1 exercise training in adults with congenital heart diseases

... surgery/interventions (including ablations) 1.1 Without remaining findings (complete correction) 1.2 With minimal findings 1.3 With clinically significant findings 1.4 After palliative interventions: ... in this setting Recommended types of exercise include interval training at moderate intensity, e.g., ball games and running games, or moderate stamina training Their afterload reducing effect ... defects requiring surgery No sports A No (remaining) cardiac defects 1.1 Unlimited B Mild (remaining) findings 1.2; 2.1; 2.2; 2.3; 2.4; 4.2 Unlimited C Clinically significant (remaining findings) 1.3;...

Ngày tải lên: 12/02/2014, 19:20

... However, with a complex interplay between brain injury and abnormal brain development, brain injury may itself disturb brain development Preoperative brain injury in term newborns with congenital heart ... illness, were associated with higher ratios of lactate to choline, with an increase of 2% per unit increase in the SNAP–PE rating (P = 0.007) In contrast, increases in SNAP–PE ratings were not significantly ... useful in assessing metabolic changes associated with brain development and injury Levels of N-acetylaspartate, an acetylated amino acid found in high concentrations in neurons, increase with advancing...

Ngày tải lên: 27/06/2014, 00:20

... design in patients with congenital heart disease During his pediatric cardiology training in the late 1970s, cardiac electrophysiology and pacemaker application technologies in children with congenital ... Acquisitions: Gina Almond Development: Beckie Brand Set in 10/13 Palatino by Newgen Imaging Systems (P) Ltd., Chennai, India Printed and bound in Singapore by COS Printers Pte Ltd For further information ... attaining adulthood and will continue to require individuals with expertise in congenital heart anatomy and physiology Associated with this new field of study, Dr Karpawich has worked closely with...

Ngày tải lên: 14/08/2014, 07:20

... among uncertainty, social support, and parenting stress in mothers of children with CHD, and (c) determine the factors affecting parenting stress in mothers of children with CHD in Korea METHODS ... determinants of parenting stress in mothers of children with CHD Social support explained 33.3% of parenting stress in this model, while social support and the source of information being the Internet ... mothers to cope with their children’s disease were having information about the disease, communicating with knowledgeable professionals, understanding cause/treatment, and participating in a support...

Ngày tải lên: 05/03/2014, 12:20

... Underweight Normal weight Overweight Started insulin within months Insulin injections per day -median (min, max) Presence of Diabetic Complications Retinopathy Neuropathy/Peripheral vascular disease ... years), with a median age of diagnosis of 12.0 years (Table 2) The majority of respondents were at a normal weight (47.9%) at diagnosis, with 92.9% of individuals starting insulin therapy within months ... Crosby CD, Kolotkin RL, Williams GR: Defining clinically meaningful change in health-related quality of life J Clin Epidemiol 2003, 56:395-407 Guyatt GH, Feeny DH, Patrick DL: Measuring health-related...

Ngày tải lên: 20/06/2014, 15:20

... examined determinants of HRQL in adolescents and young adults with T1D [12-17], only a few studies have examined the determinants of HRQL and QoL in adults with T1D One study that examined 397 adults ... associated with HRQL but not with life satisfaction [61] In a survey of 3,308 adults with/ without chronic conditions, having a heart disease was associated with lower HRQL but not with rating of ... research on 397 adults with T1D [18] Although we could not identify any study that examined a direct relationship between smoking and HRQL in adults with T1D, smoking was associated with poor glycemic...

Ngày tải lên: 20/06/2014, 15:20

... examined determinants of HRQL in adolescents and young adults with T1D [12-17], only a few studies have examined the determinants of HRQL and QoL in adults with T1D One study that examined 397 adults ... trait, not using insulin, having fewer comorbidities, lower BMI, being a non-smoker, and a higher physical activity level were significantly associated with better HRQL in adults with T2D Age, ... regression models identified determinants of HRQL and life satisfaction in adults with T1D These determinants were compared with determinants for T2D adults reported in a previous study from this...

Ngày tải lên: 11/08/2014, 23:22

... for adults with congenital heart disease requiring ventricular pacing is that those patients in whom pacing was initiated in childhood, such as congenital atrioventricular block or following ... cephalic vein may break during lead insertion If the two leads cause a very tight fit in the vein, it may, as a consequence, invaginate the vein into the subclavian vein The torn cephalic vein then ... vein retained guide wire technique Left: Two leads are passed along an intact cephalic vein Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein The vein...

Ngày tải lên: 14/08/2014, 07:20

... (SelectSecure® Medtronic Inc.) can be passed (Figures 7.5, 7.6) Such a pacing system has application in adults with congenital heart disease such as Ebstein’s anomaly or in patients, following the Mustard ... pacing leads are preferable in patients with adult congenital heart disease requiring permanent cardiac pacing [62] C H APTER Consider steerable stylets or catheters An adult patient with congenital ... shown in Figure 7.2 was required There is a ball and cage mitral valve prosthesis (MVP) innominate vein toward the heart, but rather proceed retrograde towards the arm in the axillary vein or up into...

Ngày tải lên: 14/08/2014, 07:20

... result in marked difficulties in trying to achieve left ventricular pacing The incidence of this abnormality draining into the coronary sinus is about 3–5% of patients with structurally abnormal hearts ... coronary sinus Coronary sinus drains into left subclavian vein Univentricular heart Stenosis of the coronary sinus ostium Unroofed coronary sinus Wolff-Parkinson-White Coronary sinus diverticulum Interrupted ... abnormal hearts [74] In turn depending on the presence or absence of a bridging brachiocephalic or innominate vein, and certain repaired congenital heart defects, the coronary sinus may be absent...

Ngày tải lên: 14/08/2014, 07:20

... therapy In two recently published multi-center reports of children and young adults with congenital heart disease receiving biventricular pacing for myocardial dysfunction, including patients with congenital ... should be a routine procedure A number of principles apply: • The routine use of epicardial leads requiring a thoracotomy is not indicated • In the adult, provided the patient is in sinus rhythm, ... cardiomegaly Figure 13.2 Congenital atrioventricular block Resting 12-lead ECG showing congenital complete heart block with a narrow QRS Note there is also mild sinus bradycardia, necessitating rate adaptive...

Ngày tải lên: 14/08/2014, 07:20

... cava draining into the coronary sinus Failure of left superior cardinal vein regression, typically associated with absence of innominate vein development, allows for venous drainage into 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 defects occurring in adults with a familial incidence ... found congenital abnormality of the heart and results from the normal fetal circulation persisting post natal An incidence of 27% in otherwise normal hearts has been reported with the incidence...

Ngày tải lên: 14/08/2014, 07:20

... 19.6 Ebstein’s anomaly (cardiac vein) Resting 12-lead ECG demonstrating dual chamber pacing The ventricular lead lies in the middle or a low lateral cardiac vein There is atrial sensing and ventricular ... 19.7 Ebstein’s anomaly (cardiac vein) Chest radiographs, postero-anterior (PA) and left lateral (L Lat), showing dual chamber pacing in a patient with Ebstein’s anomaly (same patient as in Figure ... exists in parallel rather than in series with desaturated venous blood recirculating through the systemic circulation without first entering into the pulmonary circulation (Figure 20.1) Without...

Ngày tải lên: 14/08/2014, 07:20

... Below: Resting 12-lead ECG from the same patient demonstrating dual chamber pacing with a right bundle branch block indicating left ventricular pacing There is a right axis deviation suggesting that ... foramen ovale may be present in 82% and a left superior vena cava draining to the coronary sinus in 11% of patients [236] Physiologically-related congenital heart conditions include double outlet right ... great vessels Two resting 12-lead ECGs of the single chamber pacing system shown in Figure 20.12 demonstrating left ventricular (LV) pacing The upper ECG shows unipolar pacing from the lead just...

Ngày tải lên: 14/08/2014, 07:20

... (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 ... reversion therapies Concluding remarks As children born with congenital heart disease continue to age, physicians caring for adults will be exposed to this increasing population of patients At ... visible With an incidence of approximately 1% of live births and ever-improving surgical and device technologies, congenital heart patients will continue to survive to adulthood in increasing numbers...

Ngày tải lên: 14/08/2014, 07:20

... tract, 103 innominate vein, internal jugular approach, limitation, interrupted inferior vena cava, 41 intra-atrial baffle, 40, 89, 91 repair, 41 introducers, funnel introducer, 6, second introducer, ... syndromes, 49 congenital cardiac abnormalities, 5, 40 congenital heart disease adult patients with, classification, 45 congenital heart surgery, open thoracotomy associated with, coronary sinus in, possible ... al Transvenous ventricular pacing options in Ebstein’s anomaly Indian Heart J 1998; 50: 565–568 201 Andersen C, Oxhøj H, Justensen P Pacing in a patient with Ebstein’s anomaly PACE 1989; 12: 1586–1588...

Ngày tải lên: 14/08/2014, 07:20

... of the attending physician, including inotrope administration and dosing It is well recognized that heart failure leads to increased circulating levels of pro-inflammatory cytokines, such as ... studies examining natriuretic peptide levels and/or inflammatory markers during inotrope administration with inconsistent results [8-11] Adding complexity to this picture is data indicating that ... much insight regarding inotrope use in the setting of more routine decompensated heart failure, and the effect milrinone in ischemic subset of patients deserves further investigation Conclusion Initiation...

Ngày tải lên: 18/06/2014, 15:20

... reference group of 10 amputees attending training in a special afterrehabilitation training unit for amputees The pre-final version performed well in the field-testing However, the reference group ... highest in our study were "getting up from a chair" and "walking indoors" and the lowest score was found for the item concerning climbing and descending a stair without a handrail, findings similar ... three meters with his/her ordinary walking aid, turn around, walk back and sit down again in the chair and the result is measured in seconds The TUG test is easy to use in clinical settings and it...

Ngày tải lên: 18/06/2014, 18:20

... interleukins and 6, TNF-a, matrix metalloproteinases, neuroepinephrine, renin, galectin-3 [16-18], some of which are also important tools in the diagnosis and pathogenesis of heart failure, in the ... of these cytokines were increased in patients with ICM as well as in NIDCM with respect to controls (p < 0.05) Further, the IL-6 cytokine (panel F) was significantly increased in ICM patients ... found to be regulated in CHF in the present study Endothelin-1 (ET-1), Galectin (GAL3), Norepinephrine (NOR), Tumor necrosis factor (TNF) a, Interferon (IFN)- g, Interleukin (IL) 1A, 5, 6, 7,...

Ngày tải lên: 18/06/2014, 19:20

... the intralimb coordination in subjects with SCI increased and the timing of knee extension onset was earlier in the hip cycle following locomotor training Difference in training and testing procedures ... weeks in daily sessions of 60 minutes (15 minutes of subject preparation, 45 minutes of training) None of the subjects was involved in other training activities For more details about the training ... article with a main focus on improvements in gait quality after locomotor training in individuals with chronic SCI Across training groups subjects with SCI showed significant improvements in cadence,...

Ngày tải lên: 19/06/2014, 08:20