Pacing Options in the Adult Patient with Congenital Heart Disease - part 8 pps
Parenting Stress in Mothers of Children with Congenital Heart Disease pptx
... and parenting stress in mothers of children with CHD, and (c) determinethe factors affecting parenting stress in mothers of children with CHD in Korea.METHODSSubjects Mothers of children with ... source of information via theInternet were statistically significant determinants of parenting stress in mothers of children with CHD.Social support explained 33.3% of parenting stress in this ... adjustment of children with CHD was significantly related to the level of parenting stress. The poor psychological adjustment Parenting Stress in Mothers of Children with Congenital Heart Disease Sunhee...
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Motion Control Theory Needed In The Implementation Of Practical Robotic Systems 2 Part 8 ppsx
... Computing 52 In the output universe the resulting shape is the yellow area shown in Figure 5.5. The x centroid of this shape, x , is used as the output value of the system. The range of possible ... PID control, which is consistent with that point on the mapping in Figure 5.4. Many “centers” of the shape other than the centroid, such as the mean of the maximum value, may be used. 0 20 ... as the minimum value of each part of the ANDed conditions. This evaluation of THEN statements is shown in Table 5 .2. The membership values are given for an angle and velocity both at 33 in their...
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Adult Congenital Heart Disease - part 1 pps
... in 19 88 19 90), 14 associated with hyperten-sion (27 in 19 88 19 90) and 17 associated with hemorrhage (22 in 19 88 19 90).Pre-conception counselingMore than 80% of women with congenital heart disease ... ixAcknowledgments, x Part 1 General Principles, 1 1 Epidemiology of Congenital Heart Disease, 3 2 Services for the Adult with Congenital Heart Disease, 8 3 Pregnancy and Contraception, 16 4 Infective ... Consensus Conference 20 01 update: recommendations for the management of adults with congenital heart disease. Canadian Journal of Cardiology, 17 ,940–959, 10 29 10 50, and 11 35 11 58 (with permission)....
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Adult Congenital Heart Disease - part 8 pot
... for adults with congenital heart disease. First textbook of its kind in the fi eld. Congenital Heart Disease Adult by Welton M. Gersony, Marlon, S. Rosenbaum, Myron L. Weisfeldt. McGraw-Hill ... performed in a regional adult congenital heart disease center.Preoperative risk strati cationCardiac factorsã Residual systemic-to-pulmonary shunts.ã Residual right-to-left shunts: risk of ... consultation, with trans-fer only taking place once stability is established. Bibliography 215 Congenital Heart Disease in Adults’ by Judith Therrien and Gary D. Webb. In Heart Disease: A Textbook...
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Adult Congenital Heart Disease - part 9 ppsx
... prosthetic de-vices for the surgical palliation or repair of congenital heart disease. GUCHGrown-up congenital heart disease. A term originated by Dr Jane Somerville. syn. Adult congenital heart disease Heath-Edwards ... This anomaly is frequently associ-ated with complex congenital heart disease, particularly left-isomerism.ISACCDInternational Society for Adult Congenital Cardiac Disease. For information link ... (includ-ing chest, abdominal muscles), and muscle weakness. (Perloff JK, et al. Adults with cyanotic congenital heart disease: hematologic management. Annals of In-ternal Medicine 198 8, 1 09, 406–413.)...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 1 pptx
... passages in a review.First published 2007 1 2007ISBN -1 3 : 97 8 -1 -4 05 1- 5 56 9-4 ISBN -1 0 : 1- 4 05 1- 5 56 9-8 Library of Congress Cataloging -in- Publication DataMond, Harry G. Pacing options in the adult patient ... patient with congenital heart disease /Harry G. Mond, Peter P. Karpawich.p.;cm.Includes bibliographical references and index.ISBN -1 3 : 97 8 -1 -4 05 1- 5 56 9-4 (alk. paper)ISBN -1 0 : 1- 4 05 1- 5 56 9-8 (alk. ... heart, 11 1Concluding remarks, 11 7References, 11 9Index, 13 3 viii Introductionunsuspected autopsyoddity with little or no clinical significance. It wasnot surpris-ing, therefore, that most adult...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 2 potx
... along an intact cephalic vein. Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein. The vein is then invaginated into the subclavian veinenclosing the two ... occasion, the cephalicvein maybreak duringlead insertion. Ifthe twoleads cause a very tight fit in the vein, it may, as a consequence, invaginate the vein into the subclavian vein. The torn cephalic ... Chapter 2 Figure 2. 2 Cephalic vein retained guide wire technique. Left: The funnel introducer isinserted into the cephalic vein. Blood wells back. Right: The guide wire is inserted into the funnel.Figure...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 3 docx
... [61].Unless the pacing leads are to be positioned in traditional sites in structurally normal hearts, active-fixation pacing leads are preferable in patients with adult congenital heart disease requiring ... application in adults with congenital heart disease such as Ebstein’s anomaly or in patients, following the Mustardand Fontan [ 63] procedures. In these situations, the leads are expec-ted to follow ... uniqueto congenital heart diseases. One particularly helpful situation is position-ing the atrial lead onto the roof of the left atrium in patients who haveundergone the Mustard intra-atrial...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 4 pdf
... difficulties intrying toachieve left ventricu-lar pacing. The incidence of this abnormality draining into the coronarysinus is about 3–5% of patients with structurally abnormal hearts [ 74] . In turn ... heart 40 Chapter 11 In patientswith D-transpositionof the great vessels whohave undergoneSenning or Mustard procedures which involves the insertion of anintra-atrial baffle, the coronary sinus ... coronary sinusCoronary sinus drains into left subclavian veinUniventricular heart Stenosis of the coronary sinus ostiumUnroofed coronary sinusWolff-Parkinson-White Coronary sinus diverticulumInterrupted...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 5 doc
... Preventing bradycardia-induced afterpotentials [1 45] .What type of pacemaker should be implanted? In theory, the object-ive should be to increase the heart rate by atrial pacing alone, thusavoiding ... ventricular lead passing inferior without a bendas if into the floor of the right atrium and fits nicely with the accompany-ing schematic. Depending on its position in the ventricle, the lead tip may ... formyocardial dysfunction, including patients with congenital heart block,biventricular pacing did prove to be effective in improving symptoms andfunction [128, 129]. However, in patients with normal or...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 6 pot
... reported with the incidence falling with advancing age, but still as high as 20% in the elderly [148].Atrial septal defects are also one of the most common congenital defectsoccurring in adults with ... cava draining into the coronarysinus. Failure of left superior cardinal vein regression, typically associated with absence ofinnominate vein development, allows for venous drainage into the right ... of left ventricular pacing as a result of the lead crossing apatent foramen ovale is demonstrated in Figure 16. 2. The high arching of the lead with its summit sitting across the atrial septum...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 7 potx
... (cardiac vein). Resting 12-lead ECG demonstrating dualchamber pacing. The ventricular lead lies in the middle or a low lateral cardiac vein. There isatrial sensing and ventricular pacing with a ... showing dual chamber pacing in a patient with Ebstein’s anomaly. The passive-fixation atrial lead lies in the atrial appendage. The passive-fixation right ventricular lead lies in the atrialized right ... Bachmann’s bundle pacing isanticipated.To the uninitiated implanter, insertion of a pacemaker or ICD in a patient with D-transposition of the great vessels corrected with either the Senning or Mustard...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 8 pps
... ventricular pacing with dominant R waves from V1 to V4(Figure 20.11). The axis is, however, dependent on the position of the lead in the leftventricle. The higher thelead in the chamber, the more prominent the ... of the great vessels. Two resting 12-leadECGs of the single chamber pacing system shown in Figure 20.12 demonstrating leftventricular (LV) pacing. The upper ECG shows unipolar pacing from the ... operatively the coronary sinus may not drain directly into the right atrium. The surgeon, in order to protect the conducting system may position the prosthetic tri-cuspid valve, so that the coronary sinus...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 9 doc
... (univentricular heart) . Resting 12-lead ECG from the same patient in Figure 23.4, demonstrating dual chamber pacing. There is both sensing and pacing in the atrium. Ventricular pacing demonstrates ... survive to adulthood in increasing numbers. Based on the US NationalCenter for Health Statistics, by 2020 the number of children in the UnitedStates born with congenital heart disease in 199 0 alone ... ventricular pacing in adults with congenital abnormalities of the heart and great arteries. Br Heart J 198 3; 50: 325–3 29. 63 Hansky B, Blanz U, Peuster M et al. Endocardial pacing after Fontan-typeprocedures....
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 10 pptx
... associated with, 4venous access to, 10 infundibular right ventricular outflowtract, 103 innominate vein, 3internal jugular approach, limitation, 9interrupted inferior vena cava, 41intra-atrial ... 12 in transfemoral approach, 10 and venous stenosis problem, 33ilio-femoral route, 10 impulse conduction, interventricularand intraventricular, 18inferior vena cavaapproaches using, 10 interrupted, ... site of lead placement in 40 patients.Am J Cardiol 1983; 52: 109 1 109 7.139 Medina-Ravell V, Castellanos A, Portillo-Agosta B et al. Management of tachyar-rhythmias with dual-chamber pacemakers....
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