Pacing Options in the Adult Patient with Congenital Heart Disease - part 1 pptx
Parenting Stress in Mothers of Children with Congenital Heart Disease pptx
... and parenting stress in mothers of children with CHD, and (c) determinethe factors affecting parenting stress in mothers of children with CHD in Korea.METHODSSubjects Mothers of children with ... source of information via theInternet were statistically significant determinants of parenting stress in mothers of children with CHD.Social support explained 33.3% of parenting stress in this ... adjustment of children with CHD was significantly related to the level of parenting stress. The poor psychological adjustment Parenting Stress in Mothers of Children with Congenital Heart Disease Sunhee...
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Adult Congenital Heart Disease - part 1 pps
... in 19 88 19 90), 14 associated with hyperten-sion (27 in 19 88 19 90) and 17 associated with hemorrhage (22 in 19 88 19 90).Pre-conception counselingMore than 80% of women with congenital heart disease ... ixAcknowledgments, x Part 1 General Principles, 1 1 Epidemiology of Congenital Heart Disease, 3 2 Services for the Adult with Congenital Heart Disease, 8 3 Pregnancy and Contraception, 16 4 Infective ... Consensus Conference 20 01 update: recommendations for the management of adults with congenital heart disease. Canadian Journal of Cardiology, 17 ,940–959, 10 29 10 50, and 11 35 11 58 (with permission)....
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Adult Congenital Heart Disease - part 4 pptx
... in adulthoodThe majority of adults with coarctation will already have had surgery. Re-co-arctation and aneurysm formation are the commonest repair site complica-tions. Most post-repair adults ... atrioventricular septal defect repair in adults. Chest, 94, 321–3 24. Burke RP, Horvath K, Landzberg M, Hyde P, Collins JJ, Jr & Cohn LH (1996) Long-term fol-low-up after surgical repair of ostium ... 1558–15 64. Freedom RM, Pelech A, Brand A, et al. (1985) The progressive nature of subaortic stenosis in congenital heart disease. International Journal of Cardiology, 8, 137– 148 .Niwaya K, Knott-Craig...
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Adult Congenital Heart Disease - part 1 ppt
... in 19 88 19 90), 14 associated with hyperten-sion (27 in 19 88 19 90) and 17 associated with hemorrhage (22 in 19 88 19 90).Pre-conception counselingMore than 80% of women with congenital heart disease ... Consensus Conference 20 01 update: recommendations for the management of adults with congenital heart disease. Canadian Journal of Cardiology, 17 ,940–959, 10 29 10 50, and 11 35 11 58 (with permission). ... with congenital heart disease, 19 44).Until the 19 40s, congenital heart disease was understood primarily from autopsy information. The 19 47 publication of Congenital Malformations of the Heart...
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Adult Congenital Heart Disease - part 7 pptx
... Rigby ML (19 97) Transcatheter umbrella closure of aorto-pulmonary window. Heart, 77 , 479 –480.Van Son JA, Danielson GK, Schaff HV, et al. (1993) Cor triatriatum: diagnosis, operative ap-proach, ... in adults. Annals of Internal Medicine, 128, 74 5 75 5.Wood P (1958) The Eisenmenger syndrome or pulmonary hypertension with reversed cen-tral shunt. British Medical Journal, 2, 70 1 70 9 and 75 5 76 2. ... pulmonary hyperten-sion. With permission from Mikhail GW & Yacoub MH (2003) in Gatzoulis, Webb and Daubeney (eds), Diagnosis and Management of Adult Congenital Heart Disease, Elsevier,...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 1 pptx
... passages in a review.First published 2007 1 2007ISBN -1 3 : 97 8 -1 -4 05 1- 5 56 9-4 ISBN -1 0 : 1- 4 05 1- 5 56 9-8 Library of Congress Cataloging -in- Publication DataMond, Harry G. Pacing options in the adult patient ... patient with congenital heart disease /Harry G. Mond, Peter P. Karpawich.p.;cm.Includes bibliographical references and index.ISBN -1 3 : 97 8 -1 -4 05 1- 5 56 9-4 (alk. paper)ISBN -1 0 : 1- 4 05 1- 5 56 9-8 (alk. ... heart, 11 1Concluding remarks, 11 7References, 11 9Index, 13 3 viii Introductionunsuspected autopsyoddity with little or no clinical significance. It wasnot surpris-ing, therefore, that most adult...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 2 potx
... along an intact cephalic vein. Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein. The vein is then invaginated into the subclavian veinenclosing the two ... occasion, the cephalicvein maybreak duringlead insertion. Ifthe twoleads cause a very tight fit in the vein, it may, as a consequence, invaginate the vein into the subclavian vein. The torn cephalic ... Chapter 2 Figure 2. 2 Cephalic vein retained guide wire technique. Left: The funnel introducer isinserted into the cephalic vein. Blood wells back. Right: The guide wire is inserted into the funnel.Figure...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 3 docx
... [61].Unless the pacing leads are to be positioned in traditional sites in structurally normal hearts, active-fixation pacing leads are preferable in patients with adult congenital heart disease requiring ... application in adults with congenital heart disease such as Ebstein’s anomaly or in patients, following the Mustardand Fontan [ 63] procedures. In these situations, the leads are expec-ted to follow ... uniqueto congenital heart diseases. One particularly helpful situation is position-ing the atrial lead onto the roof of the left atrium in patients who haveundergone the Mustard intra-atrial...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 4 pdf
... difficulties intrying toachieve left ventricu-lar pacing. The incidence of this abnormality draining into the coronarysinus is about 3–5% of patients with structurally abnormal hearts [ 74] . In turn ... heart 40 Chapter 11 In patientswith D-transpositionof the great vessels whohave undergoneSenning or Mustard procedures which involves the insertion of anintra-atrial baffle, the coronary sinus ... coronary sinusCoronary sinus drains into left subclavian veinUniventricular heart Stenosis of the coronary sinus ostiumUnroofed coronary sinusWolff-Parkinson-White Coronary sinus diverticulumInterrupted...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 5 doc
... Preventing bradycardia-induced afterpotentials [1 45] .What type of pacemaker should be implanted? In theory, the object-ive should be to increase the heart rate by atrial pacing alone, thusavoiding ... ventricular lead passing inferior without a bendas if into the floor of the right atrium and fits nicely with the accompany-ing schematic. Depending on its position in the ventricle, the lead tip may ... formyocardial dysfunction, including patients with congenital heart block,biventricular pacing did prove to be effective in improving symptoms andfunction [128, 129]. However, in patients with normal or...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 6 pot
... reported with the incidence falling with advancing age, but still as high as 20% in the elderly [148].Atrial septal defects are also one of the most common congenital defectsoccurring in adults with ... cava draining into the coronarysinus. Failure of left superior cardinal vein regression, typically associated with absence ofinnominate vein development, allows for venous drainage into the right ... of left ventricular pacing as a result of the lead crossing apatent foramen ovale is demonstrated in Figure 16. 2. The high arching of the lead with its summit sitting across the atrial septum...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 7 potx
... (cardiac vein). Resting 12-lead ECG demonstrating dualchamber pacing. The ventricular lead lies in the middle or a low lateral cardiac vein. There isatrial sensing and ventricular pacing with a ... showing dual chamber pacing in a patient with Ebstein’s anomaly. The passive-fixation atrial lead lies in the atrial appendage. The passive-fixation right ventricular lead lies in the atrialized right ... Bachmann’s bundle pacing isanticipated.To the uninitiated implanter, insertion of a pacemaker or ICD in a patient with D-transposition of the great vessels corrected with either the Senning or Mustard...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 8 pps
... ventricular pacing with dominant R waves from V1 to V4(Figure 20.11). The axis is, however, dependent on the position of the lead in the leftventricle. The higher thelead in the chamber, the more prominent the ... of the great vessels. Two resting 12-leadECGs of the single chamber pacing system shown in Figure 20.12 demonstrating leftventricular (LV) pacing. The upper ECG shows unipolar pacing from the ... 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 tri-cuspid valve, so that the coronary sinus...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 9 doc
... (univentricular heart) . Resting 12-lead ECG from the same patient in Figure 23.4, demonstrating dual chamber pacing. There is both sensing and pacing in the atrium. Ventricular pacing demonstrates ... survive to adulthood in increasing numbers. Based on the US NationalCenter for Health Statistics, by 2020 the number of children in the UnitedStates born with congenital heart disease in 199 0 alone ... ventricular pacing in adults with congenital abnormalities of the heart and great arteries. Br Heart J 198 3; 50: 325–3 29. 63 Hansky B, Blanz U, Peuster M et al. Endocardial pacing after Fontan-typeprocedures....
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 10 pptx
... associated with, 4venous access to, 10 infundibular right ventricular outflowtract, 103 innominate vein, 3internal jugular approach, limitation, 9interrupted inferior vena cava, 41intra-atrial ... 12 in transfemoral approach, 10 and venous stenosis problem, 33ilio-femoral route, 10 impulse conduction, interventricularand intraventricular, 18inferior vena cavaapproaches using, 10 interrupted, ... site of lead placement in 40 patients.Am J Cardiol 1983; 52: 109 1 109 7.139 Medina-Ravell V, Castellanos A, Portillo-Agosta B et al. Management of tachyar-rhythmias with dual-chamber pacemakers....
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