Abstract：
:Congenital heart disease is a significant cause of morbidity and mortality in the newborn. Its diagnosis may lead to a crisis in the affected families; there are the perceived implications of having an abnormality of so vital an organ. To that may be added the assumed guilt or blame, grief and at times anger, frequently experienced by parents of abnormal infants. It often befalls the paediatric cardiologist to initiate counselling while providing the expert information concerning the abnormality and its optimum management. Such counselling differs from that needed for minor lesions as compared for more complex abnormalities where a fatal outcome may ensure. While it is important to provide an accurate diagnosis and management plan to the parents, early detailed information is often confusing and may not be assimilated at a time of great stress. The parents seem more concerned as to whether the infant will survive, what the long term outlook will be, whether he or she will attend school, play, work and so on. With the more severe cardiac abnormalities, especially where there is a family history, one need be aware of the often perceived guilt of the parents. At times, it may be necessary to help the parents retain sufficient 'self-control', delaying the grieving process to enable them to contribute to the decision making. Where the infant has died, a follow-up appointment can facilitate grieving and help deal with unresolved issues. Through skilled counselling, the cardiologist in addition to his/her diagnostic and management skills, may meaningfully influence the ongoing care of the infant. They may help avoid the development of unrealistic fears or an over-optimistic outlook, thereby fostering the normal development of the child.
journal_name
Cardiol Youngjournal_title
Cardiology in the youngauthors
Menahem Sdoi
10.1017/s104795110000696xsubject
Has Abstractpub_date
1998-07-01 00:00:00pages
400-7issue
3eissn
1047-9511issn
1467-1107journal_volume
8pub_type
杂志文章,评审abstract：:A 2-month-old baby was resuscitated from ventricular fibrillation attributed to a concurrent chaotic atrial tachycardia with Wolff-Parkinson-White syndrome. He underwent successful radiofrequency catheter ablation of an accessory pathway. Throughout the 4-year follow-up after the procedure, the boy remained free of an...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951109992034
更新日期：2010-04-01 00:00:00
abstract：:Heart failure in children is a complex clinical syndrome with multiple aetiologies. The underlying disorders that lead to heart failure in children differ significantly from those in adults. Some clinical biomarkers for heart failure status and prognosis appear to be useful in both age groups. This review outlines the...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951115000839
更新日期：2015-08-01 00:00:00
abstract：:To determine whether cardiac catheterisation procedures for low birth weight neonatesr < or = 2.5 kg carries a greater risk of complications compared with neonates > 2.5 kg, we conducted a single-centre retrospective case–control study. From 01/03 to 01/09, 46 consecutive neonates < 2.5 kg at the time of cardiac cathe...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951112002247
更新日期：2013-10-01 00:00:00
abstract：:Severe right ventricular failure complicated a postoperative systemic inflammatory response in a 33-year-old woman after surgical repair of congenital cardiac malformations. Volume loading, and high doses of catecholamines, failed to produce improvement, but treatment with vasopressin improved all haemodynamic paramet...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951105000193
更新日期：2005-02-01 00:00:00
abstract：:Cognitive, functional, educational achievement and behavioural measures were employed to assess neurobehavioral status in 57 of 60 participants who were initially enrolled in the Baltimore-Washington Infant Study, and who survived surgical correction of complete transposition (concordant atrioventricular and discordan...
journal_title：Cardiology in the young
pub_type： 杂志文章,多中心研究
doi：10.1017/s1047951100006867
更新日期：1998-07-01 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：: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：:Milrinone is a drug frequently used for hemodynamic support in children during critical illness. Although the hemodynamic changes induced by milrinone in children may appear similar to those of adults, the physiologic contributors of these changes remain vastly unknown. A systematic review was conducted to identify st...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951119002865
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:To the best of our knowledge, normal limits of heart rate with respect to gender, and as established using 24-hour ambulatory Holter electrocardiography, have yet to be published for the entire age range of children and adolescents. OBJECTIVES:To establish the normal limits for heart rate in newborns, infan...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951108002539
更新日期：2008-10-01 00:00:00
abstract：:Sialidosis, a rare autosomal recessive disorder, is caused by a deficiency of NEU1 encoded enzyme alpha-N-acetyl neuraminidase. We report a premature male with neonatal-onset type II sialidosis which was associated with left ventricular dysfunction. The clinical presentation and subsequent progression which culminated...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951120004953
更新日期：2021-01-28 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：OBJECTIVE:To determine styles of coping, that is personal ways of dealing with problems, and social support, or support from the social environment, in a cohort of adults with congenital heart disease. METHODS:We subjected 362 patients with congenital heart disease, aged from 20 to 46 years, belonging to five diagnost...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951104002033
更新日期：2004-04-01 00:00:00
abstract：:Plastic bronchitis is a severe complication after a Fontan procedure, with an estimated incidence around 1-2% and poor prognosis. We present the cases of four patients with plastic bronchitis after a total cavopulmonary connection with a stenosis of the left pulmonary artery that was stented successfully. In three of ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113002163
更新日期：2015-01-01 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：OBJECTIVE:To describe the gross motor development of infants who had undergone cardiac surgery in the neonatal or early infant period. METHODS:Gross motor performance was assessed when infants were 4, 8, 12, and 16 months of age with the Alberta Infant Motor Scale. This scale is a discriminative gross motor outcome me...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951112000121
更新日期：2012-10-01 00:00:00
abstract：:Conotruncal heart defects are considered to be one of the most common types of birth defect worldwide. Genetic disturbances in folate metabolism such as Thymidylate synthase may increase risk for conotruncal heart defects. We evaluated two common Thymidylate synthase polymorphisms, including the 28 bp tandem repeat in...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951118002184
更新日期：2018-12-21 00:00:00
abstract：:We assessed the thickness of the normal left ventricular wall according to gender by performing two-dimensional echocardiography in children. While a few studies have evaluated left ventricular wall thicknesses in children using two-dimensional echocardiography, there is little information related to the influence of ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951102000070
更新日期：2002-01-01 00:00:00
abstract：:An unusual combination of three types of interatrial communications - coronary sinus defect, primum defect, and secundum defect - occurring together in a 3-year-old child is presented. ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795112000400X
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Flow profiles are important determinants of fluid-vessel wall interactions. The aim of this study was to assess blood flow profiles in the aorta and pulmonary trunk in patients with transposition and different ventriculoarterial connection, and hence different mechanics of the coherent pump. ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951112002193
更新日期：2014-02-01 00:00:00
abstract：:In utero diagnosis of complex progressive cardiac disease such as hypoplastic left heart syndrome presents a novel opportunity for antepartum, intrapartum, and neonatal management. The clinical possibilities and potential for differing outcomes challenge the mother-foetus dyad with regard to informed consent. Previous...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951111001715
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to investigate the relations between the P-wave dispersion and diastolic functions in type 1 diabetic children. PATIENTS:A total of 33 diabetic patients without any cardiovascular disease, with a mean age of 12.3 plus or minus 4.2 years, and 29 healthy controls, with a mean age of 1...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795110999031X
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:Assessment of right ventricular size and function is an important part of the clinical cardiac evaluation; however, these quantitative measures are challenging by echocardiography. Automated software could be useful in place of manual measurements and qualitative assessment. This study evaluates a semi-autom...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951119001641
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:In very low birth weight infants, persistence of a patent ductus arteriosus results in morbidity and mortality. Therapies to close the ductus are effective, but clinical outcomes may depend on the accuracy of diagnosis and the timing of administration. The objective of the present study was to characterise t...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951117001081
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:In patients with tricuspid atresia palliated by construction of a total cavopulmonary connection, both pulmonary and systemic circulations depend on the performance of the dominant left ventricle. When estimating the volume of such ventricles using cross-sectional echocardiography, it is necessary to make as...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951100006521
更新日期：2000-03-01 00:00:00
abstract：:Critical heart disease in the pediatric population is associated with high morbidity and mortality. Research around the most effective communication and decision-making strategies is lacking. This systematic review aims to summarise what is known about parent preference for communication and decision-making in childre...
journal_title：Cardiology in the young
pub_type： 杂志文章,meta分析,评审
doi：10.1017/S1047951118001233
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:Temporary percutaneous epicardial pacing wires are routinely placed in children following cardiac surgery. There is uncertainty in clinical practice about the optimum timing for their removal, and practice varies widely both within and between different institutions. AIM:The aim of our study was to describe...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951107001035
更新日期：2007-10-01 00:00:00
abstract：:The supramitral ring is a rare congenital malformation formed by presence of a ridge of connective tissue, usually attached at or above the mitral annulus. The incidence and clinical presentation is highly variable due to difficulty in diagnosis. A review of autopsied congenital heart diseases at our institute over a ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951108003399
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVES:There is no consensus or theoretical explanation regarding the optimal location for the fenestration during the Fontan operation. We investigated the impact of the location of the fenestration on Fontan haemodynamics using a three-dimensional Fontan model in various physiological conditions. METHODS:A three...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951117000099
更新日期：2017-09-01 00:00:00
abstract：UNLABELLED:Physical activity tends to be lower in school-age children with congenital heart disease than in healthy controls. To the best of our knowledge, objectively measured physical activity levels of preschool-age children with congenital heart disease have not been studied. METHODS:A total of 10 children with ei...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114000298
更新日期：2015-03-01 00:00:00
abstract：AIMS:To assess results of closure of atrial septal defects within the oval fossa by devices delivered by catheterisation in symptomatic infants and children under 2 years of age. METHODS AND RESULTS:The Amplatzer septal occluder was used. Results, and complications of transcatheter device treatment in patients aged be...
journal_title：Cardiology in the young
pub_type： 临床试验,杂志文章
doi：10.1017/s1047951100008234
更新日期：2000-09-01 00:00:00
