Global Postoperative Mortality in Critical Congenital Heart Disease: A Systematic Review
|
|
|
- Blaise Gabriel Hubbard
- 5 years ago
- Views:
Transcription
1 Global Postoperative Mortality in Critical Congenital Heart Disease: A Systematic Review Pablo Sandoval, Pablo Bermúdez, Néstor Sandoval, María Teresa Domínguez, Darío Londoño, Rodolfo Dennis
2 NO DISCLOSURES
3 INTRODUCTION 8-12 x 1000 newborns have a Congenital Heart Disease About 7,200 newborns, (18 per 10,000), in the United States are diagnosed with Critical Congenital Heart Disease (CCHD) each year. Part of cost effective analysis study for pulse oximetry routine screening in Colombia Principal Objective: Identify early postoperative mortality (30 days) in children < 1 year for each CCHD Specific objectives: Differentiate world-wide mortality rates Identify origin of published literature STS/EACTS Latin America Cardiovascular Surgery Conference 2018 (Genetics Home Reference, 2018)
4 METHODS 6 Data-bases Pubmed, Sciencedirect, Lilacs, Ebsco-Host, Cochrane, Scopus Key Words - Cardiac Surgical Procedure - Mortality OR Survival -Pulmonary Atresia -Tricuspid Atresia -D - Transposition of Great Arteries -Tetralogy of Fallot -Hypoplastic Left Heart Syndrome (HLHS) -Total Anomalous Pulmonary Venous Connection (TAPVC) -Truncus Arteriosus STS/EACTS Latin America Cardiovascular Surgery Conference 2018 Inclusion Criteria - Type of Study: Cohort or Case and Control Studies - Age: Patients < 1 year old - Dates: Between and Language: Spanish and English - Mortality: 30 day mortality Exclusion Criteria - Patients who underwent percutaneous or medical procedures
5 STS/EACTS Latin America Cardiovascular Surgery Conference 2018 RESULTS DATABASE SEARCH: 1712 IDENTIFICATION DUPLICATES: 667 ABSTRACT - INCLUDED: 1045 SCREENING EXCLUDED: 831 No Complete Abstract info: 55 Not specific CCHD : 372 Not Cohort or C&C: 147 Older than 1 year: 78 No surgical procedure: 179 COMPLETE ARTICLE- INCLUDED: 214 ELIGIBILITY EXCLUDED: 87 Combined patientes greater and younger than 1 year of age 22 Mortality was nor determined by specific heart disease: 31 Time of mortality was not clear or extended > 30 days: 15 Languages different than spanish and english: 10 Not possible to obtain complete article: 9 COMPLETE ARTICLE - INCLUDED: 127 INCLUDED EXCLUDED: 7 STROBE CRITERIA < 75% 7 INFORMATION ABSTRACTION: 120
6 RESULTS Early Mortality in Cardiovascular Surgery for Critical Congenital Heart Disease in Children Under One Year of Age (Expressed in Percentage of Interventions 95% CI) Number of Studies Number of Procedures Global North America South America Europe Asia Oceania Africa Pulmonary Atresia ,94 (6,98-13,61) 17,07 (10,06-26,38)* 18,88 (11,79-28,51)* 1,76 (0,45-4,72) Tricuspid Atresia ,84 (3,06-7,24) 4,84 (3,14-7,12) D-TGA ,39 (5,83-6,98) 3,04 (2,45-3,73) 23,95 (19,29-29,14) 6,73 (5,66-7,93) 5,95 (4,07-8,38) 2,88 (1,89-4,19) 3,52 (0,90-9,30)* Tetralogy of Fallot ,80 (1,51-2,13) 2,13 (1,77-2,55) 1,19 (0,58-2,17) 0,61 (0,19-1,47) 1,03 (0,45-2,04) HLHS ,02 (16,29-17,76) 17,12 (16,35-17,93) 23,07* 16,88 (14,93-18,98) 9,75 (4,63-17,68)* 13,3 (4,38-29,1)* TAPVC ,2 (6,96-15,10) 6,66 (3,75-10,86) 20,32 (14,54-25,96) 10,18 (6,65-14,77) Truncus Arteriosus ,00 (7,26-18,30) 16,66 (4,42-38,9)* 3,27 (0,55-10,41)* 10,00 (1,71-29,29)* 21,56 (11,9-34,39)* *Information calculated from studies with less than 100 procedures performed STS/EACTS Latin America Cardiovascular Surgery Conference 2018 Average Mortality 9,17%
7 RESULTS Comparison of Early Mortality Pulmonary Tricuspid D-TGA Tetralogy of HLHS TAPVC Truncus Atresia Atresia Fallot Arteriosus Global Mortality STS Database 2018 STS/EACTS Latin America Cardiovascular Surgery Conference 2018 (Jacobs et al., 2018)
8 Mortality (%) RESULTS 30 MORTALITY BY CONTINENTS Pulmonary Atresia Tricuspid Atresia D-TGA Tetralogy of Fallot HLHS TAPVC Truncus Arteriosus STS/EACTS Latin America Cardiovascular Surgery Conference 2018 N. America S. America Europe Asia Oceania Africa
9 RESULTS World-wide Publications 4% 3% 1% 16% 48% 28% N. AMERICA EUROPE ASIA OCEANIA: S. AMERICA AFRICA STS/EACTS Latin America Cardiovascular Surgery Conference 2018
10 CONCLUSIONS Even though there are referral centers with low mortality rates, the aggregates demonstrated that mortality continues to be elevated There are important differences in regions regarding outcomes and publications Efforts have to be made to obtain global mortality indicator to compare to local results This study helped demonstrate that the use of pulse oximetry is cost effective and should be implemented as a national health policy in order to improve detection and survival rates of CCHD
11 LIMITATIONS Publication bias Pathology vs Procedure Mortality Risk Factors were not taken into account
12 THANK YOU
5/22/2013. Alan Zuckerman 1, Swapna Abhyankar 1, Tiffany Colarusso 2, Richard Olney 2, Kristin Burns 3, Marci Sontag 4
Alan Zuckerman 1, Swapna Abhyankar 1, Tiffany Colarusso 2, Richard Olney 2, Kristin Burns 3, Marci Sontag 4 1 National Library of Medicine, NIH, Bethesda, MD, USA, 2 Centers for Disease Control and Prevention,
Talking with Parents about a Positive Critical Congenital Heart Disease (CCHD) Screen or Test. Emily Drake, PhD RN May 20, 2014.
Talking with Parents about a Positive Critical Congenital Heart Disease (CCHD) Screen or Test Emily Drake, PhD RN May 20, 2014 Disclosure I have no financial or other conflicts of interest 1 Learning Objectives
Solution Title: CONGENITAL HEART DISEASE SCREENING IN THE NEWBORN
Institutional Affiliation: ANNE ARUNDEL MEDICAL CENTER Solution Title: CONGENITAL HEART DISEASE SCREENING IN THE NEWBORN Program/Project Description Congenital heart defects in general, and newborn screening
Screening for Critical Congenital Heart Disease
Screening for Critical Congenital Heart Disease Caroline K. Lee, MD Pediatric Cardiology Disclosures I have no relevant financial relationships or conflicts of interest 1 Most Common Birth Defect Most
11/27/2012. Objectives. What is Critical Congenital Heart Disease?
Screening for Critical Congenital Heart Disease in the Apparently Healthy Newborn A presentation of Texas Pulse Oximetry Project: A Joint Educational Initiative of The University of Texas Health Science
Spectrum and age of presentation of significant congenital heart disease in KwaZulu Natal, South Africa
Spectrum and age of presentation of significant congenital heart disease in KwaZulu Natal, South Africa EGM Hoosen, K Sprenger, H Dama, A Nzimela, M Adhikari KwaZulu Natal Population 10.3 million 3.3 million
Potential Data Sources
Potential Data Sources Addressing Congenital Heart Defects: Occurrence, Populations and Risk Factors Centers for Disease Control and Prevention (CDC) Birth Defects Data and Statistics http://www.cdc.gov/ncbddd/birthdefects/data.html
3/14/2011 MANAGEMENT OF NEWBORNS CARDIAC INTENSIVE CARE CONFERENCE FOR HEALTH PROFESSIONALS IRVINE, CA. MARCH 7, 2011 WITH HEART DEFECTS
CONFERENCE FOR HEALTH PROFESSIONALS IRVINE, CA. MARCH 7, 2011 MANAGEMENT OF NEWBORNS WITH HEART DEFECTS A NTHONY C. CHANG, MD, MBA, MPH M E D I C AL D I RE C T OR, HEART I N S T I T U T E C H I LDRE N
Congenital Heart Defects
Normal Heart Congenital Heart Defects 1. Patent Ductus Arteriosus The ductus arteriosus connects the main pulmonary artery to the aorta. In utero, it allows the blood leaving the right ventricle to bypass
Objectives. Prenatal Diagnosis of Critical Congenital Heart Disease. The Law. Disclosure. Dylan s Story
Keeping the Beat: Pediatric Cardiac Screening and Management of Congenital Heart Disease Prenatal Diagnosis of Critical Congenital Heart Disease Robert Koppel, MD Neonatal/Perinatal Medicine, Pediatrics
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
When is Risky to Apply Oxygen for Congenital Heart Disease 부천세종병원 소아청소년과최은영
When is Risky to Apply Oxygen for Congenital Heart Disease 부천세종병원 소아청소년과최은영 The Korean Society of Cardiology COI Disclosure Eun-Young Choi The author have no financial conflicts of interest to disclose
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
(f) "Birthing center" means any facility that is licensed by the Georgia Department of Community Health as a birthing center;
Ga. Comp. R. & Regs. r. 511-5-5-.02 Definitions Rule 511-5-5-.02. Definitions (a) "Abnormal test result" is a test result from blood testing or physiologic monitoring that is outside the screening limits
PEDIATRIC CARDIOVASCULAR SURGERY SERVICE. Referral Center for Pediatric Cardiovascular Surgery
PEDIATRIC CARDIOVASCULAR SURGERY SERVICE Referral Center for Pediatric Cardiovascular Surgery INTRODUCTION Each year 133 million children are born worldwide from a population of 6.6 billion people; one
Cardiac Emergencies in Infants. Michael Luceri, DO
Cardiac Emergencies in Infants Michael Luceri, DO October 7, 2017 I have no financial obligations or conflicts of interest to disclose. Objectives Understand the scope of congenital heart disease Recognize
SEX, BIRTH ORDER, AND MATERNAL AGE CHARACTERISTICS OF INFANTS WITH CONGENITAL HEART DEFECTS
AMERICAN JOURNAL OF EPIDEMIOLOGY Copyright 1 by The Johns Hopkins University School of Hygiene and Public Health Vol., Xo. Printed in U.S.A. SEX, BIRTH ORDER, AND MATERNAL AGE CHARACTERISTICS OF INFANTS
Dear Parent/Guardian,
Dear Parent/Guardian, You have indicated on school records that your child has an ongoing health problem that may require medication and/or treatment during the school day with rescue medication. Attached
CCHD Screening with Pulse Oximetry: A Success Story!
CCHD Screening with Pulse Oximetry: A Success Story! Nicole Spillane, MD Associate Director of Neonatology, HackensackUMC Hackensack Meridian Health Objective Recognize the contribution of pulse oximetry
Total Anomalous Pulmonary Venous Connections: Anatomy and Diagnostic Imaging
Total Anomalous Pulmonary Venous Connections: Anatomy and Diagnostic Imaging Timothy Slesnick, MD March 12, 2015 Congenital Cardiac Anesthesia Society Annual Meeting Disclosures I will discuss the use
Segmental Analysis. Gautam K. Singh, M.D. Washington University School of Medicine St. Louis
Segmental Analysis Gautam K. Singh, M.D. Washington University School of Medicine St. Louis Segmental Analysis Segmental Analysis: From Veins to Ventricles Segmental Approach to Evaluation of Congenital
Presentation of congenital heart disease in infancy: implications for routine examination
Arch Dis Child Fetal Neonatal Ed 999;80:F49 F5 F49 Presentation of congenital heart disease in infancy: implications for routine examination Christopher Wren, Sam Richmond, Liam Donaldson Department of
Heart and Soul Evaluation of the Fetal Heart
Heart and Soul Evaluation of the Fetal Heart Ivana M. Vettraino, M.D., M.B.A. Clinical Associate Professor, Michigan State University College of Human Medicine Objectives Review the embryology of the formation
The Fetal Cardiology Program
The Fetal Cardiology Program at Texas Children s Fetal Center About the program Since the 1980s, Texas Children s Fetal Cardiology Program has provided comprehensive fetal cardiac care to expecting families
Implementation of Newborn Screening for Critical Congenital Heart Disease (CCHD) in New York State
Implementation of Newborn Screening for Critical Congenital Heart Disease (CCHD) in New York State Marilyn Kacica, MD, MPH New York State Department of Health Robert Koppel, MD Cohen Children's Medical
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS iib6@columbia.edu Pediatric Cardiology Learning Objectives To discuss the hemodynamic significance of
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS Pediatric Cardiology
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS iib6@columbia.edu Pediatric Cardiology Learning Objectives To discuss the hemodynamic significance of
Cardiology Competency Based Goals and Objectives
Cardiology Competency Based Goals and Objectives COMPETENCY 1. Patient Care. Provide family centered patient care that is developmentally and age appropriate, compassionate, and effective for the treatment
Approach to a baby with cyanosis
Approach to a baby with cyanosis Objectives Cyanosis : types Differentials: cardiac vs. non cardiac Approach Case scenarios Cyanosis Greek word kuaneos meaning dark blue Bluish discolouration of skin,
How to Recognize a Suspected Cardiac Defect in the Neonate
Neonatal Nursing Education Brief: How to Recognize a Suspected Cardiac Defect in the Neonate https://www.seattlechildrens.org/healthcareprofessionals/education/continuing-medical-nursing-education/neonatalnursing-education-briefs/
Before we are Born: Fetal Diagnosis of Congenital Heart Disease
Before we are Born: Fetal Diagnosis of Congenital Heart Disease Mohamed Sulaiman, MD Pediatric cardiologist Kidsheart: American Fetal & Children's Heart Center Dubai Healthcare City, Dubai-UAE First Pediatric
A SURGEONS' GUIDE TO CARDIAC DIAGNOSIS
A SURGEONS' GUIDE TO CARDIAC DIAGNOSIS PART II THE CLINICAL PICTURE DONALD N. ROSS B. Sc., M. B., CH. B., F. R. C. S. CONSULTANT THORACIC SURGEON GUY'S HOSPITAL, LONDON WITH 53 FIGURES Springer-Verlag
ARTICLE. Missed Diagnosis of Critical Congenital Heart Disease. Ruey-Kang R. Chang, MD, MPH; Michelle Gurvitz, MD; Sandra Rodriguez, MS
ARTICLE Missed Diagnosis of Critical Congenital Heart Disease Ruey-Kang R. Chang, MD, MPH; Michelle Gurvitz, MD; Sandra Rodriguez, MS Objectives: To evaluate the rate and the clinical and demographic characteristics
Admixture lesions in congenital cyanotic heart disease
HEMODYNAMIC ROUNDS Admixture lesions in congenital cyanotic heart disease Jaganmohan A Tharakan Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum,
Management of a child with cyanosis
German Society of Paediatric Cardiology Guidelines Management of a child with cyanosis L. Kändler (Wittenberg), N. Haas (München), M. Gorenflo (Heidelberg) Acknowledged by the executive board of the German
Standard of Newborn Care in the Age of Birth Plans. Stephanie Deal, MD Tiffany McKee-Garrett, MD
Standard of Newborn Care in the Age of Birth Plans Stephanie Deal, MD Tiffany McKee-Garrett, MD Disclosure We have no relevant financial relationships with the manufacturers(s) of any commercial products(s)
Congenital Heart Disease: Physiology and Common Defects
Congenital Heart Disease: Physiology and Common Defects Jamie S. Sutherell, M.D, M.Ed. Associate Professor, Pediatrics Division of Cardiology Director, Medical Student Education in Pediatrics Director,
Disclosure. This presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.
Screening for Critical Congenital Heart Disease in the Apparently Healthy Newborn A presentation of Texas Pulse Oximetry Project: A Joint Educational Initiative of The University of Texas Health Science
NIH Public Access Author Manuscript World J Pediatr Congenit Heart Surg. Author manuscript; available in PMC 2015 April 01.
NIH Public Access Author Manuscript Published in final edited form as: World J Pediatr Congenit Heart Surg. 2014 April ; 5(2): 272 282. doi:10.1177/2150135113519455. Linking the Congenital Heart Surgery
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
The modified natural history of congenital heart disease
The modified natural history of congenital heart disease Matthias Greutmann, MD Adult Congenital Heart Disease Program University Hospital Zurich, Switzerland matthias.greutmann@usz.ch Are we ready for
Screening for Critical Congenital Heart Disease in the Apparently Healthy Newborn
Screening for Critical Congenital Heart Disease in the Apparently Healthy Newborn A presentation of Texas Pulse Oximetry Project: A Joint Educational Initiative of The University of Texas Health Science
Congenital Heart Disease
Congenital Heart Disease Mohammed Alghamdi, MD, FRCPC, FAAP, FACC Associate Professor and Consultant Pediatric Cardiology, Cardiac Science King Fahad Cardiac Centre King Saud University INTRODUCTION CHD
6/19/2014. Typhoid fever disease burden estimates. Methods: Revisiting the global burden of typhoid fever. Methodology- Ivanoff et al.
Typhoid fever disease burden estimates Methods: Revisiting the global burden of typhoid fever Dr. Vittal Mogasale, MBBS, MPH, PhD International Vaccine Institute Ivanoff et al. (1994): 16.6 million cases
Cardiopulmonary exercise test among children with congenital heart diseases: a multicenter study
Cardiopulmonary exercise test among children with congenital heart diseases: a multicenter study Pascal AMEDRO, MD, PhD, Arthur Gavotto, MD, Sophie GUILLAUMONT, MD, Stefan MATECKI, MD, PhD Pediatric and
: Provide cardiovascular preventive counseling to parents and patients with specific cardiac diseases about:
Children s Hospital & Research Center Oakland Cardiology Primary Goals for this Rotation 5.13 GOAL: Prevention, Counseling and Screening (Cardiovascular). Understand the role of the pediatrician in preventing
Slide 1. Slide 2. Slide 3 CONGENITAL HEART DISEASE. Papworth Hospital NHS Trust INTRODUCTION. Jakub Kadlec/Catherine Sudarshan INTRODUCTION
Slide 1 CONGENITAL HEART DISEASE Jakub Kadlec/Catherine Sudarshan NHS Trust Slide 2 INTRODUCTION Most common congenital illness in the newborn Affects about 4 9 / 1000 full-term live births in the UK 1.5
Born Blue. Anesthesia and CHD. Kristine Faust, CRNA, MS, MBA, DNAP
Born Blue Anesthesia and CHD Kristine Faust, CRNA, MS, MBA, DNAP Disclosures Disclosures None to Report Objectives Review all congenital defects in which the patient is blue Describe physiology of the
Heart and Lungs. LUNG Coronal section demonstrates relationship of pulmonary parenchyma to heart and chest wall.
Heart and Lungs Normal Sonographic Anatomy THORAX Axial and coronal sections demonstrate integrity of thorax, fetal breathing movements, and overall size and shape. LUNG Coronal section demonstrates relationship
The Blue Baby. Network Stabilisation of the Term Infant Study Day 15 th March 2017 Joanna Behrsin
The Blue Baby Network Stabilisation of the Term Infant Study Day 15 th March 2017 Joanna Behrsin Session Structure Definitions and assessment of cyanosis Causes of blue baby Structured approach to assessing
Conference Program. STS/EACTS Latin America Cardiovascular Surgery Conference. November 15-17, 2018 Cartagena, Colombia
Conference Program STS/EACTS Latin America Cardiovascular Surgery Conference November 15-17, 2018 Cartagena, Colombia www.cardiovascularsurgeryconference.org info@cardiovascularsurgeryconference.org STS/EACTS
Incidence and treatment of chylothorax after cardiac surgery in children: analysis of a large multi-institutional database. Carlos M.
Incidence and treatment of chylothorax after cardiac surgery in children: analysis of a large multi-institutional database Carlos M. Mery, MD, MPH Assistant Professor, and Pediatrics Congenital Heart Texas
Absent Pulmonary Valve Syndrome
Absent Pulmonary Valve Syndrome Fact sheet on Absent Pulmonary Valve Syndrome In this condition, which has some similarities to Fallot's Tetralogy, there is a VSD with narrowing at the pulmonary valve.
Anomalous Systemic Venous Connection Systemic venous anomaly
World Database for Pediatric and Congenital Heart Surgery Appendix B: Diagnosis (International Paediatric and Congenital Cardiac Codes (IPCCC) and definitions) Anomalous Systemic Venous Connection Systemic
BABIES ARE QUICK CHANGE ARTISTS MOST CHILDREN DON T MAKE THE CHANGE
JUNE, 2016 RESEARCH Page 1 of 10 BABIES ARE QUICK CHANGE ARTISTS When we are fetuses we develop hearts that adapt to life in the womb first. Since our developing lungs are full of mother s amniotic fluid,
Pulmonary vascular disease associated with pulmonary hypertension in 445 patients: diagnosis from lung biopsy and autopsy
Gen Thorac Cardiovasc Surg (2013) 61:24 31 DOI 10.1007/s11748-012-0155-7 ORIGINAL ARTICLE Pulmonary vascular disease associated with pulmonary hypertension in 445 patients: diagnosis from lung biopsy and
Research article. Primary detection of congenital heart diseases in the Kyrgyz Republic
Research article Primary detection of congenital heart diseases in the Kyrgyz Republic Irina A. Akhmedova, Gulzada A. Imanalieva, Damir A.Abibillaev, Taalaibek Z. Kudaiberdiev Scientific Research Institute
ECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT
ECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT Karen Stout, MD, FACC Divisions of Cardiology University of Washington Medical Center Seattle Children s Hospital NO DISCLOSURES
Frequency of detection of congenital heart diseases in different regions of Kyrgyz Republic
Brief Report Frequency of detection of congenital heart diseases in different regions of Kyrgyz Republic Taalaibek Z. Kudaiberdiev, Irina A. Akhmedova, Gulzada A. Imanalieva, Gulnaz T. Tursunbekova, Kayirnisa
Disclosures. Practical Aspects of Pediatric Cardiology for the General Practitioner. Objectives. Outlines. CCHD Neonatal Screening
Practical Aspects of Pediatric Cardiology for the General Practitioner Majd Makhoul, MD 48 th Annual Family Medicine Review and Contemporary Pediatrics Conference November 11, 2016 Lexington, KY None Disclosures
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
Duct Dependant Congenital Heart Disease
Children s Acute Transport Service Clinical Guidelines Duct Dependant Congenital Heart Disease Document Control Information Author CATS/NTS Author Position CC Transport Services Document Owner E. Polke
Stabilization and Transportation guidelines for Neonates and infants with Heart disease:
Stabilization and Transportation guidelines for Neonates and infants with Heart disease: Background: Referral Pediatric Cardiac Units, frequently receive neonates and infants referred and transported from
Children with Single Ventricle Physiology: The Possibilities
Children with Single Ventricle Physiology: The Possibilities William I. Douglas, M.D. Pediatric Cardiovascular Surgery Children s Memorial Hermann Hospital The University of Texas Health Science Center
Regional Prenatal Congenital Heart Disease Detection and Practices Jenny Ecord, APRN Ward Family Heart Center Wichita
Regional Prenatal Congenital Heart Disease Detection and Practices Jenny Ecord, APRN Ward Family Heart Center Wichita The Children's Mercy Hospital, 2014. 05/14 Objectives Review current local and regional
Age at Referral and Mortality From Critical Congenital Heart Disease. abstract
Age at Referral and Mortality From Critical Congenital Heart Disease WHAT S KNOWN ON THIS SUBJECT: Early referral of infants with critical congenital heart disease (CCHD) is recommended to reduce mortality.
Duct Dependant Congenital Heart Disease
Children s Acute Transport Service Clinical Guidelines Duct Dependant Congenital Heart Disease This guideline has been agreed by both NTS & CATS Document Control Information Author CATS/NTS Author Position
The complications of cardiac surgery:
The complications of cardiac surgery: a walk on the Dark Side? Prof Rik De Decker Red Cross Children s Hospital CME Nov/Dec 2011 http://www.cmej.org.za Why should you care? You are about to leave your
New approach to interstage care for palliated high-risk patients with congenital heart disease
Dobrolet et al Congenital Heart Disease New approach to interstage care for palliated high-risk patients with congenital heart disease Nancy C. Dobrolet, MD, Jo Ann Nieves, MSN, CPN, ARNP, PNP-BC, Elizabeth
PREVALENCE OF IRON DEFICIENCY IN CHILDREN WITH CYANOTIC HEART DISEASE SEEN AT KENYATTA NATIONAL HOSPITAL AND MATER HOSPITAL NAIROBI
December 2009 (Supplement) Ea s t Af r i c a n Me d i c a l Jo u r n a l S47 East African Medical Journal Vol. 86 (Supplement) December 2009 PREVALENCE OF IRON DEFICIENCY IN CHILDREN WITH CYANOTIC HEART
Regional Prenatal Congenital Heart Disease Detection and Practices Lori Erickson MSN, RN, CPNP-PC Ward Family Heart Center
Regional Prenatal Congenital Heart Disease Detection and Practices Lori Erickson MSN, RN, CPNP-PC Ward Family Heart Center The Children's Mercy Hospital, 2014. 05/14 Objectives Evaluate our regional prenatal
Covered Critical Illness Conditions Appendix
Covered Critical Illness Conditions Appendix Effective Date: February 1, 2010 This Appendix contains definitions for those Conditions that are covered under the Manulife Financial Group Critical Illness
The Chest X-ray for Cardiologists
Mayo Clinic & British Cardiovascular Society at the Royal College of Physicians, London : 21-23-October 2013 Cases-Controversies-Updates 2013 The Chest X-ray for Cardiologists Michael Rubens Royal Brompton
5.8 Congenital Heart Disease
5.8 Congenital Heart Disease Congenital heart diseases (CHD) refer to structural or functional heart diseases, which are present at birth. Some of these lesions may be discovered later. prevalence of Chd
Atlas of Practical Cardiac Applications of MRI
Atlas of Practical Cardiac Applications of MRI Atlas of Practical Cardiac Applications of MRI Guillcm Pons-LIado, MD. Director, Cardiac Imaging Unit, Cardiology Department, Hospital de la Santa Creu i
Congenital Anomalies
Congenital Anomalies Down Syndrome 7580 7580 DOWN''S SYNDROME Q900 Q90.0 : Trisomy 21, meiotic nondisjunction 7580 7580 DOWN''S SYNDROME Q901 Q90.1 : Trisomy 21, mosaicism (mitotic nondisjunction) 7580
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.)
Congenital Heart Disease. CCCHD In WI. Critical Congenital Heart Disease. Why Screen? 4/20/2018. Early Detection = Better Outcomes
Congenital Heart Disease A Positive Screen? What Does it Mean? A Review of Pulse Oximetry Screening for Critical Congenital Heart Disease Elizabeth Goetz MD MPH 8-10/1000 livebirths 3% of all infant mortality
"Lecture Index. 1) Heart Progenitors. 2) Cardiac Tube Formation. 3) Valvulogenesis and Chamber Formation. 4) Epicardium Development.
"Lecture Index 1) Heart Progenitors. 2) Cardiac Tube Formation. 3) Valvulogenesis and Chamber Formation. 4) Epicardium Development. 5) Septation and Maturation. 6) Changes in Blood Flow during Development.
Assessing Cardiac Anatomy With Digital Subtraction Angiography
485 JACC Vol. 5, No. I Assessing Cardiac Anatomy With Digital Subtraction Angiography DOUGLAS S., MD, FACC Cleveland, Ohio The use of intravenous digital subtraction angiography in the assessment of patients
The incidence and risk factors of arrhythmias in the early period after cardiac surgery in pediatric patients
The Turkish Journal of Pediatrics 2008; 50: 549-553 Original The incidence and risk factors of arrhythmias in the early period after cardiac surgery in pediatric patients Selman Vefa Yıldırım 1, Kürşad
CongHeartDis.doc. Андрій Миколайович Лобода
CongHeartDis.doc Андрій Миколайович Лобода 2015 Зміст 3 Зміст Зміст 4 A child with tetralogy of Fallot is most likely to exhibit: -Increased pulmonary blood flow -Increased pressure in the right ventricle
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
Pediatrics. Blue Baby Syndrome (Cyanotic Newborn) and Hyperoxia Test. Definition. See online here
Pediatrics Blue Baby Syndrome (Cyanotic Newborn) and Hyperoxia Test See online here Blue babies lack sufficient hemoglobin, resulting in the bluish discoloration of tissues, a term referred to as cyanosis.
Introduction. Pediatric Cardiology. General Appearance. Tools of Assessment. Auscultation. Vital Signs
Introduction Pediatric Cardiology An introduction to the pediatric patient with heart disease: M-III Lecture Douglas R. Allen, M.D. Assistant Professor and Director of Community Pediatric Cardiology at
Testing the Sensitivity and Specificity of right hand and foot pulse oximetry for the detection of congenital heart defects in Saudi Arabia.
Curr Pediatr Res 2018; 22 (3): 227-231 ISSN 0971-9032 www.currentpediatrics.com Testing the Sensitivity and Specificity of right hand and foot pulse oximetry for the detection of congenital heart s in
Making Sense of Cardiac Views and Imaging Characteristics for 13 Congenital Heart Defects (CHDs)
Making Sense of Cardiac Views and Imaging Characteristics for 13 Congenital Heart Defects (CHDs) Manny Gaziano, MD, FACOG obimages.net obimages.net@gmail.com Acknowledgements: Krista Wald, RDMS, sonographer,
Congenital Heart Defects and the need for better transition management
Boston University OpenBU Theses & Dissertations http://open.bu.edu Boston University Theses & Dissertations 2017 Congenital Heart Defects and the need for better transition management Ferrari, Daniel Mark
Epidemiology of congenital heart diseases
Epidemiology of congenital heart diseases Damien Bonnet Unité médico-chirurgicale de Cardiologie Congénitale et Pédiatrique Hôpital Universitaire Necker Enfants malades APHP, Université Paris Descartes,
Adult with Cyanotic Congenital Heat Disease
Adult with Cyanotic Congenital Heat Disease Savitri Srivastava Director, Pediatric & Congenital Heart Disease Fortis Escorts Heart Institute Okhla Road, New Delhi Cyanotic Adult WCC & IVUS 2015 Adult Cyanotic
Echocardiography of Congenital Heart Disease
Echocardiography of Congenital Heart Disease Sunday, April 15 Tuesday, April 17, 2018 Ruth and Tristram Colket, Jr. Translational Research Building on the Raymond G. Perelman Campus Learn more: chop.cloud-cme.com
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
Methods PEDIATRIC CARDIOLOGY
1805 PEDIATRIC CARDIOLOGY Trends and Outcomes After Prenatal Diagnosis of Congenital Cardiac Malformations by Fetal Echocardiography in a Well Defined Birth Population, Atlanta, Georgia, 1990 1994 EDUARDO
Congenital Heart Disease
Screening Programmes Fetal Anomaly Congenital Heart Disease Information for health professionals Publication date: April 2012 Review date: April 2013 Version 2 67 Congenital Heart Disease Information for
SURGICAL TREATMENT AND OUTCOME OF CONGENITAL HEART DISEASE
SURGICAL TREATMENT AND OUTCOME OF CONGENITAL HEART DISEASE Mr. W. Brawn Birmingham Children s Hospital. Aims of surgery The aim of surgery in congenital heart disease is to correct or palliate the heart
Supplemental Table 1. ICD-9 Codes for Diagnoses and Procedures
Supplemental Table 1. ICD-9 Codes for Diagnoses and Procedures ICD-9 Code Description Heart Failure 402.01 Malignant hypertensive heart disease with heart failure 402.11 Benign hypertensive heart disease
Mitral Valve Disease, When to Intervene
Mitral Valve Disease, When to Intervene Swedish Heart and Vascular Institute Ming Zhang MD PhD Interventional Cardiology Structure Heart Disease Conflict of Interest None Current ACC/AHA guideline Stages
Critical Heart Disease in the Newborn. What you need to know
Critical Heart Disease in the Newborn What you need to know DISCLOSURES Nothing to report OBJECTIVES DESCRIBE NEONATAL CARDIOVASCULAR PHYSIOLOGY RECOGNIZE NEONATAL CARDIAC EMERGENCIES FORMULATE TREATMENT
Chapter 2 Cardiac Interpretation of Pediatric Chest X-Ray
Chapter 2 Cardiac Interpretation of Pediatric Chest X-Ray Ra-id Abdulla and Douglas M. Luxenberg Key Facts The cardiac silhouette occupies 50 55% of the chest width on an anterior posterior chest X-ray