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Pediatric Cardiology OnlineFirst articles

18.05.2024 | Research

The Estimated Fick Method Systematically Over-Estimates Cardiac Index Compared to Thermodilution in Children

Cardiac index (CI) may be derived from the Fick method, using measured or estimated oxygen consumption (VO2), or from thermodilution. In children, LaFarge VO2 estimates correlate poorly with measured VO2 values. In a large adult cohort, there was …

verfasst von:
Andrew A. Lawson, Paul Tannous, Christina Laternser, Karl Migally

Open Access 18.05.2024 | Original Article

Novel Uses of the SwiftNinja Steerable Microcatheter for Pediatric Cardiovascular Interventions

In the present era, the intricacy of procedures undertaken by a pediatric interventional cardiologist has increased, primarily attributed to dealing with smaller, younger patients with more complex anatomies. To adapt to these smaller and more …

verfasst von:
Christopher Herron, Shabana Shahanavaz

Open Access 16.05.2024 | Research

The Effects of Aspirin dose in Children with Congenital and Acquired Heart Disease. Results from the Paediatric Study of Aspirin Efficacy using Diagnostic and Monitoring Tools (PAED-M)

The optimal dose of aspirin required in children with congenital and acquired heart disease is not known. The primary aim of this prospective observational study was to evaluate the effects of aspirin dose on platelet inhibition. The secondary aim …

verfasst von:
Irene E. Regan, Dermot Cox, Sean T. Kelleher, Colin J. McMahon

16.05.2024 | Review

Mental Health Care for Children with Heart Disease and Their Families: Practical Approaches and Considerations for the Pediatric and Pediatric Cardiology Clinician

Mental health conditions are a common comorbidity among children living with heart disease. Children with congenital heart disease are more likely to have a mental health condition than their unaffected peers or peers with other chronic illnesses …

verfasst von:
Amanda D. McCormick, Kriti Puri, S. Yukiko Asaki, Shahnawaz Amdani, Devyani Chowdhury, Julie S. Glickstein, Seda Tierney, Patricia Ibeziako, Melissa K. Cousino, Christina Ronai

14.05.2024 | Research

Experiences in Tube Weaning Children with Congenital Heart Disease and Oral Feeding Aversion

Infants and children with congenital heart disease (CHD) often require supplemental nutrition via tube feeding before and after surgery. Tube feeding may be required due to poor weight gain, inadequate oral-motor skills, and/or reduced endurance …

verfasst von:
Sarah Kaskie, Megan Horsley, Elisa Marcuccio

13.05.2024 | Research

Pediatric Primary Raynaud's Phenomenon: A Comprehensive Cardiovascular Analysis

Our aim in this study is to evaluate the cardiovascular findings of pediatric patients with primary Raynaud’s phenomenon (RP) and to determine if there are any pathological findings. Our study included 42 pediatric patients aged between 7 and 18 …

verfasst von:
Şeyma Özpınar, Helen Bornaun, Hafize Emine Sönmez, Sümeyra Doğan, Süleyman Sönmez, Halil Harman

10.05.2024 | Research

Assessing the State of Training in Congenital Interventional Cardiology: A Global Survey of Program Directors

This study aimed to evaluate the current state of congenital interventional cardiology training worldwide, with a focus on case volumes, competency assessment, and the need for ongoing mentorship during early career stages. A survey was conducted …

verfasst von:
Varun Aggarwal, Gianfranco Butera, Brian Boe, Ahmet Celebi, Tacy Downing, Raul Filho Rossi, Damien Kenny, Norm Linsky, Xiangbin Pan, Kothandam Sivakumar, Wendy Whiteside, Ziyad M. Hijazi, Aimee K. Armstrong, of the PICS Society

10.05.2024 | Research

Extracardiac Manifestations Fail to Predict the Severity of Cardiac Phenotype in Children and Young Adults with Marfan Syndrome

We performed a secondary analysis of the Pediatric Heart Network (PHN) Marfan Trial public-use database to evaluate associations between extracardiac features and cardiac and aortic phenotypes in study participants. Aortic aneurysm phenotype was …

verfasst von:
Sheba John, Luciana T. Young, Ronald V. Lacro, Arvind Hoskoppal, Zhining Ou, Angela P. Presson, Joyce T. Johnson, Lauren Andrade, L. LuAnn Minich, Shaji Menon

10.05.2024 | Research

Machine Learning Quantification of Pulmonary Regurgitation Fraction from Echocardiography

Assessment of pulmonary regurgitation (PR) guides treatment for patients with congenital heart disease. Quantitative assessment of PR fraction (PRF) by echocardiography is limited. Cardiac MRI (cMRI) is the reference-standard for PRF …

verfasst von:
Jennifer Cohen, Son Q. Duong, Naveen Arivazhagan, David M. Barris, Surkhay Bebiya, Rosalie Castaldo, Marjorie Gayanilo, Kali Hopkins, Maya Kailas, Grace Kong, Xiye Ma, Molly Marshall, Erin A. Paul, Melanie Tan, Jen Lie Yau, Girish N. Nadkarni, David Ezon

10.05.2024 | Research

Selexipag Dosing Strategies for Pediatric Patients with Pulmonary Arterial Hypertension

This retrospective chart review of patients less than 18 years old with pulmonary arterial hypertension (PAH) receiving selexipag was conducted to describe selexipag dosing practices, impact on concomitant PAH therapies, and the safety and …

verfasst von:
Madeline Grossman, Stephen Walker, E. Zachary Ramsey

Open Access 09.05.2024 | Research

NT-proBNP for Predicting All-Cause Death and Heart Transplant in Children and Adults with Heart Failure

Plasma N-terminal prohormone B-type natriuretic peptide (NT-proBNP) concentration is a heart failure (HF) biomarker in adults and children. Its prognostic value for HF-related events has been established only in adults. Therefore, we aimed to test …

verfasst von:
Walter Schmitt, Christian Diedrich, Taye H. Hamza, Michaela Meyer, Thomas Eissing, Stefanie Breitenstein, Joseph W. Rossano, Steven E. Lipshultz

09.05.2024 | Research

Adverse Effect of Bundle Branch Block on Exercise Performance in Patients with Fontan Physiology: From the Pediatric Heart Network Fontan Public Data Set

Patients with Fontan physiology have reduced exercise performance compared to their peers as well as a higher incidence of bundle branch block (BBB). This study aims to investigate the association between BBB and exercise performance in the Fontan …

verfasst von:
Omar Meziab, Emily Dereszkiewicz, Claudia E. Guerrero, Andrew W. Hoyer, Brent J. Barber, Scott E. Klewer, Michael D. Seckeler

09.05.2024 | Research

Machine Learning to Predict Outcomes of Fetal Cardiac Disease: A Pilot Study

Prediction of outcomes following a prenatal diagnosis of congenital heart disease (CHD) is challenging. Machine learning (ML) algorithms may be used to reduce clinical uncertainty and improve prognostic accuracy. We performed a pilot study to …

verfasst von:
L. E. Nield, C. Manlhiot, K. Magor, L. Freud, B. Chinni, A. Ims, N. Melamed, O. Nevo, T. Van Mieghem, D. Weisz, S. Ronzoni

09.05.2024 | Image

The Anomalous Inferior Vena Cava Accidentally Found in Very Low Birth Weight Neonate

verfasst von:
Yuichi Kubo, Takuya Tokuhisa, Kikuko Murao

Open Access 07.05.2024 | Research

Genetic Testing Resources and Practice Patterns Among Pediatric Cardiomyopathy Programs

The use of genetic testing has enhanced the diagnostic accuracy of heritable genetic cardiomyopathies. However, it remains unclear how genetic information is interpreted and incorporated into clinical practice for children with cardiomyopathy. The …

verfasst von:
Justin Godown, Emily H. Kim, Melanie D. Everitt, Wendy K. Chung, Irene D. Lytrivi, Sonya Kirmani, Paul F. Kantor, Stephanie M. Ware, Jean A. Ballweg, Ashwin K. Lal, Neha Bansal, Jeffrey Towbin, Steven E. Lipshultz, Teresa M. Lee

07.05.2024 | Research

Treatment of Primary Cardiac Tumors in Children: A Single Center 18-Year Experience

This study aimed to compare the clinical characteristics and courses of pediatric patients with cardiac tumors in nonoperative and operative groups to help guide treatment decisions. We reviewed the medical records of patients diagnosed with …

verfasst von:
Ok Jeong Lee, Ilkun Park, Ji-Hyuk Yang, I-Seok Kang, June Huh, Jinyoung Song, Tae-Gook Jun

Open Access 06.05.2024 | Case Report

Double Ventricular Response with Aberrant Conduction Leading to Ventricular Dysfunction

Double ventricular response (DVR), where a single P wave results in two QRS complexes, is a rare presentation of dual AV node physiology. It has been associated with ventricular dysfunction in the setting of incessant tachycardia. We present the …

verfasst von:
Paul W. Warren, Adam W. Powell, Timothy Knilans, Chad Connor, Shankar Baskar

Open Access 03.05.2024 | Research

A Pediatric Interprofessional Cardiac Intensive Care Unit Intervention: CICU Teams and Loved Ones Communicating (CICU TALC) is Feasible, Acceptable, and Improves Clinician Communication Behaviors in Family Meetings

Parents of children in the pediatric cardiac intensive care unit (CICU) are often unprepared for family meetings (FM). Clinicians often do not follow best practices for communicating with families, adding to distress. An interprofessional team …

verfasst von:
Jennifer Walter, Douglas L. Hill, Arzu Cetin, Aaron DeWitt, Katie Kellom, William Quarshie, Heather Griffis, Justine Shults, Robert Arnold, Jennifer Tjia, Karen Puopolo, Martha A. Q. Curley, Chris Feudtner

02.05.2024 | Review

Ductal Stenting in Low-Resource Environments

Duct-dependent pulmonary circulation has traditionally been addressed by the Blalock–Taussig–Thomas shunts (BTTS). Recently, catheter-based alternatives such as ductal stenting have emerged as a particularly advantageous option, especially in …

verfasst von:
Navaneetha Sasikumar, Pranoti Toshniwal, Praveen Reddy Bayya, Abish Sudhakar, Raman Krishna Kumar

01.05.2024 | Research

Quantitative Evaluation of Right Ventricular Workload Based on the Stroke Work Index in Patients after Right Ventricular Outflow Tract Reconstruction

The evaluation of right ventricular workload is sometimes complicated in patients after right ventricular outflow tract reconstruction (RVOTR) because both stenotic and regurgitation lesions are involved. In this study, we modified the right …

verfasst von:
Takashi Honda, Manabu Takanashi, Atsushi Kitagawa, Sumito Kimura, Fumiaki Shikata, Yoichiro Hirata, Kagami Miyaji, Kenji Ishikura