Over the past 40 years, medical and surgical management of congenital heart disease has advanced considerably. However, substantial room for improvement remains certain lesions that have high rates morbidity mortality. Although most cardiac conditions are well tolerated during fetal development, abnormalities progress in severity over course gestation impair development other organs, such as lu...

BACKGROUND Radiation therapy (RT), a critical component of breast-conserving therapy for breast cancer, has been associated with coronary artery disease (CAD) in numerous older studies, but the risk may be lower with modern techniques. METHODS Observed rates of cardiac events in 828 patients treated with breast-conserving surgery and RT at the University of Michigan were compared with expecte...

BACKGROUND Current risk models for predicting long-term mortality after percutaneous coronary intervention are restricted to all-cause mortality. We sought to develop novel risk models for the prediction of cardiac and noncardiac mortality after percutaneous coronary intervention. METHODS AND RESULTS We retrospectively evaluated patients who underwent index percutaneous coronary intervention ...

BACKGROUND Cardiac catheterization has opened an innovative treatment field for cardiac disease; this treatment is becoming the most popular approach for pediatric congenital heart disease (CHD) and has led to a significant growth in the number of children with cardiac catheterization. Unfortunately, based on evidence, it has been demonstrated that the majority of children with CHD are at an in...

OBJECTIVE To describe the current evidence related to the self-management of cardiac pain in women using the process and methodology of evidence mapping. DESIGN AND SETTING Literature search for studies that describe the self-management of cardiac pain in women greater than 18 years of age, managed in community, primary care or outpatient settings, published in English or a Scandinavian langu...

BACKGROUND Despite evidence-based recommendations supporting long-term use of cardiac medications in patients post ST-elevation myocardial infarction, adherence is known to decline over time. Discontinuation of cardiac medications in such patients is associated with increased mortality. METHODS/DESIGN This is a pragmatic, cluster-randomized controlled trial with blinded outcome assessment and...

Intensive cardiac management such as pharmacological intervention for ductal patency (indomethacin and/or mefenamic acid for closure and prostaglandin E1 for maintenance) and palliative or corrective surgery is a standard treatment for congenital heart defects. However, whether it would be a treatment option for children with trisomy 13 or trisomy 18 syndrome is controversial because the effica...

BACKGROUND The number of cardiac rhythm device implantations has been growing fast due to expanding indications and ageing of the population. Complications of implantation were rare in the trials. However, these involved small numbers and selected patients. Prospective real-life data are necessary to assess cardiac device implantation procedure-related risks. OBJECTIVE To determine the incide...

BACKGROUND Cardiac telerehabilitation has been introduced as an adjunct or alternative to conventional center-based cardiac rehabilitation to increase its long-term effectiveness. However, before large-scale implementation and reimbursement in current health care systems is possible, well-designed studies on the effectiveness of this new additional treatment strategy are needed. OBJECTIVE The...

This study aims to apply the identification of left and right oblique modifications reduce back pain after percutaneous coronary intervention based on results Evidence-Based Practice Nursing (EBPN) research. The research method used is a case study. in this innovative design by applying identifying post-percutaneous intervention. showed that adjusting correct diagonal positions was carried out ...