Abstract：
:We carried out a retrospective case control analysis to evaluate the outcome, and the need for treatment, of problems with atrioventricular conduction occurring during an acute attack of rheumatic fever, assessing the occurrence of second and third atrioventricular block versus first degree block. We reviewed and analysed the clinical, electrocardiographic and echocardiographic records of all children diagnosed in a single institute as having acute rheumatic fever during a period of seven consecutive years. During the period from October, 1994, through October, 2001, 65 children meeting the modified Jones criterions for acute rheumatic fever were hospitalized in the Soroka University Medical Center, Israel. First-degree atrioventricular block was identified in 72.3% of the children, and resolved with no specific treatment other than non-steroidal anti-inflammatory medications. Second-degree atrioventricular block of Mobitz type I, was observed in one child (1.5%), which progressed from first-degree block, and subsequently resolved. Complete atrioventricuar block was found in 3 children (4.6%), one progressing from Mobitz type I second-degree block, and two being seen as the first presentation. Of the three children with complete atrioventricular block, one patient was not treated, the second was treated with aspirin, and the final one with combined aspirin and steroids. The disturbances of conduction resolved in all three. We conclude that advanced atrioventricular block is rare during acute rheumatic fever. If occurring, block appears to be temporary, and resolves with conventional anti-inflammatory treatment. Specific treatment, such as insertion of a temporary pacemaker, should be considered only when syncope or clinical symptoms persist.
journal_name
Cardiol Youngjournal_title
Cardiology in the youngauthors
Zalzstein E,Maor R,Zucker N,Katz Akeywords:
subject
Has Abstractpub_date
2003-12-01 00:00:00pages
506-8issue
6eissn
1047-9511issn
1467-1107journal_volume
13pub_type
杂志文章abstract：:A neonate with transposition of the great arteries and intact ventricular septum presented without pulmonary over-circulation, and subsequently developed pulmonary haemorrhage after corrective surgery. Postoperative CT revealed an aortopulmonary collateral artery arising from the descending aorta, and we performed suc...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951115001328
更新日期：2016-03-01 00:00:00
abstract：BACKGROUND:Identification of patients with latent rheumatic heart disease by echocardiography presents a unique opportunity to prevent disease progression. Myocardial strain is a more sensitive indicator of cardiac performance than traditional measures of systolic function. OBJECTIVE:The objective of this study was to...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951116002778
更新日期：2017-08-01 00:00:00
abstract：:We describe a patient with the rare association of the heart in the left chest, congenitally corrected transposition, pulmonary atresia and an intact ventricular septum. There were associated fistulous communications between the morphologically left ventricle and the coronary arteries. Diagnosis was made by echocardio...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951100009227
更新日期：2000-05-01 00:00:00
abstract：:Common arterial trunk with arch obstruction is a rare conotruncal abnormality. We report, with confirmatory images, a neonate with this anomaly and additional supracardiac partial anomalous pulmonary venous connection, as well as phenylketonuria. ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951115000128
更新日期：2015-06-01 00:00:00
abstract：INTRODUCTION:Subclinical hypothyroidism or mild thyroid failure is a common problem in patients without known thyroid disease. METHODS:Demographic and analytical data were collected in 309, of which 181 were male and 128 were female, congenital heart disease (CHD) patients. CHD patients with thyroid-stimulating hormon...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114001711
更新日期：2015-08-01 00:00:00
abstract：:Valvar heart disease can be complicated by hemodynamic derangements, depending on the degree of the abnormality. Stenosis causes pressure overload of the chamber draining through the valve and regurgitation results in volume overload. Many lesions have a component of both, resulting in both pressure and volume overloa...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114001978
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:At present, the exclusion for percutaneous pulmonary valve implantation for free pulmonary regurgitation after tetralogy of Fallot repair includes an unfavourably large right ventricular outflow tract. OBJECTIVE:To report feasibility and early experience with a recently developed transcatheter heart valve, ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951115001067
更新日期：2016-04-01 00:00:00
abstract：:Fibrates are peroxisome proliferator-activated receptor-α agonists and are clinically used for treatment of dyslipidemia and hypertriglyceridemia. Fenofibrate is reported as a cardioprotective agent in various models of cardiac dysfunction; however, limited literature is available regarding the role of gemfibrozil as ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795111400081X
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVE:To evaluate the family psycho-social outcomes of children with Down syndrome and atrioventricular septal defect, and examine the impact of these variables on the child's neurodevelopmental outcome. METHODS:This was a cross-sectional study that consisted of 57 children with Down syndrome - 20 cases and 37 con...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951115000062
更新日期：2016-02-01 00:00:00
abstract：:In recent years, three-dimensional imaging has provided new opportunities for visualizing congenital cardiac malformations. We present the initial clinical experience using a recently implemented system, which employs some of new interactive, real-time, techniques. We show how three-dimensional rendering based on magn...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：
更新日期：2003-10-01 00:00:00
abstract：:A 31-year-old patient previously underwent a Mustard operation presented with palpitations. Atrial tachycardia and paroxysmal atrial fibrillation were documented on the surface electrocardiogram. Under the guidance of a three-dimensional electroanatomic mapping system, ablation of the isolated left-sided pulmonary vei...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114001851
更新日期：2015-08-01 00:00:00
abstract：:Our long-term follow-up has revealed that symmetrical development of the breasts is significantly impaired in pre-pubescent female patients subsequent to an anterolateral thoracotomy. Although standard posterolateral and anterolateral right-sided thoracotomies are used for correction of "simple" cardiac lesions such a...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：
更新日期：2003-12-01 00:00:00
abstract：:Berry syndrome is a rare CHD. Approximately 29 cases have been described in the literature. Surgical correction has been successfully performed as well. We report the case of a newborn diagnosed with Berry syndrome who was subsequently diagnosed with trisomy 13. Cytogenetic analysis should be performed before surgical...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951115000256
更新日期：2016-01-01 00:00:00
abstract：:Aim We aimed to study the dimensions, systolic and diastolic functions of the left ventricle; dimensions and elasticity of the aorta; and carotid intima-media thickness and flow-mediated dilatation of the brachial artery in mitral valve prolapse. METHODS:The study group consisted of 43 patients (mean age=13.3±3.9) an...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951117001950
更新日期：2018-02-01 00:00:00
abstract：:We report the case of a 12-day-old newborn affected by coarctation of the aorta and intraventricular defect who underwent coarctectomy and pulmonary artery banding. On post-operative day 7, the patient suffered from pulseless electric activity due to tension pneumothorax. Point-of-care ultrasound was performed during ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951115001213
更新日期：2016-02-01 00:00:00
abstract：:We describe a three-year-old boy who presented with recurrent expectoration of bronchial casts six months following creation of a fenestrated lateral tunnel Fontan circulation for pulmonary atresia with intact ventricular septum. Cardiac catheterization demonstrated elevated central venous pressure with two areas of s...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951101000385
更新日期：2001-05-01 00:00:00
abstract：OBJECTIVE:Cardiovascular morbidity is high in patients with coarctation of aorta even after successful repair. This study aimed to assess the frequency of late hypertension and the relationship between ambulatory hypertension and cardiovascular target organ damage in children and adolescents after early and successful ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795112000205X
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Complications at the vascular access sites are among the most common adverse events in congenital cardiac catheterization. The use of small-gauge catheters may reduce these events; however, other factors can contribute to the development of vascular complications. OBJECTIVES:To determine factors associated ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951111000989
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE:The policy of early repair of patients with tetralogy of Fallot, irrespective of age, as opposed to initial palliation with a shunt, remains controversial. The aim of our study was to analyze the midterm outcome of primary early correction of tetralogy of Fallot. METHODS:Between 1996 and 2005, a total of 61 ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951108001960
更新日期：2008-04-01 00:00:00
abstract：:We report a case of unroofed coronary sinus not associated with the persistent left superior vena cava. Definite diagnosis of the unroofed coronary sinus was obtained by trans-oesophageal echocardiography, which revealed the unroofed portion with left-to-right shunt. Real-time three-dimensional trans-oesophageal echoc...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113002400
更新日期：2015-01-01 00:00:00
abstract：:The update course in foetal cardiology held by the Fetal Working Group of the Association for European Paediatric and Congenital Cardiology in Istanbul in May 2012 included a session on foetal cardiac therapy. In the introductory overview to this symposium, we critically examine the level of evidence supporting or ref...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951114001231
更新日期：2014-10-01 00:00:00
abstract：:Adequate arch augmentation for interrupted aortic arch repair is quite important to avoid post-operative recoarctation and bronchial compression. We describe here two successful cases of aortic arch reconstruction using autologous materials such as a pulmonary artery patch and a reversed left subclavian artery flap in...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113000899
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:The prevalence of mitral valvar prolapse has been reported to be between 0.6 and 21%. The goal of our study was to evaluate its prevalence in young athletes who underwent hand-held echocardiography as a screening mostly in southern California. METHODS:We retrospectively analyzed 1742 echocardiograms that we...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795110800245X
更新日期：2008-08-01 00:00:00
abstract：BACKGROUND:There is a great need for echocardiographic criterions for accurate diagnosis of carditis in acute rheumatic fever. AIM:To test the efficacy of proposed echocardiographic criterions for the diagnosis of carditis. MATERIALS AND METHODS:We studied 333 patients suspected of having acute rheumatic fever, under...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951108003107
更新日期：2008-12-01 00:00:00
abstract：:Advances in biomedical engineering have led to three-dimensional (3D)-printed models being used for a broad range of different applications. Teaching medical personnel, communicating with patients and relatives, planning complex heart surgery, or designing new techniques for repair of CHD via cardiac catheterisation a...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951119000398
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:To evaluate delivery management and outcomes in fetuses prenatally diagnosed with CHD. STUDY DESIGN:A retrospective cohort study was conducted on 6194 fetuses (born between 2013 and 2016), comparing prenatally diagnosed with CHD (170) to those with non-cardiac (234) and no anomalies (5790). Primary outcomes ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951120000785
更新日期：2020-05-01 00:00:00
abstract：INTRODUCTION:Anomalous origin of one pulmonary artery from the ascending aorta is a rare cardiac anomaly in which the pulmonary artery abnormally arises from the ascending aorta. Physiologically, most patients develop signs of cardiac failure due to high flow to both lungs, with systemic or supra-systemic pressures in ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951110000892
更新日期：2010-12-01 00:00:00
abstract：:Acute myocardial infarction is rarely reported in children. Most of the cases are secondary to congenital anomalies or Kawasaki disease. Coronary artery total occlusion caused by fibromuscular dysplasia has never been reported in young children. Here we report a case of a 12-year-old boy with fibromuscular dysplasia, ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113002394
更新日期：2015-01-01 00:00:00
abstract：:Recently, three-dimensional printing of heart models is being used to plan percutaneous and surgical interventions in patients with CHD. We describe a case where we used a three-dimensional print model to plan a complex percutaneous intervention in a patient with coarctation of the aorta. ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951116001827
更新日期：2016-12-01 00:00:00
abstract：:Our aim was to determine whether the index of left ventricular mass increases during the acute and subacute phase of Kawasaki disease, and to investigate any relationship between this index and clinical and echocardiographic variables. We performed, therefore, a retrospective study of 66 children with Kawasaki disease...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951108003405
更新日期：2009-02-01 00:00:00
