care for adults with congenital heart disease

... on types of sport suitable for all persons with congenital heart disease (e1, 8, e5, 9, 11, 12, 13, e8, e9, 17) Physical activity in children with congenital heart disease should start as often ... fitness for sports The wide range of congenital heart disease makes issuing a so-called sports certificate difficult A form that covers all forms of disease does not exist In many children with ... Rehabilitation sports / children's heart group The children's heart group is a medically prescribed and supervised outpatient therapeutic service for children with congenital heart disease, which is run by...

Ngày tải lên: 12/02/2014, 19:20

... their child’s congenital heart disease Heart, 90, 435–439 Asian Nursing Research ❖ September 2007 ❖ Vol ❖ No Clare, M D (1985) Home care of infants and children with cardiac disease Heart & Lung, ... parents of adolescents and young adults with congenital heart disease Heart & Lung, 26, 187–195 Suh, M H., & Oh, K (1993) A study of well-being in caregiver for chronically ill family members ... groups for parents of children with special needs Qualitative Health Research, 10, 225–241 Lee, H J (2001) Congenital heart disease after childhood—experience of “Grown up Congenital Heart Clinic...

Ngày tải lên: 05/03/2014, 12:20

... consistent with the Information for Health strategy of the NHS Information Authority8 in England (Informing Healthcare: transforming healthcare using information and IT in Wales) In line with the ... services for adults, but the needs of children who may be affected by an adult carer or relative with cancer are acknowledged • While focused on services for patients with cancer and their carers, ... resource for patients, carers and staff They should also be aware of local community resources for spiritual care General palliative care services, including care of dying patients ES23 Patients with...

Ngày tải lên: 28/03/2014, 23:20

... of brain maturation, in newborns with congenital heart disease before they underwent heart surgery Methods We studied 41 term newborns with congenital heart disease — 29 who had transposition of ... associated with findings on MRS or DTI White-matter injury was observed in 13 newborns with congenital heart disease (32%) and in no control newborns Conclusions Term newborns with congenital heart disease ... 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 and 1.28 in...

Ngày tải lên: 27/06/2014, 00:20

... for primary care GPs will be informed about the project, and when they agree to participate they will be instructed to send in an admission form with data on practice organization necessary for ... patients with CHF receive treatment in primary care There are many programmes for the management of long-term conditions in primary care – e.g., diabetes, COPD and depression – but at present not for ... educational materials for the professionals and patients There is a recommended protocol for multidisciplinary management and a template for clinical care presented as a guiding registration form Furthermore,...

Ngày tải lên: 10/08/2014, 10:23

... young children with congenital heart disease are now attaining adulthood and will continue to require individuals with expertise in congenital heart anatomy and physiology Associated with this new ... primarily for adult patients with congenital heart disease, the principles espoused are equally relevant for most patients who require cardiac pacing The first section deals with preparing for the ... 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, MD,...

Ngày tải lên: 14/08/2014, 07:20

... can be made at this time for adults with congenital heart disease requiring ventricular pacing is that those patients in whom pacing was initiated in childhood, such as congenital atrioventricular ... 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 is no doubt that the ... occasion, a permanent pacemaker or ICD is required in an adult patient with congenital heart disease, at the time of open heart surgery 15 16 Chapter Figure 4.1 Epicardial lead Platinized, porous-platinum,...

Ngày tải lên: 14/08/2014, 07:20

... positioned in traditional sites in structurally normal hearts, active-fixation pacing leads are preferable in patients with adult congenital heart disease requiring permanent cardiac pacing [62] C ... 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 and Fontan ... Do old leads need extraction? 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...

Ngày tải lên: 14/08/2014, 07:20

... to the venous ventricle Before 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 ... indicated Table 11.1 Possible abnormalities of the coronary sinus in congenital heart disease Pre-operative congenital heart disease Possible abnormality Atrial septal defect Common atrium Right ... PA RT Patients, principles and problems For convenience, adult patients with congenital heart diseases can be divided into: • Those who have not required heart surgery so far in their lives • Those...

Ngày tải lên: 14/08/2014, 07:20

... reports of children and young adults with congenital heart disease receiving biventricular pacing for myocardial dysfunction, including patients with congenital heart block, biventricular pacing ... the complication rate high Most adolescents with congenital complete heart block on entering adulthood Congenital atrioventricular block 53 Figure 13.3 Congenital atrioventricular block Twenty-four ... successful follow-up without pacing for up to 40 years even with documented Stokes-Adams episodes [124, 125] However, other reports document sudden death in young adults with abnormalities of...

Ngày tải lên: 14/08/2014, 07:20

... C H APTER 16 Atrial septal defects and patent foramen ovale A patent foramen ovale is the most frequently found congenital abnormality of the heart and results from the normal fetal circulation ... otherwise normal hearts has been 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 ... defects are also one of the most common congenital defects occurring in adults with a familial incidence well known to cardiologists Within this group are patients who have added electrical abnormalities...

Ngày tải lên: 14/08/2014, 07:20

... prevented In its severe form, the muscle in this pre-valve cul de sac may be poorly formed or absent resulting in a thin aneurysmal wall and ventricular pacing may therefore require a high voltage ... to force ventricular pacing The QRS configuration confirms right ventricular pacing with a superior or leftward axis Post-valve Although technically difficult, it may be possible, particularly with ... ventricular epicardial 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...

Ngày tải lên: 14/08/2014, 07:20

... defects including tetralogy of fallot It has been well known since the 1950s that surgery for congenital heart disease and in particular ventricular septal defects may acutely result in atrioventricular ... result in complete heart block This fact may also be of significance with the onset of complete heart block, years later [225] Of particular importance is that transient complete heart block at the ... association with ongoing bifascicular block, is a more powerful predictor for developing either late complete heart block or sudden death, than either bifascicular block or transient heart block...

Ngày tải lên: 14/08/2014, 07:20

... ventricular ectopy in children and young adults with complete heart block Am Heart J 1980; 99: 87–92 120 Molthan ME, Miller RA, Hastreiter AR et al Congenital heart block with fatal Adams-Stokes attacks ... congenital heart disease Am J Cardiol 2004; 94: 1352–1354 129 Dubin A, Cecchin F, Law, I et al Resynchronization therapy in pediatric and congenital heart disease patients: A multicenter study Heart ... 28: 140–148 64 Chintala K, Forbes T, Karpawich PP Effectiveness of transvenous pacemaker leads placed through intravascular stents in patients with congenital heart disease Am J Cardiol 2005;...

Ngày tải lên: 14/08/2014, 07:20

... 1993; 16: 1753–1755 255 Webb C, Jenkins K, Karpawich P, et al Collaborative Care for Adults with Congenital Heart Disease Circulation 2002; 105: 2318–2323 Index Note: Page numbers in italics ... congenital atrioventricular block, 5, 19, 40, 49–55, 52–53 definition, 49 congenital bradycardia syndromes, 49 congenital cardiac abnormalities, 5, 40 congenital heart disease adult patients with, ... Schofield PM et al Long term ventricular transvenous pacing in adults with congenital abnormalities of the heart and great arteries Br Heart J 1983; 50: 325–329 242 Cohen MI, Wernovsky G, Vetter...

Ngày tải lên: 14/08/2014, 07:20

... (other acute and subacute forms of ischemic heart disease) , 412.xx (old myocardial infarction), or 414.xx (other forms of ischemic heart disease) in the VA National Patient Care Databases (NPCD), ... cholesterol-lowering therapy in patients with coronary heart disease A statement for healthcare professionals from the American Heart Association Task Force on Risk Reduction Circulation 1997, ... patients with coronary heart disease who not undergo lipid testing Am J Cardiol 2003, 91:986-8, A7 Pineros SL, Sales AE, Li YF, Sharp ND: Improving care to patients with ischemic heart disease: ...

Ngày tải lên: 11/08/2014, 05:21

... routine before sternotomy incision Before starting cardiopulmonary bypass (CPB), 380 UI/kg of heparin were given and after about 60 seconds a sudden cutaneous rush and hemodynamic instability with ... improved (pH = 7.38) with an initial reduction in plasma lactate levels (5.1 mmol/L) When vital parameters seemed adequately stable, the surgical procedure was performed with a CPB time of 25 ... successfully weaned from CPB with stable hemodynamic parameters Protamine was administered without any adverse effect After admission to the pediatric cardiac intensive care (PCICU), the patient's...

Ngày tải lên: 11/08/2014, 11:20

... (other acute and subacute forms of ischemic heart disease) , 412.xx (old myocardial infarction), or 414.xx (other forms of ischemic heart disease) in the VA National Patient Care Databases (NPCD), ... cholesterol-lowering therapy in patients with coronary heart disease A statement for healthcare professionals from the American Heart Association Task Force on Risk Reduction Circulation 1997, ... patients with coronary heart disease who not undergo lipid testing Am J Cardiol 2003, 91:986-8, A7 Pineros SL, Sales AE, Li YF, Sharp ND: Improving care to patients with ischemic heart disease: ...

Ngày tải lên: 11/08/2014, 16:21

... examined either adults with severe pulmonary hypertension of many years' duration, or infants with congenital diaphragmatic hernia who have very severe hypertension Patients with pulmonary hypertension ... immunoreactivity in patients with congenital heart disease and flow-associated pulmonary hypertension [27] The present study shows upregulation Page of (page number not for citation purposes) Respiratory ... human endothelial cells [18] However in patients with pulmonary hypertension, it is less clear what changes in NOS isoform levels occur In infants with congenital diaphragmatic hernia, it has been...

Ngày tải lên: 12/08/2014, 14:20

... Assisted ventilation for patients with cystic fibrosis Jama 1978, 239:1851-4 20 21 22 23 24 25 26 Sood N, Paradowski LJ, Yankaskas JR: Outcomes of intensive care unit care in adults with cystic fibrosis ... not predictive for outcome ICU admission is still questioned for adult CF patients with advanced lung disease Since the first report from Davis et al [5], ICU survival of patients with CF has greatly ... during the last two decades [3,4] As severity of CF pulmonary disease usually increases with age, adults are a group at higher risk for acute respiratory complications that are more likely to be...

Ngày tải lên: 12/08/2014, 16:20