Sports cardiology: Pre-competition screening
|
|
|
- Roy Mathews
- 5 years ago
- Views:
Transcription
1 Sports cardiology: Pre-competition screening Dr. med Andreas E. Brauchlin Division of cardiology, University Hospital, Zurich
2 Content Interactive case presentation Background and theory Discussion
3 CLINICAL CASE
4 Background Regular pre-competition screening for referees considered for Brazil 2014 Basic screening Medical history/ questionnaire Clinical exam ECG Extended screening Echo Others if necessary/ pathologic findings
5 Our guest from the Seychelles Male, 37 years of age Asymptomatic patient Healthy No drugs/ doping Negative family history Unremarkable clinical exam
6 The EGC Comments?
7 The Echocardiography Please comment
8 Normal vs. abnormal RCA Aorta Aorta Our «patient»
9 Next steps? Possible options Reasoning Wait and see? Patient has survived He is asymptomatic No more competitive sports? According to Guidelines Further exams for clarification? Which exams to detect what?
10 Don t stop til it s over
11 Further exams for thorough assessment Disease extension/ associated structural disease? CT scan MRI Coronary angiogram Relevance of the disease: Ischemia? Stress-Echo MRI Szintigraphy PET-scan
12 Coronary CT-scan
13 Further exams are necessary for assessment Disease extension/ Associated structural disease? CT scan MRI Coronary angiogram Relevance of the disease: Ischemia? Stress-Echo MRI Szintigraphy PET-scan
14 Relevance? > No ischemia
15 BACKGROUND AND THEORY
16 Maron BJ. NEJM 2003; 349: Corrado, et al., New England Journal of Medicine, Volume 339:
17 Congenital coronary artery abnormalities: Basis (1/2) Development of coronary arteries approx. on day 32 of gestation Incidence: approx. 0.64% of births Most common: insignificant forms/ regular variants Separate origins of the RCA and conal branch: 50% Separate ostium of LAD/ CX: 1% Left-sided Right-sided: origin from the pulmonary artery Coronary insufficiency (low perfusion pressure, low oxygenation) Left-right shunt with steel syndrome Complex anomalies (Fallot, Transposition, Truncus arteriosus) Cheitlin et al, Circulation 1974; 50: 780. Barth et al. J Am Coll Cardiol 1986; 7: 366. Lorenz et al. Rev Cardiovasc Med 2006;7: 205. Edwards et al. Circulation 1964; 29:163. Wright et al. J Thorax Cardiovasc Surg 1970; 59:461.
18 Congenital coronary artery abnormalities: Basis (2/2) Left-side forms: Main stem/ LAD from right Sinus of valsalvae or RCA-ostium RCA from left Sinus of valsalvae/ ostium of main stem Different risk categories, depending on the course of the artery Critical: course between the Aortic root and pulmonary artery Critical: Angle of take off Critical: Intramural course Kaushal et al. Ann Thorax Surg 2011: 92:986. Kimbiris et al. Circulation 1978; 58:606.
19 Risk-stratification for coronary anomalies Low-Risk High-Risk Intramural course Copyright: Elsevier Inc.
20 Reasoning Compression of coronary arteries Dilatation of Aorta/ pulmonary trunk with increased blood pressure Increased O 2 need during physical exercise Ischemia Arrhythmia SCD Direct compression by muscular contractions (for intramural course) From,elt et al. J am Coll Cardiol 2003; 42:148. Taylor et al. Circulation 2000; 101:1670. Datta et al. Radiology 2005; 235:812.
21 Screening Objective: Detection of potential harmful anomalies Methods: ECG: no specific findings (unless past infarction) Echocardiography Coronary CT Cardiac MRI (Coronary angiogram) From,elt et al. J am Coll Cardiol 2003; 42:148. Taylor et al. Circulation 2000; 101:1670. Datta et al. Radiology 2005; 235:812.
22 Treatment methods All arteries arising from the pulmonary artery: Surgical correction Depending on symptoms: Probably no therapy necessary in asymptomatic patients without ischemia No controlled outcome studies Potentially beneficial for left main from right ostium Surgical intervention for symptomatic patients Documented ischemia SCD, arrhythmia Brothers et al. Pediatr Cardiol. 2009; 30:911. Gersony J Am Coll Cardiol 2007; 50:2083. Mainwaring et al. Ann Thorac Surg. 2011; 92:691.
23 Summary: Congenital coronary malformation Rare, with wide spectrum Asymptomatic Symptoms of ischemia (angina) Sudden cardiac death Prognosis depends on Form of malformation Physical activity Concomitant disease (e.g. atherosclerosis) Treatment For athletes (no competitive sports) In patients with symptoms -> surgery In patients with involvement of pulmonary artery -> surgery
24 If it was not for the disease
25 DISCUSSION
Coronary Artery from the Wrong Sinus of Valsalva: A Physiologic Repair Strategy
Coronary Artery from the Wrong Sinus of Valsalva: A Physiologic Repair Strategy Tom R. Karl, MS, MD he most commonly reported coronary artery malformation leading to sudden death in children and young
CORONARY ANOMALIES. Clinical Significance. Disclosures. Definitions. Learning Objectives. Prevalence. Consultant for M2S, Inc.
Disclosures CORONARY ANOMALIES Consultant for M2S, Inc. Julianna M. Czum, MD Director, Division of Cardiothoracic Imaging Department of Radiology Dartmouth Hitchcock Medical Center Assistant Professor
CONGENITAL CORONARY ARTERY ANOMALIES
How to prevent sudden coronary death in the young CONGENITAL CORONARY ARTERY ANOMALIES Cristina Basso, MD, FESC University of Padua, Italy ESC Congress Paris August 29, 2011 DECLARATION OF CONFLICT OF
Coronary Artery Anomalies from Birth to Adulthood; the Role of CT Coronary Angiography in Sudden Cardiac Death Screening
Coronary Artery Anomalies from Birth to Adulthood; the Role of CT Coronary Angiography in Sudden Cardiac Death Screening E O Dwyer 1, C O Brien 1, B Loo 1, A Snow Hogan 1, O Buckley1 2, B 1. Department
E J Meijboom (Lausanne, CH) Which athlete can re-enter his active sports career? After re-implantation of an abnormal origin of a coronary artery
E J Meijboom (Lausanne, CH) Which athlete can re-enter his active sports career? After re-implantation of an abnormal origin of a coronary artery Coronary Anomalies Congenital and Isolated Angiographic
S. Bruce Greenberg, MD FNASCI and President, NASCI Professor of Radiology and Pediatrics University of Arkansas for Medical Sciences
S. Bruce Greenberg, MD FNASCI and President, NASCI Professor of Radiology and Pediatrics University of Arkansas for Medical Sciences No financial disclosures Aorta Congenital aortic stenosis/insufficiency
Congenital heart disease involving the coronary artery
Anomalous Coronary Artery With Aortic Origin and Course Between the Great Arteries: Improved Diagnosis, Anatomic Findings, and Surgical Treatment Eldad Erez, MD, Vincent K. H. Tam, MD, Nancy A. Doublin,
Sudden Cardiac Death in Sports: Causes and Current Screening Recommendations
Sports Cardiology Sudden Cardiac Death in Sports: Causes and Current Screening Recommendations Domenico Corrado, MD, PhD Inherited Arrhytmogenic Cardiomyopathy Unit Department of Cardiac, Thoracic and
The Intramural course of anomalous coronary arteries: a high-risk characteristic?
Adam Bograd GCRC Elective -DDCF The Intramural course of anomalous coronary arteries: a high-risk characteristic? A. Study Purpose and Rationale Anomalies of coronary arteries, both in origin and course,
Wolff-Parkinson-White as a bystander in a patient with aborted sudden cardiac death
Wolff-Parkinson-White as a bystander in a patient with aborted sudden cardiac death Jamal Laaouaj, MD, Frédéric Jacques, MD, Gilles O Hara, MD, Jean Champagne, MD, Jean-François Sarrazin, MD, FHRS, Isabelle
Cardiac Conditions in Sport & Exercise. Cardiac Conditions in Sport. USA - Sudden Cardiac Death (SCD) Dr Anita Green. Sudden Cardiac Death
Cardiac Conditions in Sport & Exercise Dr Anita Green Cardiac Conditions in Sport Sudden Cardiac Death USA - Sudden Cardiac Death (SCD)
Multimodality Imaging of Anomalous Left Coronary Artery from the Pulmonary
1 IMAGES IN CARDIOVASCULAR ULTRASOUND 2 3 4 Multimodality Imaging of Anomalous Left Coronary Artery from the Pulmonary Artery 5 6 7 Byung Gyu Kim, MD 1, Sung Woo Cho, MD 1, Dae Hyun Hwang, MD 2 and Jong
GoodPrognosisofALCAPAAnomalousOriginoftheLeftCoronaryArteryfromthePulmonaryArterySyndromewithearlyDiagnosisandSurgicalTreatment
Global Journal of Medical Research: I Surgeries and Cardiovascular System Volume 18 Issue 3 Version 1.0 Type: Double Blind Peer Reviewed International Research Journal Publisher: Global Journals Online
Journal of the American College of Cardiology Vol. 37, No. 2, by the American College of Cardiology ISSN /01/$20.
Journal of the American College of Cardiology Vol. 37, No. 2, 2001 2001 by the American College of Cardiology ISSN 0735-1097/01/$20.00 Published by Elsevier Science Inc. PII S0735-1097(00)01136-0 Major
Use of Nuclear Cardiology in Myocardial Viability Assessment and Introduction to PET and PET/CT for Advanced Users
Use of Nuclear Cardiology in Myocardial Viability Assessment and Introduction to PET and PET/CT for Advanced Users February 1 5, 2011 University of Santo Tomas Hospital Angelo King A-V Auditorium Manila,
9/8/2009 < 1 1,2 3,4 5,6 7,8 9,10 11,12 13,14 15,16 17,18 > 18. Tetralogy of Fallot. Complex Congenital Heart Disease.
Current Indications for Pediatric CTA S Bruce Greenberg Professor of Radiology Arkansas Children s Hospital University of Arkansas for Medical Sciences greenbergsbruce@uams.edu 45 40 35 30 25 20 15 10
HEART CONDITIONS IN SPORT
HEART CONDITIONS IN SPORT Dr. Anita Green CHD Risk Factors Smoking Hyperlipidaemia Hypertension Obesity Physical Inactivity Diabetes Risks are cumulative (multiplicative) Lifestyles predispose to RF One
Budi Yuli Setianto, Anggoro Budi Hartopo, Putrika Prastuti Ratna Gharini, and Nahar Taufiq. 1. Introduction. 2. Case Report
Case Reports in Cardiology Volume 2016, Article ID 7652869, 4 pages http://dx.doi.org/10.1155/2016/7652869 Case Report Anomalous Origination of Right Coronary Artery from Left Sinus in Asymptomatic Young
Introduction. Case Report
Case Report Anomalous right coronary artery origin with interarterial pathway importance of morphological origin assessment and the role of percutaneous interventionism Daniel García Iglesias 1, Lidia
A teenager with tetralogy of fallot becomes a soccer player
ISSN 1507-6164 DOI: 10.12659/AJCR.889440 Received: 2013.06.06 Accepted: 2013.07.10 Published: 2013.09.23 A teenager with tetralogy of fallot becomes a soccer player Authors Contribution: Study Design A
Isolated congenital coronary anomalies: Evaluation by multislice-ct or MRI
Isolated congenital coronary anomalies: Evaluation by multislice-ct or MRI B.K. Velthuis, Dept. of Radiology UMC Utrecht, the Netherlands ESC 2010 Coronary artery anomalies CAA Uncommon 0.3-5% normal population
Invited Experts' Case Presentation and 5-Slides Focus Review
Invited Experts' Case Presentation and 5-Slides Focus Review FFR and IVUS in Myocardial Bridging Haegeun, Song. M.D. Heart Institute, Asan Medical Center, Seoul, Korea Myocardial Bridging Common congenital
Low-dose prospective ECG-triggering dual-source CT angiography in infants and children with complex congenital heart disease: first experience
Low-dose prospective ECG-triggering dual-source CT angiography in infants and children with complex congenital heart disease: first experience Ximing Wang, M.D., Zhaoping Cheng, M.D., Dawei Wu, M.D., Lebin
CYANOTIC CONGENITAL HEART DISEASES. PRESENTER: DR. Myra M. Koech Pediatric cardiologist MTRH/MU
CYANOTIC CONGENITAL HEART DISEASES PRESENTER: DR. Myra M. Koech Pediatric cardiologist MTRH/MU DEFINITION Congenital heart diseases are defined as structural and functional problems of the heart that are
Pre-Participation Athletic Cardiac Screening
Pre-Participation Athletic Cardiac Screening Kimberly A Krabill, MD Pediatric and Fetal Cardiologist Northwest Congenital Heart Care, Division of MedNax Cardiology Update for Primary Care Symposium July
Sudden Death in Athletes: What is the role of ECG Screening?
Sudden Death in Athletes: What is the role of ECG Screening? Byron K. Lee MD Professor of Medicine Director of EP Laboratory leeb@medicine.ucsf.edu Division of Cardiology Cardiac Electrophysiology Arrhythmias,
Outcome of Unroofing Procedure For Repair of Anomalous Aortic Origin of Left or Right Coronary Artery
Outcome of Unroofing Procedure For Repair of Anomalous Aortic Origin of Left or Right Coronary Artery Robert L. Romp, MD, J. René Herlong, MD, Carolyn K. Landolfo, MD, Stephen P. Sanders, MD, Coleen E.
Index. cardiology.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A ACHD. See Adult congenital heart disease (ACHD) Adult congenital heart disease (ACHD), 503 512 across life span prevalence of, 504 506
International Journal of Case Reports and Images (IJCRI)
www.edoriumjournals.com CASE REPORT PEER REVIEWED OPEN ACCESS Single coronary artery arising from the right coronary sinus with mid-left anterior descending artery segment courses through the ventricular
Anomalous Right Coronary Artery from the Left Sinus does Not Require Surgery in an Asymptomatic Child
Anomalous Right Coronary Artery from the Left Sinus does Not Require Surgery in an Asymptomatic Child Frank A. Pigula, MD Senior Associate, Cardiac Surgery Children s Hospital Boston Associate Professor
Adult Echocardiography Examination Content Outline
Adult Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 2 3 4 5 Anatomy and Physiology Pathology Clinical Care and Safety Measurement Techniques, Maneuvers,
Coronary Arteriovenous Malformation presenting as Acute Myocardial Infarction. Choon Ta NG, Aaron WONG, Foong-Koon CHEAH, Chi Keong CHING
Coronary Arteriovenous Malformation presenting as Acute Myocardial Infarction Choon Ta NG, Aaron WONG, Foong-Koon CHEAH, Chi Keong CHING The patient 49 year old Male presented with Chest tightness x 1
Exercise performance and quality of life following surgical repair of anomalous aortic origin of a coronary artery in the pediatric population
Exercise performance and quality of life following surgical repair of anomalous aortic origin of a coronary artery in the pediatric population J. A. Brothers, MD, a M. G. McBride, PhD, a B. S. Marino,
Department of Medicine, New Jersey Medical School, Newark, New Jersey Department of Radiology, New Jersey Medical School, Newark, New Jersey
Journal compilation C 2010, Wiley Periodicals, Inc. DOI: 10.1111/j.1540-8175.2009.01040.x C 2010, the Authors An Unusual Combination of an Anomalous Origin of the Left Coronary Artery from the Pulmonary
Anatomic variants of the normal coronary artery circulation
Diagnosis and Operation for Anomalous Circumflex Coronary Artery Keishi Ueyama, MD, PhD, Mahesh Ramchandani, MD, Arthur C. Beall, Jr, MD, and James W. Jones, MD, PhD Department of Surgery, Baylor College
Coronary Anomalies & Hemodynamic Identification
Coronary Anomalies & Hemodynamic Identification David Stultz, MD Cardiology Fellow, PGY 6 May 2, 2006 Anomaly #1 Anomaly #2 Anomaly #3 Figure 18-27 Anomalous origin of the left circumflex artery.
Case Report Preoperative Assessment of Anomalous Right Coronary Artery Arising from the Main Pulmonary Artery
Case Reports in Medicine Volume 2011, Article ID 642126, 4 pages doi:10.1155/2011/642126 Case Report Preoperative Assessment of Anomalous Right Coronary Artery Arising from the Main Pulmonary Artery Marshall
The arterial switch operation has been the accepted procedure
The Arterial Switch Procedure: Closed Coronary Artery Transfer Edward L. Bove, MD The arterial switch operation has been the accepted procedure for the repair of transposition of the great arteries (TGA)
The Heart of the Matter
The Heart of the Matter Is the Heart the Matter? --Chest pain in the Pediatric Patient-- 19th Interregional Symposium November 2, 2018 Session A, 9:35-10:50 am John-Charles Loo, MD Pediatric Cardiology,
Case Report Anomalous Left Main Coronary Artery: Case Series of Different Courses and Literature Review
Case Reports in Vascular Medicine Volume 2013, Article ID 380952, 5 pages http://dx.doi.org/10.1155/2013/380952 Case Report Anomalous Left Main Coronary Artery: Case Series of Different Courses and Literature
F Moreno-Martínez, L Vega, H Fleites, R Ibargollín, R González, O López
ISPUB.COM The Internet Journal of Thoracic and Cardiovascular Surgery Volume 7 Number 1 Dual left anterior descending coronary artery F Moreno-Martínez, L Vega, H Fleites, R Ibargollín, R González, O López
Jonathan Kim MD, FACC
Jonathan Kim MD, FACC Assistant Professor, Division of Cardiology, Emory University Adjunct Assistant Professor, School of Applied Physiology, Georgia Tech Team Cardiologist, Sports Medicine, Emory University
Research Presentation June 23, Nimish Muni Resident Internal Medicine
Research Presentation June 23, 2009 Nimish Muni Resident Internal Medicine Research Question In adult patients with repaired Tetralogy of Fallot, how does Echocardiography compare to MRI in evaluating
Athletes with cardiac disease; dead and buried or chance for resurrection?
Athletes with cardiac disease; dead and buried or chance for resurrection? EuroPRevent 2011 Geneva F. Carré University Rennes 1-Pontchaillou Hospital Inserm U642, Rennes - F-35000 Risk of physical activity
Congenital heart disease. By Dr Saima Ali Professor of pediatrics
Congenital heart disease By Dr Saima Ali Professor of pediatrics What is the most striking clinical finding in this child? Learning objectives By the end of this lecture, final year student should be able
Anomalous Left Main Coronary Artery: Not Always a Simple Surgical Reimplantation
Cardiol Ther (2015) 4:77 82 DOI 10.1007/s40119-015-0039-x CASE REPORT Anomalous Left Main Coronary Artery: Not Always a Simple Surgical Reimplantation Asif H. Khan. Ian B. A. Menown. Alastair Graham. John
Atypical pain and normal exercise test
Atypical pain and normal exercise test F. Mut, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Clinical history 67-year old male with several coronary risk factors. Atypical
CARDIAC AND CORONARY ARTERY ANATOMY NO DISCLOSURES. Axial Anatomy of Heart. Axial Anatomy of Heart. Axial Anatomy of Heart
CARDIAC AND CORONARY ARTERY ANATOMY NO DISCLOSURES NASCI MEETING, ORLANDO FLORIDA 2009 KOSTAKI G. BIS, MD, FACR DEPARTMENT OF RADIOLOGY WILLIAM BEAUMONT HOSPITAL Royal Oak, Michigan OBJECTIVES CARDIAC
Investigating senior athletes for cardiovascular disease. Antonio Pelliccia, MD
Investigating senior athletes for cardiovascular disease Antonio Pelliccia, MD www.antoniopelliccia.it Middle-aged, male marathon runner LAD LAD RC Replacement fibrosis Non-obstructive fibrous plaque
Right Coronary Artery With Anomalous Origin and Slit Ostium
Right Coronary Artery With Anomalous Origin and Slit Ostium Raul Garcia Rinaldi, MO, Jorge Carballido, MO, Richard Giles, MO, Emilio Del Taro, MO, and Raul Porro, MO Departments of Cardiovascular Surgery
Pre-participation screening is warranted: Pro
Controversies on marathon and beyond Pre-participation screening is warranted: Pro DOMENICO CORRADO, MD, PhD Department of Cardiac, Thoracic and Vascular Sciences University of Padova, Italy domenico.corrado@unipd.it
A Rare Type of Single Coronary Artery with Right Coronary Artery Originating From. the Left Circumflex Artery in a Child
A Rare Type of Single Coronary Artery with Right Coronary Artery Originating From the Left Circumflex Artery in a Child Jong Min Kim, MD 1, Ok Jeong Lee, MD 1, I-Seok Kang, MD 1, June Huh, MD, PhD 1, Jinyoung
Normal and Abnormal Coronary Artery Anatomy: Is it significant?
Normal and Abnormal Coronary Artery Anatomy: Is it significant? Poster No.: C-2112 Congress: ECR 2012 Type: Educational Exhibit Authors: M.-Y. Ng, S. Kumar, C. K. Liew, R. W. Bury; Blackpool/UK Keywords:
Anomalous Origin of The Coronary Arteries- Review Article.
Volume 3 Issue 3 Article 9 2017 Anomalous Origin of The Coronary Arteries- Review Article. Abdelrahman M. Aljadi, Shaheed Elhamdani, Majd Kanbour, and Mehiar El-Hamdani DOI: http://dx.doi.org/10.18590/mjm.2017.vol3.iss3.9
Common Defects With Expected Adult Survival:
Common Defects With Expected Adult Survival: Bicuspid aortic valve :Acyanotic Mitral valve prolapse Coarctation of aorta Pulmonary valve stenosis Atrial septal defect Patent ductus arteriosus (V.S.D.)
ABNORMAL ORIGIN OF THE LEFT CIRCUMFLEX CORONARY ARTERY FROM THE RIGHT CORONARY ARTERY
ABNORMAL ORIGIN OF THE LEFT CIRCUMFLEX CORONARY ARTERY FROM THE RIGHT CORONARY ARTERY Antonio Fuertes, M.D.,* Mario Trivellato, M.D.,** and Jeff Z. Brooker, M.D.*** INTRODUCTION Primary anomalies of the
Clinical Policy: Holter Monitors Reference Number: CP.MP.113
Clinical Policy: Reference Number: CP.MP.113 Effective Date: 05/18 Last Review Date: 04/18 Coding Implications Revision Log Description Ambulatory electrocardiogram (ECG) monitoring provides a view of
3 Aortopulmonary Window
0 0 0 0 0 Aortopulmonary Window Introduction Communications between the ascending aorta and pulmonary artery constitute a spectrum of malformations which is collectively designated aortopulmonary window,
Research article - Basic and applied anatomy Anomalous origin of the coronary arteries
IJAE Vol. 121, n. 3: 253-257, 2016 ITALIAN JOURNAL OF ANATOMY AND EMBRYOLOGY Research article - Basic and applied anatomy Anomalous origin of the coronary arteries George Joseph Lufukuja Department of
Clinicians and Facilities: RESOURCES WHEN CARING FOR WOMEN WITH ADULT CONGENITAL HEART DISEASE OR OTHER FORMS OF CARDIOVASCULAR DISEASE!!
Clinicians and Facilities: RESOURCES WHEN CARING FOR WOMEN WITH ADULT CONGENITAL HEART DISEASE OR OTHER FORMS OF CARDIOVASCULAR DISEASE!! Abha'Khandelwal,'MD,'MS' 'Stanford'University'School'of'Medicine'
Index. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acute coronary syndrome(s), anticoagulant therapy in, 706, 707 antiplatelet therapy in, 702 ß-blockers in, 703 cardiac biomarkers in,
CONGENITAL HEART DISEASE (CHD)
CONGENITAL HEART DISEASE (CHD) DEFINITION It is the result of a structural or functional abnormality of the cardiovascular system at birth GENERAL FEATURES OF CHD Structural defects due to specific disturbance
Anomalous Coronary Arteries: Location, Degree of Atherosclerosis and Effect on Survival-A Report From the Coronary Artery Surgery Study
JACC Vol. 13, No. 1 March 1. 1989:531-7 531 Anomalous Coronary Arteries: Location, Degree of Atherosclerosis and Effect on Survival-A Report From the Coronary Artery Surgery Study ROGER L. CLICK, MD, PHD,
MEDICAL SCIENCES Vol.I -Adult Congenital Heart Disease: A Challenging Population - Khalid Aly Sorour
ADULT CONGENITAL HEART DISEASE: A CHALLENGING POPULATION Khalid Aly Sorour Cairo University, Kasr elaini Hospital, Egypt Keywords: Congenital heart disease, adult survival, specialized care centers. Contents
Jae Hoon Lim, M.D., Song Choi, M.D. 2, Yang Jun Kang, M.D. 2, Hyun Ju Seon, M.D., Yun Hyeon Kim, M.D.
J Korean Soc Radiol 2010;62:113-117 The Noninvasive Diagnosis and Postoperative Evaluation of nomalous Right Coronary rtery from the Pulmonary rtery (RCP) using Coronary MDCT: Case Report 1 Jae Hoon Lim,
Anomalous origin of left circumflex coronary artery: An easy pick on transthoracic echocardiography
www.edoriumjournals.com CLINICAL IMAGES PEER REVIEWED OPEN ACCESS Anomalous origin of left circumflex coronary artery: An easy pick on transthoracic echocardiography Keyur Vora, Alok Ranjan ABSTRACT Abstract
Congenital coronary artery anomalies in adults: non-invasive assessment with multidetector CT
The British Journal of Radiology, 82 (2009), 254 261 PICTORIAL REVIEW Congenital coronary artery anomalies in adults: non-invasive assessment with multidetector CT 1 A R ZEINA, MD, 2 J BLINDER, MD, 3 D
Coronary arteries that course between the pulmonary
Surgical Treatment of Right Coronary Arteries With Anomalous Origin and Slit Ostium Raúl García-Rinaldi, MD, Javier Sosa, MD, Samuel Olmeda, ORT, Hernán Cruz, MD, Jorge Carballido, MD, and Cyd Quintana,
Current Indications for Cardiac MRI: What You See is What You Get?
Current Indications for Cardiac MRI: What You See is What You Get? Javier Ganame, MD, PhD, FASE No disclosures Cardiology Update, Niagara, Sept 24th, 2016 The Ideal Diagnostic Technique Easy to apply Accurate
Cardiac Catheterization Cases Primary Cardiac Diagnoses Facility 12 month period from to PRIMARY DIAGNOSES (one per patient)
PRIMARY DIAGNOSES (one per patient) Septal Defects ASD (Atrial Septal Defect) PFO (Patent Foramen Ovale) ASD, Secundum ASD, Sinus venosus ASD, Coronary sinus ASD, Common atrium (single atrium) VSD (Ventricular
Endurance sports and sudden cardiac death
Symposium: Endurance training and ventricular arrhythmias Endurance sports and sudden cardiac death DOMENICO CORRADO, MD, PhD Department of Cardiac, Thoracic and Vascular Sciences University of Padova,
I have no financial disclosures
Manpreet Singh MD I have no financial disclosures Exercise Treadmill Bicycle Functional capacity assessment Well validated prognostic value Ischemic assessment ECG changes ST segments Arrhythmias Hemodynamic
Journal of Radiology Research and Practice
Journal of Radiology Research and Practice Vol. 2015 (2015), Article ID 312482, 25 minipages. DOI:10.5171/2015.312482 www.ibimapublishing.com Copyright 2015. Jonszta Tomas, Pleva Leos, Krivankova Katerina
Cardiac MRI in ACHD What We. ACHD Patients
Cardiac MRI in ACHD What We Have Learned to Apply to ACHD Patients Faris Al Mousily, MBChB, FAAC, FACC Consultant, Pediatric Cardiology, KFSH&RC/Jeddah Adjunct Faculty, Division of Pediatric Cardiology
Anomalous Origin of Left Coronary Artery from Main Pulmonary Artery (ALCAPA) Who Underwent Two Coronary System Repair with a Novel Technique
Open Journal of Clinical Diagnostics, 2014, 4, 182-191 Published Online September 2014 in SciRes. http://www.scirp.org/journal/ojcd http://dx.doi.org/10.4236/ojcd.2014.43027 Anomalous Origin of Left Coronary
Prevalence of Congenital Coronary Artery Anomalies of Korean Men Detected by Coronary Computed Tomography
Original Article Print ISSN 1738-5520 On-line ISSN 1738-5555 Korean Circulation Journal Prevalence of Congenital Coronary Artery Anomalies of Korean Men Detected by Coronary Computed Tomography Jae Hyun
PREGNANCY AND CONGENITAL HEART DISEASE
PREGNANCY AND CONGENITAL HEART DISEASE SIDDHARTH JADHAV M.D. Assistant Professor of Radiology E.B. Singleton Department of Pediatric Radiology Texas Children's Hospital COMMERCIAL DISCLOSURE - None Objectives
가천의대길병원소아심장과최덕영 PA C IVS THE EVALUATION AND PRINCIPLES OF TREATMENT STRATEGY
가천의대길병원소아심장과최덕영 PA C IVS THE EVALUATION AND PRINCIPLES OF TREATMENT STRATEGY PA c IVS (not only pulmonary valve disease) Edwards JE. Pathologic Alteration of the right heart. In: Konstam MA, Isner M, eds.
EVALUATION OF THE ATHLETE. Karen Stout, MD Professor, Medicine and Pediatrics University of Washington
EVALUATION OF THE 12 ATHLETE Karen Stout, MD Professor, Medicine and Pediatrics University of Washington NO DISCLOSURES OUTLINE Why evaluate athletes? What s the problem? What evaluation should be done?
La valutazione dell atleta: è una strategia salva-vita e costo-efficace?
La valutazione dell atleta: è una strategia salva-vita e costo-efficace? Primo trattato di Medicina Wilson and Jungner s criteria In the 1960s the World Health Organization adopted the Wilson and Jungner
DEPARTMENT NAME PRE-PARTICIPATION SCREENING THE SPORTS PHYSICAL
PRE-PARTICIPATION SCREENING THE SPORTS PHYSICAL Michele Krenek, MSN, RN, FNP-C TCHAPP Conference, Houston, TX April 4, 2019 PRE-PARTICIPATION SPORTS SCREENING According to the AHA the definition of the
Original Research Article Detection of Coronary Artery Anomalies using 64 Slice MDCT Angiography
Original Research Article Detection of Coronary Artery Anomalies using 64 Slice MDCT Angiography Satish Prasad 1, Deepti Harihapura Vijayakumar 2 1 Associate Professor and Head, 2 Senior Resident, Department
Adult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016
1 Adult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016 DISCLOSURES I have no disclosures relevant to today s talk 2 Why should all echocardiographers
Endurance Exercise and Cardiovascular Health
Endurance Exercise and Cardiovascular Health Professor Sanjay Sharma St George s University of London St George s Hospital NHS Trust sasharma@sgul.ac.uk @SSharmacardio Conflicts/Disclosures: None Objectives
Deok Young Choi, Gil Hospital, Gachon University NEONATES WITH EBSTEIN S ANOMALY: PROBLEMS AND SOLUTION
Deok Young Choi, Gil Hospital, Gachon University NEONATES WITH EBSTEIN S ANOMALY: PROBLEMS AND SOLUTION Carpentier classification Chauvaud S, Carpentier A. Multimedia Manual of Cardiothoracic Surgery 2007
University Journal of Medicine and Medical Sciences
ISSN 2455-2852 Volume 2 issue 1 2016 Infantile Heart Failure, Exotic Diagnosis but Dismal Prognosis LIJO VARGHESE PUTHENMADOM Department of Cardiology, CHRISTIAN MEDICAL COLLEGE Abstract : Infantile heart
Cardiovascular Screening of Competitive Athletes
Cardiovascular Screening of Competitive Athletes Paul Dorian MD St Michael s Hospital University of Toronto No relevant disclosures CCS/CHRS Joint Position Statement Cardiovascular Screening of Competitive
Cardiovascular Imaging Stress Echo
Cardiovascular Imaging Stress Echo Theodora A Zaglavara, MD, PhD Cardiac Imaging Department INTERBALKAN MEDICAL CENTER Thessaloniki GREECE Evolution of Stress Echo: From Innovation to a Widely Established
Transcatheter closure of right coronary artery fistula to the right ventricle
Case Report Transcatheter closure of right coronary artery fistula to the right ventricle Abstract Coronary artery fistula (CAF) is an uncommon anomaly usually congenital but can be acquired. Although,
TGA Surgical techniques: tips & tricks (Arterial switch operation)
TGA Surgical techniques: tips & tricks (Arterial switch operation) Seoul National University Children s Hospital Woong-Han Kim Surgical History 1951 Blalock and Hanlon, atrial septectomy 1954 Mustard et
Devendra V. Kulkarni, Rahul G. Hegde, Ankit Balani, and Anagha R. Joshi. 2. Case Report. 1. Introduction
Case Reports in Radiology, Article ID 614647, 4 pages http://dx.doi.org/10.1155/2014/614647 Case Report A Rare Case of Pulmonary Atresia with Ventricular Septal Defect with a Right Sided Aortic Arch and
The First Large-scale Public Cardiac Screening to Protect Athletes Health in Hong Kong (CASPAR)
The First Large-scale Public Cardiac Screening to Protect Athletes Health in Hong Kong Pre-participation Cardiovascular Screening Program for First-Time MArathon Runners (CASPAR) Speakers Professor Hung-Fat
ECG Workshop. Nezar Amir
ECG Workshop Nezar Amir Myocardial Ischemia ECG Infarct ECG in STEMI is dynamic & evolving Common causes of ST shift Infarct Localisation Left main artery occlusion: o diffuse ST-depression with ST elevation
Slide 1. Slide 2. Slide 3. Sudden Cardiac Death In Athletes. Epidemiology. Epidemiology. Shaun McMurtry, MD Primary Care Sports Medicine
Slide 1 Sudden Cardiac Death In Athletes Shaun McMurtry, MD Primary Care Sports Medicine Slide 2 Epidemiology College and Professional Athletes 500,000 participants each year Competitive Athletics Estimated
Chest pain management. Ruvin Gabriel and Niels van Pelt August 2011
Chest pain management Ruvin Gabriel and Niels van Pelt August 2011 Introduction Initial assessment Case 1 Case 2 and 3 Comparison of various diagnostic techniques Summary 1-2 % of GP consultations are
Current and Future Imaging Trends in Risk Stratification for CAD
Current and Future Imaging Trends in Risk Stratification for CAD Brian P. Griffin, MD FACC Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Disclosures: None Introduction
Maria Angela S. Cruz-Anacleto, MD
Maria Angela S. Cruz-Anacleto, MD 57/Female Menopausal Non-HTN, non-dm Hypothyroid (s/p RAI 1997) Levothyroxine 100 ug OD 5 Months PTA Chest discomfort Stress Echocardiography 5 Months PTA Chest discomfort
The incidence of congenital coronary anomalies in the
Stress Rest Myocardial Perfusion SPECT for Functional Assessment of Coronary Arteries with Anomalous Origin or Course Leonardo De Luca, MD 1 ; Francesco Bovenzi, MD 1 ; Domenico Rubini, MD 2 ; Artor Niccoli-Asabella,
Risk Factors for Sudden cardiac Death
Risk Factors for Sudden cardiac Death A. Arenal Arrhythmias in competitive sports Disclosure Conflict of interest Advisory board: Medtronic, Boston Scientific Research grants: Medtronic, Boston Scientific,
Case 47 Clinical Presentation
93 Case 47 C Clinical Presentation 45-year-old man presents with chest pain and new onset of a murmur. Echocardiography shows severe aortic insufficiency. 94 RadCases Cardiac Imaging Imaging Findings C