... Zanettini et al [6] examined the risk of heart valve degeneration and severity of valve disease by comparing 64 patients taking pergolide with 49 patients taking cabergoline, 42 patients taking ... Competing interests The authors declare that they have no competing interests Authors' contributions Figure An x-ray performed during the early postoperative period An x-ray performed during the ... studies comparing patients with Parkinson's disease and non-parkinsonian controls suggests that the risk of substantial valve regurgitation is 5-6 times higher in patients with Parkinson's disease...
... utilizing their individual expertise This book outlines the principles of dealing with such patients including the preferences of techniques and the hardware available The text is divided into ... with extensive experience in pacemaker implantation and design in patients withcongenitalheartdisease During his pediatric cardiology training inthe late 1970s, cardiac electrophysiology ... children withcongenitalheartdisease are now attaining adulthood and will continue to require individuals with expertise incongenitalheart anatomy and physiology Associated with this new field of...
... invaginate the vein into the subclavian vein The torn cephalic vein then produces a choking collar around the leads preventing positioning of the atrial lead (Figure 2.5) In this situation, the ... vein retained guide wire technique Left: Two leads are passed along an intact cephalic vein Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein The vein ... introducer is passed along the guide wire into the cephalic vein Right: The dilator of the introducer is removed leaving the guide wire The lead is then inserted parallel to the guide wire technique,...
... but rather proceed retrograde towards the arm inthe axillary vein or up into the neck inthe internal jugular vein (Figure 7.4) Although this can usually be prevented by not peeling the introducer ... help in lead advancement through the annuloplasty ring The broad stylet curve shown in Figure 7.2 was required There is a ball and cage mitral valve prosthesis (MVP) innominate vein toward the heart, ... lead in certain circumstances, but unsuitable in large chambers The advantage to the Locator® is that the curve can be created from the straight position without removing the stylet Inthe center,...
... coronary sinus cannulation is considered in adults withcongenitalheart disease, it should be remembered that the venous drainage of theheart into the right atrium may not be normal In particular, ... result in marked difficulties in trying to achieve left ventricular pacing The incidence of this abnormality draining into the coronary sinus is about 3–5% of patients with structurally abnormal hearts ... outside the vein inthe pacemaker pocket has also been suggested The lead is secured to the tissues via the lead collar, using slowly absorbable suture material The lead can then be drawn into the intravascular...
... shows the ventricular lead passing inferior without a bend as if into the floor of the right atrium and fits nicely withthe accompanying schematic Depending on its position inthe ventricle, the ... unlike the normal heart where the septum traverses from left to right withthe right ventricle lying anterior This positioning of the septum is very important when viewing the position of the ventricular ... or loops to the left instead of the right, yet the great arteries develop normally This inverts all the structures derived from the bulboventricular part of the heart, which includes the atrioventricular...
... show the ventricular lead emerging from the coronary sinus looping inthe right atrium and then passing to the floor of the right ventricle The atrial lead (At) lies against the lateral wall of the ... reported withthe incidence falling with advancing age, but still as high as 20% inthe elderly [148] Atrial septal defects are also one of the most common congenital defects occurring in adults with ... to show the ventricular lead emerging from the coronary sinus, looping inthe large right atrium and passing through the tricuspid valve to the floor of the right ventricle (white arrow) The atrial...
... 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 intheheart such as inthe middle or lateral cardiac vein, ... vein, then there will be a leftward axis similar to pacing from thecardiac apex (Figure 19.6) In this position, the lateral chest x-ray helps confirm thecardiac venous pacing by demonstrating the ... (RAO) showing dual chamber pacing in a patient with Ebstein’s anomaly The passive-fixation atrial lead lies inthe atrial appendage The passive-fixation right ventricular lead lies inthe atrialized...
... operatively the coronary sinus may not drain directly into the right atrium The surgeon, in order to protect the conducting system may position the prosthetic tricuspid valve, so that the coronary sinus ... if there is evidence of sick sinus syndrome or atrioventricular block which may progress inthe future Another situation in Ebstein’s anomaly that may require cardiac pacing inthe future is the ... showing dual chamber pacing in a patient withthe Mustard procedure Inthe PA view, active-fixation leads are attached to the roof of the left atrium and lateral wall of the left ventricle In the...
... (univentricular heart) Resting 12-lead ECG from the same patient in Figure 23.4, demonstrating dual chamber pacing There is both sensing and pacing inthe atrium Ventricular pacing demonstrates ... behind the breast For ventricular pacing, two screw -in epimyocardial leads are attached to the lowermost portion of the single ventricle The two epimyocardial leads are on top of each other inthe ... Prejean CA Pacing inthe middle cardiac vein in a patient with tricuspid prosthesis PACE 2002; 25: 243–244 73 Bos HS, Pop GAM, Stel EA et al Dual site coronary sinus pacing in a patient with an artificial...
... Without remaining findings (complete correction) 1.2 With minimal findings 1.3 With clinically significant findings 1.4 After palliative interventions: 1.4a 1.4b Group With seperation of the circulations ... Patients with hemodynamically important cardiac defects before cardiac surgery/ interventions (including ablations) Group Patients after cardiac surgery/ interventions (including ablations) 1.1 Without ... function and hemodynamic findings under exertion BOX Findings after cardiacsurgery and/or interventions Minor remaining findings (1.2) – Scar after ventriculotomy – Incomplete right bundle branch...
... parenting stress in mothers of children with CHD, and (c) determine the factors affecting parenting stress in mothers of children with CHD in Korea METHODS Subjects Mothers of children with CHD ... determinants of parenting stress in mothers of children with CHD Social support explained 33.3% of parenting stress in this model, while social support and the source of information being the Internet ... visit the clinic during their break period The age of the children with CHD ranged from newborn to years old The purpose of the research was explained and informed consent was obtained by the researcher...
... newborns withcongenitalheart Of the 58 eligible newborns withcongenitalheartdisease (0.59), as compared withthe adjusted disease, the parents of 41 infants (71%) provided mean value in control ... Br ain Development in Newborns withCongenitalHeartDiseaseThe mean value for average diffusivity, averaged across all of the brain regions, was 1.35 in newborns withcongenitalheartdisease ... associated withthe decrease of 5% inthe ratio of N-acetylaspartate to choline (P = 0.13), withthe decrease of 17% inthe ratio of lactate to choline (P = 0.08), withthe increase of 2% in average...
... postoperatively The cup has no sign of migration The satisfactory healing process of the morselised graft is seen at the acetabular bed The structural autograft remains in its initial place held with one ... was then inserted in a press fit manner, basing the initial stability on the periphery of the cup After an additional small incision at the fracture site, the fracture was initially reduced anatomically ... performed the operation and made the final review GT analyzed the data and wrote the manuscript SK performed the follow-up, and reviewed the manuscript Both GT and SK participated inthe operation...
... postoperatively The cup has no sign of migration The satisfactory healing process of the morselised graft is seen at the acetabular bed The structural autograft remains in its initial place held with one ... was then inserted in a press fit manner, basing the initial stability on the periphery of the cup After an additional small incision at the fracture site, the fracture was initially reduced anatomically ... performed the operation and made the final review GT analyzed the data and wrote the manuscript SK performed the follow-up, and reviewed the manuscript Both GT and SK participated inthe operation...
... in vasopressin plasma concentration further amplifying the vasoplegic scenario [5] Despite the presence of histamine receptors theheart is not the target organ and cardiac abnormalities during ... demonstrated Vasopressin inhibits the synthesis of iNOS, blunts the increase in cGMP induced by NO and directly inactivates KATP channels in vascular smooth muscle [10] Moreover, vasopressin is able to ... and epinephrine infusions Our decision to start CPB might have been questionable since the patient might have been stabilized with epinephrine and vasopressin and the case rescheduled Nevertheless,...
... assisted inthe drafting of the manuscript VL participated inthe design of the study and assisted inthe drafting of the manuscript CM participated inthe design of the study, performed the statistical ... artifactual of the original translation process, which may also explain inconsistencies between the underlying factor structure of the instrument between Mandarin-speaking Chinese CHD patients inthe current ... Kong Chinese invariably speak Cantonese whereas inthe Xi'an province of China Mandarin is spoken Due to the pictorial nature of Chinese writing, both Cantonese and Mandarin-speaking Chinese would...
... missing scores inthe SF-6D; imputing a value for missing items in a SF-36 domain using the mean value for that domain This way, the amount of missing scores inthe SF-6D due to incomplete questionnaires ... that the scoring range of the EQ-5D is twice that of the SF-6D The location of the baseline median scores inthe scoring range was quite different: inthe top quarter for EQ-5D, halfway for the ... [18] The ceiling effect of each domain was assessed by computing the percentage of patients reporting no problems To reduce the number of missing scores inthe SF6D, we imputed missing items in the...
... of the relationship between the measures and the EQ-5D index Inthe current study, the aim was to take these clinical measures in combination in a single model to predict the EQ-5D index In this ... interest centres on mapping the EQ-5D index in another disease area, disease specific measures for thediseasein question may also be important The mapping exercise was initially performed with ... mapping clinical measures on to the EQ-5D index explained 37% of the variability inthe EQ-5D index and also performed poorly in individuals with EQ-5D index values of about 0.4 or less [15] Other...