Rehabilitation potential in the children after surgical correction of congenital heart defects in different age periods

10.12737/7238 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Любчик ◽  
V. Lyubchik ◽  
Голубова ◽  
T. Golubova ◽  
Елисеева ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Defects ◽  
Heart Rhythm ◽  
The Body ◽  
Surgical Correction ◽  
Self Assessment ◽  
Sf 36 ◽  
Rehabilitation Potential

Comparative evaluation of rehabilitation potential in 20 girls at the sanatorium stage of rehabilitation after surgical correction of congenital heart disease in different age periods was carried out. Structural and functional diagnoses were specified to determine the level of rehabilitation potential. Identified violations were assessed as the loss or absence, reduction, addition or excess. Research methods included: clinical examination with determination of the level of physical development on the body mass index, functional orthostatic test, as-sessment of the estimated impact of blood volume and "double work", Doppler echocardiography, spectral analysis of heart rhythm, some indicators of emotional state on the differentiated self-assessment of functional status test and “quality of life” according to test SF-36. In children of the first group with early surgical correction regarding (under 2 years) significant changes in functionality were noted: higher initial rehabilitation potential and positive changes in central and peripheral hemodynamics, positive changes in the emotional sphere traced by the level of comfort, improved exercise tolerance under the influence of sanatorium rehabilitation. Preliminary observations suggest the possibility of compensation of impaired functions in children of the specified contingent during the sanatorium stage of rehabilitation is to improve their sano-genetic and psycho-physiological potential.

scholarly journals Arrhythmias in Patients with Congenital Heart Disease: a Modern View of the Problem

2019 ◽  
pp. 52-56
Author(s):  
O. S. Stychynskyi ◽  
P. O. Almiz ◽  
A. V. Topchii ◽  
M. M. Petkanych ◽  
V. V. Lazoryshynets
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Cardiac Death ◽  
Congenital Heart ◽  
Heart Defects ◽  
Heart Rhythm ◽  
Surgical Correction ◽  
Current Trends ◽  
Cardioverter Defibrillators

Thanks to the successes of modern cardiac surgery, more and more patients with congenital heart disease (CHD) reach adulthood, with approximately one in four having various heart rhythm disturbances. Their causes are both the CHD themselves and the consequences of surgical or interventional intervention. Arrhythmias in this category of patients worsen the quality of life, lead to serious complications, and can cause sudden cardiac death. The paper summarizes and analyzes current trends and recommendations of the world’s leading specialized communities for the management of patients with congenital heart disease with cardiac arrhythmias. The article reflects approaches to the management and monitoring of this category of patients, including asymptomatic ones. The necessity of early detection of arrhythmia and the involvement of a team of specialists in specialized centers for the development of tactics and treatment after surgical correction is justified. Also discussed are the issues of indications for electrophysiological research and its feasibility, the possibility and effectiveness of catheter destruction, the need for continuous drug therapy, indications for implantation of artificial pacemakers and cardioverter-defibrillators. The paper also reflects the question of various mechanisms of the development of arrhythmia in patients after surgical correction of congenital heart defects, as well as highlighted the possible ways of preventing arrhythmogenesis in patients after surgical correction.

scholarly journals To the issue of the health comprehensive assessment of children who underwent surgical correction of congenital heart diseases

2020 ◽  
Vol 8 (4S) ◽  
pp. 42-50
Author(s):  
L. N. Igisheva ◽  
A. A. Anikeenko ◽  
S. A. Shmulevich ◽  
I. N. Sizova
Keyword(s):  
Quality Of Life ◽  
Postoperative Period ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Heart Defects ◽  
Rehabilitation Program ◽  
Comprehensive Assessment ◽  
Surgical Correction ◽  
Long Time

Aim. To find out the problems in children health in long-time postoperative period after cardiosurgery using the comprehensive method for creating rehabilitation program.Methods. A prospective investigation of group of children was done before (n = 88) and in a year (n = 115), in 2 years (n = 90) and in 3 years (n = 58) after the surgical correction of congenital heart defects on the base of Kuzbass cardiological center. The anamnesis, clinical and hemodynamic aspects were studied as well as the postoperative period, residual problems after the correction, social status of the family and the comprehensive assessment was done in the both groups.Results. Before the correction the most part of children had low and very low levels of physical functioning, but there was a positive dynamic right after the surgery: the most part of children had high and middle levels (13% and 44% in a year), while the amount of children with low and very low data were reduced. Nevertheless, in 3 years after the surgery the amount of children with low and very low data was increased while the hemodynamic became better. Such tendency was mentioned with all aspects of the health.Conclusion. Despite of hemodynamic normalization the quality of life with all aspects still suffers. It predicts dangers in development and quality of life in general.

scholarly journals Medical geochemical investigations in taking precautionary measures against diseases. Protection and human health

2013 ◽  
Vol 14 (4) ◽  
pp. 505-515
Keyword(s):  
Pregnant Women ◽  
Human Health ◽  
Behavioral Problems ◽  
The Body ◽  
Term Delivery ◽  
Brain Neurotransmitter ◽  
Precautionary Measures ◽  
Geochemical Studies

A considerable number of diseases are directly related to environmental impact. Toxic metals such as Hg, Pb, Cd, and As may damage significantly the human health when they exceed certain levels in the body. For example specific precautions should be taken for the diet of pregnant women and the children. Lead concentrations exceeding the safe values can cause severe damage to the development of central nervous system, as well as a general developmental delay of fetuses and young children, interfering with the functioning of almost every brain neurotransmitter. In particular for the pregnant women, it has been found that the exposure of the fetus on high lead values may cause, apart from neurological and behavioral problems, low birth weight, pre-term delivery, spontaneous abortion and stillbirth. Organic mercury (methyl mercury) is the most dangerous form of mercury, because it is the most easily absorbed orally and crosses into the brain and fetus so readily. Populations exposed to chemical compounds containing As, Ni, Cr, Cd, etc. are considered of high-risk in developing cancer. Environmental geochemical studies can help in assessing the quality of the environment as well as the determination of the sources of pollutants, their behaviour and other characteristics. This knowledge is necessary in any application of remediation methodologies and waste management for the prevention of pollutants in getting into the food chain. It is also used in determining safe criteria regarding the quality of soils, drinking water, construction of schools, playgrounds etc. In this work the importance of environmental geochemical research and its applications towards the protection of human health is demonstrated.

scholarly journals A National Comparative Investigation of Twins With Congenital Heart Defects for Neurodevelopmental Outcomes and Quality of Life (Same Same, but Different?): Protocol for a Prospective Observational Study (Preprint)

2020 ◽  
Author(s):  
Julia Remmele ◽  
Paul Christian Helm ◽  
Renate Oberhoffer-Fritz ◽  
Ulrike MM Bauer ◽  
Thomas Pickardt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Confounding Factors ◽  
Fourth Edition ◽  
Neurodevelopmental Outcomes ◽  
Motor Competence ◽  
Intelligence Scale

BACKGROUND Due to the increased survival rates of patients with congenital heart defects (CHD), associated disorders are an increasing focus of research. Existing studies figured out an association between CHD and its treatment, and neurodevelopmental outcomes including motor competence impairments. All these studies, however, compared their test results with reference values or results of healthy control groups. This comparison is influenced by socioeconomic and genetic aspects, which do have a known impact on neurodevelopmental outcomes. OBJECTIVE This study protocol describes a setting that aims to find out the role of CHD and its treatments on neurodevelopmental outcomes, excluding socioeconomic and genetic aspects. Only a twin comparison provides the possibility to exclude these confounding factors. METHODS In a German-wide prospective cohort study, 129 twin siblings registered in the National Register for Congenital Heart Defects will undergo testing on cognitive function (Wechsler Intelligence Tests age-dependent: Wechsler Adult Intelligence Scale, fourth edition; Wechsler Intelligence Scale for Children, fifth edition; and Wechsler Preschool and Primary Scale of Intelligence, fourth edition) and motor competence (Movement Assessment Battery for Children, second edition). Additionally, the self-reported health-related quality of life (KINDL-R for children, Short Form 36 for adults) and the parent-reported strength and difficulties of the children (Strength and Difficulties Questionnaire, German version) will be assessed by standardized questionnaires. CHD data on the specific diagnosis, surgeries, transcatheter procedures, and additional medical information will be received from patient records. RESULTS The approval of the Medical Ethics Committee Charité Mitte was obtained in June 2018. After getting funded in April 2019, the first enrollment was in August 2019. The study is still ongoing until June 2022. Final results are expected in 2022. CONCLUSIONS This study protocol provides an overview of the study design’s technical details, offering an option to exclude confounding factors on neurodevelopmental outcomes in patients with CHD. This will enable a specific analysis focusing on CHD and clinical treatments to differentiate in terms of neurodevelopmental outcomes of patients with CHD compared to twin siblings with healthy hearts. Finally, we aim to clearly define what is important to prevent patients with CHD in terms of neurodevelopmental impairments to be able to develop targeted prevention strategies for patients with CHD. CLINICALTRIAL German Clinical Trials Register DRKS00021087; https://tinyurl.com/2rdw8w67 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/26404

scholarly journals Cardiovascular Diseases Prediction Using Machine Learning Algorithms

2021 ◽  
Vol 12 (6) ◽  
pp. 1083-1088
Author(s):  
Rumana M Shaikh
Keyword(s):  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Heart Defects ◽  
Heart Rhythm ◽  
Machine Learning Algorithms ◽  
Restricted Boltzmann Machines ◽  
Heart Attacks ◽  
Broad Variety ◽  
Heart Abnormalities

A broad variety of health conditions are involved in heart disease. Several illnesses and disorders come under the heart disease umbrella. Heart disease forms include: In arrhythmia, abnormality of the heart rhythm. Arteriosclerosis, Hardening of the arteries is atherosclerosis. Via cardiomyopathy, this disorder causes muscles in the heart to harden or grow weak. Defects of the congenital heart, heart abnormalities that are present at birth are congenital heart defects. Disease of the coronary arteries (CAD), the accumulation of plaque in the heart's arteries triggers CAD. It's called ischemic heart disease occasionally. Infections of the heart, bacteria, viruses, or parasites may trigger heart infections. Heart diseases namely arrhythmias, coronary heart disease, heart attacks, cardiomyopathy will be detect using the proposed algorithm in this paper. Here I compared three algorithms namely Restricted Boltzmann Machines, Deep Belief Networks and Convolutional Neural Networks for electrocardiogram (ECG) classification for heart disease.

First Case of Human Infection Caused by Pasteurella gallinarum Causing Infective Endocarditis in an Adolescent 10 Years After Surgical Correction for Truncus Arteriosus

PEDIATRICS ◽  
1995 ◽  
Vol 95 (6) ◽  
pp. 944-948
Author(s):  
Mohammad Al Fadel Saleh ◽  
Mohammad S. Al-Madan ◽  
Hashim H. Erwa ◽  
Ivy Defonseka ◽  
Saira Z. Sohel ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Infective Endocarditis ◽  
Congenital Heart ◽  
Human Infection ◽  
The Body ◽  
Surgical Correction ◽  
Truncus Arteriosus ◽  
Causative Organism ◽  
First Case

Objective. To report the first case of human infection (infective endocarditis [IEI]) caused by Pasteurella gallinarum and to review the literature regarding IE caused by the genus Pasteurella. Setting. University hospital based. Patient. An adolescent boy who underwent successful correction for truncus arteriosus 10 years before the present illness. Results. Persistent fever, pallor, and a palpable spleen suggested IE clinically. Echocardiography documented vegetation in the conduit that was used for surgical correction. Blood cultures grew P. gallinarum and confirmed its role as the causative organism for IE in the patient. Conclusion. This case illustrates that IE may develop in a child with congenital heart disease several years after surgical intervention using material that is foreign to the body (conduit), and that such a complication may involve unusual pathogens. These observations emphasize the need for careful long-term follow-up of children with congenital heart disease even after successful surgical correction.

Cardiovascular Disorders

2019 ◽  
pp. 309-326
Author(s):  
Lyla E. Hampton ◽  
Abigail C. Demianczyk ◽  
Casey Hoffman
Keyword(s):  
Quality Of Life ◽  
Birth Defects ◽  
Neurodevelopmental Disorders ◽  
Congenital Heart ◽  
Heart Defects ◽  
School Setting ◽  
The United States ◽  
Intervention Strategies ◽  
School Based

Congenital heart disease (CHD) is one of the most common birth defects in the United States, affecting approximately 1% of births per year, with most children surviving into adulthood. Despite improved survival, individuals with CHD remain at high risk for neurological, cognitive, and psychosocial challenges that affect quality of life across the lifespan and have specific implications for working with children with CHD in the school setting. This chapter describes several common complications of CHD, as well as acquired heart defects, that have implications for how children with the conditions present in the school setting. The chapter also provides information about common neurodevelopmental disorders associated with these medical conditions and the effects of the conditions on psychological adjustment and quality of life in children. Finally, the chapter concludes with a review of intervention strategies that school-based professionals may adopt when working with children with heart conditions.

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