September 09, 2010
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| Age-Related Clinical Characteristics of Isolated Congenital Unilateral Absence of a Pulmonary Artery - Pediatric Cardiology |
| Koga H et al. – Pulmonary hypertension was present in 5% of the patients aged 1 to 19 years. Among patients 20 years or older, however, 32% had pulmonary hypertension, and 8% died. Compared with isolated UAPA, UAPA with PDA was associated with an earlier diagnosis, a higher prevalence of pulmonary hypertension, and a higher mortality rate. Collateral artery formation and pulmonary hypertension progress with age in patients with UAPA. Early diagnosis and revascularization may prevent the age–related progression of UAPA.... |
| Successful Emergent Coronary Thrombolysis in a Neonate with Kawasaki's Disease - Pediatric Cardiology |
| Karia VR et al. – This report describes the case of a 29–day–old infant with Kawasaki's disease who presented in extremis with multiple coronary aneurysms and coronary thromboses, myocardial ischemia, and congestive heart failure. The infant successfully underwent emergent coronary thrombolysis with tissue plasminogen activator.... |
September 08, 2010
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| Corrected QT Interval in Children With Brain Death - Pediatric Cardiology |
| Plymale J et al. – Excluding the five patients, it was 449 (62) ms. On multivariate analysis, sex and hypokalemia were associated with QTc prolongation. QTc in children with brain death is normally distributed but significantly longer than QTc in normal children. Until rapid genetic testing for channelopathies is universally available, these findings suggest that potential pediatric cardiac donors with isolated prolongation of the QTc in this setting may be acceptable in the absence of other exclusionary criteria.... |
| Pulmonary Function in Children After Surgical and Percutaneous Closure of Atrial Septal Defect - Pediatric Cardiology |
| Zaqout M et al. – The surgical group showed a significant decrease in expiratory reserve volume and forced vital capacity. Expiratory flow at 25, 50, and 75% of forced vital capacity did not differ between the two groups but was on the lower limit of normal in both groups. Percutaneous closure of ASD can minimize the side effects of surgical closure on lung function. Longitudinal lung function follow–up assessment after cardiac surgery is warranted to detect and measure restrictive abnormalities in this type of congenital heart disease and others.... |
| Actigraphy: Analyzing patient movement - Heart & Lung; The Journal of Acute and Critical Care |
| Grap MJ et al. – Distinct levels of behavioral states were successfully simulated. Actigraphic data can provide an objective indicator of patient activity over a variety of behavioral states, and these data may offer a standard for comparison among these states.... |
| Anxiety in patients undergoing percutaneous coronary interventions - Heart & Lung; The Journal of Acute and Critical Care |
| Trotter R et al. – Symptoms of anxiety were common, particularly before PCI. These symptoms are important to detect and treat because pre–procedural anxiety is predictive of anxiety on subsequent occasions. Patients who have had chest pain or their first PCI should be targeted for intervention during the early recovery period after PCI, and information on CAD should be provided postdischarge.... |
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