the heart is essential.
Source: Journal of the American Society of Echocardiography - December 17, 2019 Category: Cardiology Authors: Mathilde Chaptal, Ludivine Tendron, Pierre-G éraud Claret, Laurent Muller, Thibaut Markarian, Laurent Mattatia, Claire Roger, Jean Emmanuel de la Coussaye, Thierry Pelaccia, Xavier Bobbia Tags: Letter to the Editor Source Type: research

Urgent need for individual mobile phone and institutional reporting of at home, hospitalized, and intensive care unit cases of SARS-CoV-2 (COVID-19) infection.
Authors: McCullough PA, Eidt J, Rangaswami J, Lerma E, Tumlin J, Wheelan K, Katz N, Lepor NE, Vijay K, Soman S, Singh B, McCullough SP, McCullough HB, Palazzuoli A, Ruocco GM, Ronco C Abstract Approximately 90 days of the SARS-CoV-2 (COVID-19) spreading originally from Wuhan, China, and across the globe has led to a widespread chain of events with imminent threats to the fragile relationship between community health and economic health. Despite near hourly reporting on this crisis, there has been no regular, updated, or accurate reporting of hospitalizations for COVID-19. It is known that many test-positive individ...
Source: Reviews in Cardiovascular Medicine - April 8, 2020 Category: Cardiology Tags: Rev Cardiovasc Med Source Type: research

Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
PMID: 33081526 [PubMed - in process]
Source: Circulation - October 20, 2020 Category: Cardiology Authors: Topjian AA, Raymond TT, Atkins D, Chan M, Duff JP, Joyner BL, Lasa JJ, Lavonas EJ, Levy A, Mahgoub M, Meckler GD, Roberts KE, Sutton RM, Schexnayder SM, Pediatric Basic and Advanced Life Support Collaborators Tags: Circulation Source Type: research

Part 7: Systems of Care: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
fe Support, Neonatal Life Support, and Resuscitation Education Science Writing Groups Abstract Survival after cardiac arrest requires an integrated system of people, training, equipment, and organizations working together to achieve a common goal. Part 7 of the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care focuses on systems of care, with an emphasis on elements that are relevant to a broad range of resuscitation situations. Previous systems of care guidelines have identified a Chain of Survival, beginning with prevention and early identification of ...
Source: Circulation - October 20, 2020 Category: Cardiology Authors: Berg KM, Cheng A, Panchal AR, Topjian AA, Aziz K, Bhanji F, Bigham BL, Hirsch KG, Hoover AV, Kurz MC, Levy A, Lin Y, Magid DJ, Mahgoub M, Peberdy MA, Rodriguez AJ, Sasson C, Lavonas EJ, Adult Basic and Advanced Life Support, Pediatric Basic and Advanced L Tags: Circulation Source Type: research

Digital Health Applications in Heart Failure: a Critical Appraisal of Literature
AbstractPurpose of the reviewDespite advancements in the diagnostic and therapeutic armamentarium, heart failure (HF) remains a major public health concern in the USA and worldwide. Digital health applications hold promise to bridge this gap and improve HF care. This review will provide the reader with a concise overview of the current digital health applications in HF, the main challenges to its use, and discuss the future of digital health for promoting care for HF patients.Recent findingsEmerging evidence continues to support the potential role of digital health across the continuum of HF disease process including prima...
Source: Current Treatment Options in Cardiovascular Medicine - January 16, 2021 Category: Cardiology Source Type: research

Enhancing Echocardiography Education in Fellowship
Cardiovascular fellowship is one of the more extensive and demanding internal medicine subspecialty training programs. While gaining experience in the areas of general cardiology that encompass topics such as prevention, obstetrics, critical care medicine, transplant medicine, and device therapy, among many others,1 cardiology fellows in training (FITs) must also learn new procedural and interpretation skills, with one of the most central of these skills being echocardiography. Developing training programs in which FITs have a breadth of exposure to cardiovascular diseases while they also become proficient in these skills ...
Source: Journal of the American Society of Echocardiography - July 7, 2022 Category: Cardiology Authors: Alicia Topoll, Kathryn Berlacher Source Type: research

Elucidating the Clinical Implications and Pathophysiology of Pulmonary Hypertension in Heart Failure With Preserved Ejection Fraction: A Call to Action: A Science Advisory From the American Heart Association
Circulation. 2022 Jul 11:101161CIR0000000000001079. doi: 10.1161/CIR.0000000000001079. Online ahead of print.ABSTRACTThis science advisory focuses on the need to better understand the epidemiology, pathophysiology, and treatment of pulmonary hypertension in patients with heart failure with preserved ejection fraction. This clinical phenotype is important because it is common, is strongly associated with adverse outcomes, and lacks evidence-based therapies. Our goal is to clarify key knowledge gaps in pulmonary hypertension attributable to heart failure with preserved ejection fraction and to suggest specific, actionable sc...
Source: Circulation - July 21, 2022 Category: Cardiology Authors: Evan L Brittain Thenappan Thenappan Jessica H Huston Vineet Agrawal Yen-Chun Lai Debra Dixon John J Ryan Eldrin F Lewis Margaret M Redfield Sanjiv J Shah Bradley A Maron American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative a Source Type: research

Cardiopulmonary Exercise Testing Characterizes Silent Cardiovascular Abnormalities in Asymptomatic Pediatric Cancer Survivors
We examined CPET data via cycle ergometer in asymptomatic PCS with normal echocardiogram and age-matched controls. Peak and submaximal parameters were analyzed. Fifty-three PCS and 60 controls were studied. Peak oxygen consumption (VO2), peak work rate (WR), and ventilatory anaerobic threshold (VAT) were significantly lower in PCS than controls (1.86  ± 0.53 vs. 2.23 ± 0.61 L/min, 125 ± 45 vs. 154 ± 46 W, and 1.20 ± 0.35 vs. 1.42 ± 0.43 L/min, respectively; allp <  0.01), whereas peak heart rate (HR) and ventilatory efficiency (a slope of minute ventilation over CO2 production or ∆VE...
Source: Pediatric Cardiology - September 8, 2022 Category: Cardiology Source Type: research

Self-Perception of Transition Readiness Amongst Pediatric Patients with Childhood Heart Disease
This study assesses self-report of transition readiness among adolescents and young adults (ages 12 –25 years) with childhood and congenital heart disease (CHD), receiving care at Hasbro Children’s Hospital, whose CHD diagnosis warranted transfer to adult cardiology care. Patients were mailed the American Academy of Pediatrics/American College of Physicians Transition Readiness for Youth Asse ssment survey. Confidence scores ranged between 0 (not) and 10 (very). Mann–WhitneyU test was used to assess differences in scores between younger (12 –17 years) and older (18–25 years) groups. 396 patients met inclusion ...
Source: Pediatric Cardiology - October 23, 2022 Category: Cardiology Source Type: research

A Case of Neonatal Lupus Presenting with Myocardial Dysfunction in the Absence of Congenital Heart Block (CHB): Clinical Management and Brief Literature Review of Neonatal Cardiac Lupus
AbstractNeonatal lupus (NLE) is a rare acquired autoimmune disorder caused by transplacental passage of maternal autoantibodies to Sjogren ’s Syndrome A or B (SSA-SSB) autoantigens (Vanoni et al. in Clin Rev Allerg Immunol 53:469–476, 2017) which target fetal and neonatal tissues for immune destruction. The cardiac trademark of NLE is autoimmune heart block, which accounts for more than 80% of cases of complete atrioventricular hea rt block (AVB) in newborns with a structurally normal heart (Martin in Cardiol Young 24: 41–46, 2014). NLE presenting with cardiac alterations not involving rhythm disturbances are describ...
Source: Pediatric Cardiology - December 2, 2022 Category: Cardiology Source Type: research