Abstract：
:Purpose The aim of this study was to determine whether the exercise tolerance test can provide diagnostic and prognostic information regarding children and young adults and help predict outcome. METHODS:A total of 87 patients, aged 7-29 years (median 13, mean 13.4) were selected retrospectively. They underwent exercise test at the Freeman Hospital from December, 2015 to May, 2016. There were two groups of patients - 46 had symptoms such as chest pain, palpitations, syncope, or dyspnoea on exertion and no cardiac diagnosis, and 40 patients had a cardiac diagnosis such as hypertrophic cardiomyopathy, transposition of the great arteries with post-arterial switch operation, aortic stenosis or regurgitation, tetralogy of Fallot, abnormal coronary arteries, Wolff-Parkinson-White syndrome, or supraventricular tachycardia. RESULTS:In the group of patients with symptoms and no cardiac diagnosis, exercise test was negative and there was no exercise-induced arrhythmia; 31 patients were discharged from follow-up. In the group of patients with a cardiac diagnosis, four patients had to be treated - one had ablation, one the Ross procedure, one aortic valve repair, and one aortic valve ballooning; in addition, seven patients had to be further investigated - one had signal average electrocardiogram, one stress cardiac MRI, two cardiac MRI, one lung function test, one reveal device, and one 24 hours electrocardiogram. In all, 43 patients were further followed-up from both groups. CONCLUSION:The exercise tolerance test is useful for clinical decision making in children and young adults with a cardiac diagnosis. In this study, the exercise tolerance test in patients with symptoms suggestive of cardiac disease but no cardiac diagnosis did not reveal any new diagnoses.
journal_name
Cardiol Youngjournal_title
Cardiology in the youngauthors
Sajnach-Menke MA,Walpole SCdoi
10.1017/S1047951117000233subject
Has Abstractpub_date
2017-09-01 00:00:00pages
1336-1340issue
7eissn
1047-9511issn
1467-1107pii
S1047951117000233journal_volume
27pub_type
杂志文章abstract：:Pulmonary sequestration is a rare congenital anomaly that can be asymptomatic or present with recurrent infections, respiratory symptoms, or rarely heart failure. Sequestration is classified as intralobar or extralobar on the basis of whether there is separation from normal lung tissue by its own visceral pleura. Clas...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951116000901
更新日期：2016-10-01 00:00:00
abstract：:We report a case of Uhl's anomaly in a 5-month-old cyanotic infant who presented with thromboembolic stroke and acute hemiparesis. The patient underwent successfully an initial surgical repair, which included exclusion of the right ventricle by patch closure of the tricuspid valve, atrial septectomy and construction o...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/s1047951102000410
更新日期：2002-03-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to determine developmental enamel defects and dental treatment conditions in children with congenital heart disease by comparing them with a control group of healthy children. METHODS:Children included in the study were referred to a paediatric dentistry for dental examination and t...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113002308
更新日期：2015-02-01 00:00:00
abstract：:A two-year-old boy with a background history of Down syndrome and partial atrioventricular septal defect presented with acute respiratory distress requiring intubation and mechanical ventilation. He continued to deteriorate, despite ventilation; direct laryngoscopy, bronchoscopy, and computed tomography demonstrated s...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114000468
更新日期：2015-03-01 00:00:00
abstract：:Congenitally corrected transposition is a rare congenital anomaly, with only a few cases diagnosed and reported prenatally even in the largest fetal series. To determine the morphologic features and outcome for the lesion as recognized during fetal life, we reviewed the fetal and postnatal echocardiograms and medical ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795110400304X
更新日期：2004-06-01 00:00:00
abstract：:We describe what is, to the best of our knowledge, a previously unreported association in patients with similar facial features, skin and joint laxity, of lengthening and tortuosity of systemic, pulmonary and coronary vessels. We evaluated 12 patients with similar phenotypes, from eight different families. Detailed ec...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951100008854
更新日期：2000-11-01 00:00:00
abstract：BACKGROUND:Cardiopulmonary bypass is associated with systemic inflammatory response. Steroids suppress this response, although the therapeutic evidence remains controversial. We hypothesised that intravenous steroids in children undergoing open-heart surgery would decrease inflammation leading to better early post-oper...
journal_title：Cardiology in the young
pub_type： 杂志文章,随机对照试验
doi：10.1017/S1047951115000566
更新日期：2016-03-01 00:00:00
abstract：:A hyperinflammatory response to COVID-19 is being described in children. While this presents, and responds to management, similar to that of Kawasaki Disease it is being coined a new entity. But is it really? We explore how this phenomenon may be Kawasaki Disease with a new trigger. ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951120001432
更新日期：2020-07-01 00:00:00
abstract：OBJECTIVE:Protocols for the placement of temporary pacing wires vary among institutions. Our current protocol is to selectively place temporary pacing wires in those patients who develop haemodynamically significant intra-operative arrhythmia. We wished to identify how effective our current protocol is at identifying w...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114000043
更新日期：2015-03-01 00:00:00
abstract：:Oxidative stress may contribute to the pathogenesis of congenital heart defects, but the role of dynamic thiol/disulphide homeostasis has not been evaluated. The objective of this study was to assess whether there are changes in thiol/disulphide homeostasis and nitric oxide levels in children with tetralogy of Fallot ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795111900012X
更新日期：2019-04-01 00:00:00
abstract：:We describe our experience with 2 patients having Costello syndrome, aged 11 and 36 months, who suffered systolic anterior motion of the aortic leaflet of the mitral valve and obstructive cardiac hypertrophy requiring surgery, comparing their cardiac characteristics to those described previously. We conclude that the ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951109991181
更新日期：2009-12-01 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：:A percutaneous transcatheter balloon dilation of a pulmonary venous pathway obstruction was successfully performed in a 40-year-old patient after a Mustard procedure. During the procedure, real-time three-dimensional trans-oesophageal echocardiography demonstrated the morphology of the obstruction. Our case highlights...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951119001045
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Transcatheter closure of atrial septal defects is performed under fluoroscopy, but echocardiography has gained an important role in the procedure. With the new Amplatzer Septal Occluder a device has become available which is easy to implant with minimal fluoroscopy time. We developed an interventional proced...
journal_title：Cardiology in the young
pub_type： 临床试验,杂志文章
doi：10.1017/s1047951100008349
更新日期：1999-03-01 00:00:00
abstract：:Neonatal interventions for critical aortic coarctation may be associated with considerable morbidity and mortality if the patient is extremely premature. We report the successful treatment of critical coarctation in a 25-week, 740-gram infant using initial clipping of the duct until continued prostaglandin E1 infusion...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951111000679
更新日期：2012-02-01 00:00:00
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:Adults with CHD often exhibit complex cardiac abnormalities, whose management requires specific clinical and surgical expertise. To enable easier access of these patients to highly specialised care, we implemented a collaborative programme that incorporates medical and surgical specialists belonging to both ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951117001664
更新日期：2018-01-01 00:00:00
abstract：AIM:We aimed to investigate the role of adiponectin in acute rheumatic fever by evaluating correlations with cytokines and acute-phase reactants. METHODS:Patients were divided into three groups by clinical findings. Group 1 included 8 patients with only chorea, Group 2 included 13 patients with arthritis and carditis,...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114001012
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:To document the echocardiographic features of tetralogy of Fallot during fetal and postnatal life. Correlation of echocardiographic findings with the requirement for early intervention prior to definitive repair. DESIGN:Retrospective observational study. SETTING:A tertiary fetal cardiology unit. PATIENTS:F...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVES:To describe the echocardiographic features, underlying causes, and outcome of fetuses with dilated cardiomyopathy. DESIGN:A retrospective observational study between 1983 and 2003 at a tertiary centre for fetal cardiology. PATIENTS:Affected fetuses were identified using a computerised database. We included...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951105000855
更新日期：2005-08-01 00:00:00
abstract：:Noonan's syndrome involves the association of multiple congenital abnormalities, with a variety of cardiac defects. We describe here the association of Noonan's syndrome with multiple pulmonary arteriovenous fistulas and bilateral duplicated renal collecting systems. To the best of our knowledge, this is the first rep...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951107000352
更新日期：2007-04-01 00:00:00
abstract：:Cardiac anesthesia and critical care provide an important continuum of care for patients with congenital heart disease. Clinicians in both areas work in complex environments in which the interactions between humans and technology is critical. Understanding our contributions to outcomes (modifiable risk) and our abilit...
journal_title：Cardiology in the young
pub_type：
doi：10.1017/S104795111700213X
更新日期：2017-12-01 00:00:00
abstract：:Sudden cardiac death is a rare but socially devastating event. The most common causes of sudden cardiac death are congenital electrical disorders and structural heart diseases. The majority of these diseases have an incomplete penetrance and variable expression; therefore, patients may be unaware of their illness. In ...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951112001138
更新日期：2013-04-01 00:00:00
abstract：:Right atrial isomerism is associated with complex cardiac malformations, particularly single-ventricle lesions; right atrial isomerism is rarely associated with aorto-pulmonary collateral arteries. We report a foetal diagnosis of right atrial isomerism, with an unbalanced atrioventricular septal defect, pulmonary sten...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951120003649
更新日期：2020-11-26 00:00:00
abstract：:Percutaneous treatment of aortic coarctation is a widely used option. Covered stents have increased the profile of efficacy and safety of this procedure. Here we report on a 32-year-old woman with significant aortic recoarctation associated with aortic wall aneurysm and close proximity of both lesions to the origin of...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114001061
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVE:The goal of this study was to see whether the open anastomosis technique using vacuum-assisted venous drainage at the time of the Fontan procedure was associated with decreased post-operative pleural effusion. METHODS:We analysed a subgroup of patients with a functional single ventricle who underwent non-fen...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951110001010
更新日期：2010-12-01 00:00:00
abstract：INTRODUCTION:The term cor triatriatum is used to describe a fibromuscular partition that divides an atrium into two compartments. It was first used by Borst in 1905, although the lesion had been described before by Church in 1868. Both described divided left atrial chamber (also referred to as cor triatriatum sinister)...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951114001073
更新日期：2015-02-01 00:00:00
abstract：:We present the case studies of two adult patients with tetralogy of Fallot who were scheduled for surgery. After addressing the right ventricular outflow tract obstruction, the aorta was opened and the ventricular septal defect was approached in a straightforward manner as it was located just under the overriding aort...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951112000030
更新日期：2012-10-01 00:00:00
abstract：:Femoral vein access is the first choice for percutaneous atrial septal defect closure, and when it cannot be used due to anatomic reasons, the alternative sites should be considered, frequently increasing the complexity of the procedure. Here we report the case of a 3-year-old boy, with situs inversus and dextrocardia...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951119002099
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:This study evaluated the effectiveness of long-term intensive lipid-lowering therapy in children and adolescents with familial hypercholesterolaemia. METHODS:The charts of 89 children and adolescents with heterozygous familial hypercholesterolaemia among ∼1000 patients treated from 1974 to 2008 were reviewe...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113000528
更新日期：2014-06-01 00:00:00
