4 exercise based cardiac rehabilitation in adults with congenital heart disease

... 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 1.4 After ... hemodynamic findings Exercise echocardiography Cardiac function and hemodynamic findings under exertion BOX Findings after cardiac surgery and/or interventions Minor remaining findings (1.2) – ... Cardiac 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...

Ngày tải lên: 12/02/2014, 19:20

... 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

... 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, ... 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...

Ngày tải lên: 14/08/2014, 07:20

... 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

... province of China Mandarin is spoken Due to the pictorial nature of Chinese writing, both Cantonese and Mandarin-speaking Chinese would be able to read the Chinese version of the HADS In Europe, ... 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 and depression using the ... consistent with previous studies conducted in China or in western countries [3,5,34,35] The CFA findings are in many respects, rather surprising It has been suggested that the bi-dimensional underlying...

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 ... domain, imputing that value for missing items in that domain, rounding imputed values to the nearest integer, and then recalculating the SF-6D We performed parametric and non-parametric testing ... 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 ... testing in screening for cardiovascular disease Bull N Y Acad Med 1969, 45:1288-1305 21 Tsuchiya A, Brazier J, McColl E, Parkin D: Deriving preference -based single indices from non-preference based...

Ngày tải lên: 20/06/2014, 16:20

... multi-faceted intervention In the planned intervention, we would have tested, in part, the effectiveness of implementing clinical reminders with and without the type of facilitation we describe in this ... collaborate with VA policy and practice leaders, clinicians, and operations staff to implement appropriate evidence -based practices into routine clinical care They work within distinct disease- ... Regional leaders advised working within the existing structure of the network as we conducted the intervention Our original intent was to use a lagged design, introducing the intervention to the comparison...

Ngày tải lên: 11/08/2014, 05:21

... multi-faceted intervention In the planned intervention, we would have tested, in part, the effectiveness of implementing clinical reminders with and without the type of facilitation we describe in this ... collaborate with VA policy and practice leaders, clinicians, and operations staff to implement appropriate evidence -based practices into routine clinical care They work within distinct disease- ... Regional leaders advised working within the existing structure of the network as we conducted the intervention Our original intent was to use a lagged design, introducing the intervention to the comparison...

Ngày tải lên: 11/08/2014, 16:21

... 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 ... instructive schematic drawings of congenital heart anatomy My sincerest appreciation to all Peter P Karpawich Pacing Options in the Adult Patient with Congenital Heart Disease Harry G Mond, MBBS,...

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 ... 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

... 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

... children and young adults with congenital heart disease receiving biventricular pacing for myocardial dysfunction, including patients with congenital heart block, biventricular pacing did prove to ... 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 ... 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 ... pacing with a right bundle branch block appearance and the axis will depend on where the lead lies For instance, if the lead lies low in the heart such as in the middle or lateral cardiac vein,...

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 ... the coronary sinus and placed in a cardiac vein on the epicardial surface [68–74] However, as discussed in chapter 1, post operatively the coronary sinus may not drain directly into the right...

Ngày tải lên: 14/08/2014, 07:20

... 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: ... 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, ... disease adult patients with, classification, 45 congenital heart surgery, open thoracotomy associated with, coronary sinus in, possible abnormalities, 41 in growing teenager, 42–44 congenital long QT ... 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

... Overweight Started insulin within months Insulin injections per day -median (min, max) Presence of Diabetic Complications Retinopathy Neuropathy/Peripheral vascular disease Cardiovascular disease Nephropathy ... generated in a norm -based scoring system, profile measures and normbased scoring allow for possible detection of different effects on different dimensions of HRQL Norm -based scoring is also intended ... of generic measures in disease specific populations depends on whether the instrument covers the relevant domains, with an appropriate domain continuum, for the population's disease Generic measures...

Ngày tải lên: 20/06/2014, 15:20

... preliminary assay was performed with the aim to find the dilution where the spiked endotoxin can be detected without inhibiting or enhancing the test Once prepared, the cartridge was inserted in ... reported in Figure Discussion Cellular therapy is an emerging field in medicine; all the stem cell medicinal products must be in compliance with principles and guidelines of good manufacturing practice ... tested into hind limb ischemia animal models [12] and several clinical studies are ongoing to evaluate the efficiency of the intra-arterial administration of BMC into an ischemic limb [13,14] During...

Ngày tải lên: 18/06/2014, 15:20