3 physical activity in adult patients with congenital heart disease

... 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 ... (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 ... One of the difficulties occasionally encountered in adults with congenital heart disease is the problem of having to insert new transvenous leads in a patient who already has old implanted hardware...

Ngày tải lên: 14/08/2014, 07:20

... 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 ... implantation in adult congenital heart disease, the authors have joined together to create such a text utilizing their individual expertise This book outlines the principles of dealing with such patients ... 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

... 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 ... performance has resulted in a number of recent recommendations for patients requiring pacing [47] and this is particularly important in young adults with congenital heart disease Although there...

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 cannulation is considered in adults with congenital heart disease, it should be remembered that the venous drainage of the heart into the right atrium may not be normal In particular, ... 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...

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, ... syndromes, with or without atrioventricular block [139–142] This, together with intensive beta blockade was often successful in preventing ventricular ectopic activity and hence, torsade de pointes In...

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

... 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 ... electrocardiograph of dual chamber pacing in patients with the Mustard or Senning procedure for transposition of the great vessels shows classical left ventricular pacing with dominant R waves from V1 to ... 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...

Ngày tải lên: 14/08/2014, 07:20

... 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 the time ... 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 ... outcomes of cardiac pacing in adults with congenital heart disease J Am Coll Cardiol 2004; 43: 1894–1901 36 Karpawich PP, Hakami M, Arciniegas et al Improved chronic epicardial pacing in children: Steroid...

Ngày tải lên: 14/08/2014, 07:20

... 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 ... ventricular pacing from, 39 cardiovascular anatomy, of adult with congenital heart disease, 3–5 catheters, 24–28, see also steerable stylets cellular remodeling, 18 cephalic vein breakage during insertion, ... 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,...

Ngày tải lên: 14/08/2014, 07:20

... Group Patients after cardiac surgery/interventions (including ablations) 1.1 Without remaining findings (complete correction) 1.2 With minimal findings 1.3 With clinically significant findings ... 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; ... static component Running, skipping, jumping, cycling, swimming, inline skating, skateboarding, running games, ball games such as football – so-called small games Types of exercise with a high static/low...

Ngày tải lên: 12/02/2014, 19:20

... breast cancer) in patients with RA in the recent published literature In particular, this review focused on observational studies comparing the incidence of malignancy in patients with RA versus ... incidence ratio Figure Relative risk of non-Hodgkin lymphoma in patients with rheumatoid arthritis compared with the general population CI, confidence interval; DMARDs, lymphoma in patients with ... consistent with the risk trends reported in the individual studies This pattern included a clear increase in risks of lung cancer and lymphoma, both Hodgkin and non-Hodgkin, and a potential decrease in...

Ngày tải lên: 09/08/2014, 10:23

... HLA-matched sibling transplantation with BM and CD34(+)-purified PBSCs in adult patients with high-risk severe aplastic anemia to overcome graft rejection without an increase in GVHD Bone Marrow ... doi:10.1186/1756-8722-3-51 Cite this article as: Zi-Min et al.: HLA-matched sibling transplantation with G-CSF mobilized PBSCs and BM decreases GVHD in adult patients with severe aplastic anemia Journal of ... statistical analysis All authors have read and approved the final manuscript Competing interests The authors declare that they have no competing interests Received: 19 November 2010 Accepted: 31 December...

Ngày tải lên: 10/08/2014, 22:21

... of our PCR approach, no Del- Cell lines The following cell lines were used: BL3.1 (infected with BLV, a bovine lymphoma cell line, [30]), MJ [G11] (infected with HTLV-I, derived from a human cutaneous ... tested in serial dilutions of cell lines Deltaretrovirus PCR tested in serial dilutions of cell lines Cell line DNA was diluted in genomic DNA from healthy individuals A: cell line Mo T (HTLV-II-infected), ... that the PCR sensitivity could be further increased to 10-3 – 10-4 (while retaining specificity) by lowering the annealing temperature to 60°C and increasing the number of PCR cycles but at the...

Ngày tải lên: 13/08/2014, 09:20

... 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 ... 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 ... of congenital heart disease from the elementary student heart disease screening program Korean Journal Preventive Medicine, 34, 427–436 Linde, L M (1982) Psychiatric aspects of congenital heart...

Ngày tải lên: 05/03/2014, 12:20

... twenty (77.9%) patients were males In terms of the clinical data, over two thirds of subjects were angina The finding of high proportions of Chinese CHD patients screening positive with anxiety ... of the original translation process, which may also explain inconsistencies between the underlying factor structure of the instrument between Mandarin-speaking Chinese CHD patients in the current ... Depression in patients with cardiac disease: a practical review J Psychosom Res 2000, 48:379-391 Martin CR, Thompson DR: Depression in coronary heart disease patients: Etiological and screening issues...

Ngày tải lên: 20/06/2014, 15:20

... the difference in methodology applied in deriving a utility score, which could imply that utilities with different "meaning" are obtained, thus resulting in confusion when interpreting results from ... for the two measures in patients with mild diseases [24], but baseline values clearly differ in more severe patients such as liver transplant patients [26] and patients with a recent stroke [21] ... improvement in the SF-6D physical functioning domain The significant deterioration in social functioning and role limitations cancelled out the improvement in mental health, resulting in no change in...

Ngày tải lên: 20/06/2014, 15:20

... EQ-5D index In the current study, the aim was to take these clinical measures in combination in a single model to predict the EQ-5D index In this case, disease severity was taken into account using ... angina, where a model mapping clinical measures on to the EQ-5D index explained 37% of the variability in the EQ-5D index and also performed poorly in individuals with EQ-5D index values of about ... patients with different levels of disease severity by incorporating into these models multiple demographic factors and clinical cardiac measures commonly used when treating and studying these patients...

Ngày tải lên: 20/06/2014, 16:20

... reserved Br ain Development in Newborns with Congenital Heart Disease I n the united states, severe congenital heart disease is a common cause of childhood morbidity, occurring in to infants per ... Br ain Development in Newborns with Congenital Heart Disease The mean value for average diffusivity, averaged across all of the brain regions, was 1.35 in newborns with congenital heart disease ... comparison with control newborns was limited to newborns with congenital heart disease who did not have preoperative brain injury, those with congenital heart disease had a reduction of 8% in the...

Ngày tải lên: 27/06/2014, 00:20

... At time of sampling, disease was active in 15 patients and inactive in 10 All patients were using colchicine, an immunosuppressant agent such as ciclosporin (n = 8), azathioprine (n = 2) and ... online http://arthritis-research.com/content/5/5/R262 [2–6] Histological findings in Behçet’s disease suggest a mixed or mainly mononuclear cell infiltration with a predominance of T cells in ... circulating Vγ9/Vδ2 cells was found both in patients with active and in those with inactive Behçet’s disease, and this was comparable with the number in normal control individuals Different results have...

Ngày tải lên: 09/08/2014, 01:23