Improvement in ventricular function with rhythm control of atrial arrhythmias may delay the need for atrioventricular valve surgery in adults with congenital heart disease

2019 ◽  
Vol 14 (6) ◽  
pp. 931-938
Author(s):  
Benjamin Zielonka ◽  
Yuli Y. Kim ◽  
Gregory E. Supple ◽  
Sara L. Partington ◽  
Emily S. Ruckdeschel ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Ventricular Function ◽  
Congenital Heart ◽  
Rhythm Control ◽  
Valve Surgery ◽  
Atrial Arrhythmias ◽  
Atrioventricular Valve

Impact of atrial arrhythmias on outcome in adults with congenital heart disease

2017 ◽  
Vol 248 ◽  
pp. 152-154 ◽  
Author(s):  
H. Yang ◽  
J.M. Kuijpers ◽  
J.R. de Groot ◽  
T.C. Konings ◽  
A. van Dijk ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Atrial Arrhythmias

Systemic ventricular function in patients with congenital heart disease repaired during infancy

1980 ◽  
Vol 45 (2) ◽  
pp. 468
Author(s):  
Kenneth M. Borow ◽  
Laurence H. Green ◽  
John F. Keane ◽  
Aldo R. Castaneda ◽  
Michael D. Freed
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Ventricular Function ◽  
Congenital Heart

scholarly journals Right ventricular function recovery after repeat surgery in patients with congenital heart disease in adult age

Cor et Vasa ◽  
2011 ◽  
Vol 53 (3) ◽  
pp. 141-143 ◽  
Author(s):  
Renata Šreflová ◽  
Petr Němec ◽  
Roman Gebauer ◽  
Jiří Ondrášek ◽  
Josef Nečas ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Right Ventricular ◽  
Ventricular Function ◽  
Right Ventricular Function ◽  
Congenital Heart ◽  
Repeat Surgery ◽  
Adult Age ◽  
Function Recovery

Atrial arrhythmias in congenital heart disease

2002 ◽  
Vol 20 (3) ◽  
pp. 459-468 ◽  
Author(s):  
Seshadri Balaji ◽  
Louise Harris
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Atrial Arrhythmias

Abstract 2340: Should Real-time Three-dimensional Echocardiography Become The Preoperative Standard For The Evaluation Of The Mechanisms Of Atrioventricular Valve Regurgitation In The Patient With Congenital Heart Disease?

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Ken Takahashi ◽  
Akio Inage ◽  
Murray Robertson ◽  
Dyck John ◽  
Ross David ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Real Time ◽  
Congenital Heart ◽  
Three Dimensional ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Structural Abnormalities ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

Objective: The purpose of this study was to determine whether Real-time three-dimensional echocardiography (RT3D) is superior to two-dimensional echocardiography (2D) in determining mechanisms and site(s) of atrioventricular valve (AV valve) regurgitation in congenital heart disease. Background: Data is lacking on the utility of RT3D echo in congenital abnormalities of the AV valves. Methods: Between May 2006 and April 2007, 35 cases were prospectively studied prior to AV valve repair (20 left and 15 right) by 2D transthoracic (2DTTE), 2D transesophageal (2DTEE) and RT3D (Philips matrix array X 3–1 and X 7–2). Thirty one had significant and 4 mild regurgitation. Ages ranged from 24 days to 30 years (mean 13.8 years), weight 2.2 to 42kg (mean 26.1Kg). The 2DTTE and TEE were reviewed by a blinded observer. The 3D data were analyzed by a separate observer. In 28 patients surgical findings and regurgitation from saline testing were recorded by digital video and later analyzed by an experienced cardiac surgeon. The remaining 7 had a detailed description of the valve morphology documented immediately after surgery. Surgical findings were used as the gold standard for the assessment of structural abnormalities, with RT3D for the evaluation of regurgitation. Results: See table for structural abnormalities. For both the left and right AV valve, saline testing provided a poorer correlation with RT3D color Doppler jet location, in particular for regurgitant jets from the commmissures (p < 0.01). Conclusion: Transthoracic RT3D provides new and superior information as to the mechanisms and site(s) of AV valve failure in congenital heart disease. Concordance between 2D TTE, 2D TEE and 3D TTE compared to surgical findings

Abstract 14215: Cognitive Impairment in Adult Congenital Heart Disease Survivors: A Pilot Study

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Carla P Rodriguez Monserrate ◽  
Rajeshwari Jakkam ◽  
Emily Clay ◽  
Kimberlee Gauvreau ◽  
Michelle Z GURVITZ
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Pilot Study ◽  
General Population ◽  
Ventricular Function ◽  
Congenital Heart ◽  
Education Level ◽  
Factors Associated

Introduction: The most common comorbidities in children with congenital heart disease (CHD) are neurodevelopmental and psychosocial impairments, particularly in areas of executive function, memory, attention, and behavioral control. Limited studies in the adult CHD population suggest similar impairments exist and adults with CHD may be at increased risk for dementia. No studies have screened specifically for mild cognitive impairment and dementia in adult CHD patients. Methods: We performed a prospective cross-sectional study of adult CHD patients, ages 30-65 years, who were coming for routine clinic visits. We administered the Mini-Mental State Exam (MMSE) and scores were compared with population norms adjusted by age and education level. We also evaluated the association of MMSE scores with CHD complexity, demographic and clinical risk factors. Results: A total of 125 patients were recruited (55% male). The median age was 40 years (range 30-65). Almost all participants (97%) had a high school degree and 75% had some college education or advanced degrees. The majority of patients (94%) had moderate or complex CHD. Adjusting for age and education, CHD participants scored significantly lower than the general population (median 1 point lower, p=0.001). The greatest impairments occurred in recall and orientation. Factors associated with lower scores included decreased systemic ventricular function (p=0.028) and having ≥2 cardiac catheterizations (p=0.006). Five percent of the total cohort met the general threshold for mild cognitive impairment (MMSE<24). Clinical factors associated with this degree of cognitive impairment were duration of cyanosis (p=0.005) and decreased systemic ventricular function (p=0.003). Conclusions: Our pilot study showed that, when adjusted for age and education level, adult CHD patients had significantly lower MMSE scores than the general population, with 5% meeting criteria for mild cognitive impairment. These findings suggest that subtle and early neurodevelopmental changes are present in the adult CHD population. Further studies are needed to investigate those changes and evaluate potential disease modifying therapies that might influence long-term outcomes in the adult CHD population.

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