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  • Open Access

    ARTICLE

    Comparison of QT Correction Methods in the Pediatric Population of a Community Hospital: A Retrospective Study

    Koren Hyogene Kwag1,*, Ibrahim Kak1, Ying Li2, Walid Khass1, Alec McKechnie1, Oksana Nulman1, Brande Brown1, Manoj Chhabra1
    Congenital Heart Disease, DOI:10.32604/chd.2024.045953
    Abstract Objective: Accurate measurement of QT interval, the ventricular action potential from depolarization to repolarization, is important for the early detection of Long QT syndrome. The most effective QT correction (QTc) formula has yet to be determined in the pediatric population, although it has intrinsically greater extremes in heart rate (HR) and is more susceptible to errors in measurement. The authors of this study compare six different QTc methods (Bazett, Fridericia, Framingham, Hodges, Rautaharju, and a computer algorithm utilizing the Bazett formula) for consistency against variations in HR and RR interval. Methods: Descriptive Retrospective Study. We included participants from a pediatric… More >

  • Open Access

    ARTICLE

    Association of Congenital Heart Defects (CHD) with Factors Related to Maternal Health and Pregnancy in Newborns in Puerto Rico

    Yamixa Delgado1,*, Caliani Gaytan1, Naydi Perez2, Eric Miranda3, Bryan Colón Morales1, Mónica Santos1
    Congenital Heart Disease, DOI:10.32604/chd.2024.046339
    Abstract Background: Given the pervasive issues of obesity and diabetes both in Puerto Rico and the broader United States, there is a compelling need to investigate the intricate interplay among body mass index (BMI), pregestational, and gestational maternal diabetes, and their potential impact on the occurrence of congenital heart defects (CHD) during neonatal development. Methods: Using the comprehensive System of Vigilance and Surveillance of Congenital Defects in Puerto Rico, we conducted a focused analysis on neonates diagnosed with CHD between 2016 and 2020. Our assessment encompassed a range of variables, including maternal age, gestational age, BMI, pregestational diabetes, gestational diabetes, hypertension,… More >

  • Open Access

    CASE REPORT

    Prenatal Diagnosis of an Apically Located Congenital Left Ventricular Aneurysm: A Rare Case

    Yücel Kaya1,*, And Yavuz1, Hasan Berkan Sayal1, Büşra Tsakir1, Gökalp Kabacaoğlu1, Kadriye Nilay Özcan2
    Congenital Heart Disease, DOI:10.32604/chd.2024.048145
    Abstract Congenital ventricular aneurysm is a very rare cardiac anomaly. A diagnosis can be made during the prenatal period using fetal echocardiography. This study presents a very rare apically located left ventricular aneurysm case, and the relevant literature was reviewed and discussed. In this case, a 35-year-old, gravida 2, parity 1 pregnant woman at 24 weeks of gestation, displayed a wide aneurysmal image in the left ventricular apical wall on fetal echocardiography. There was a 1.79 mm muscular ventricular septal defect at the apical region of the interventricular septum. In the course of the color Doppler ultrasonography examination, an aberrant fibrous… More >

  • Open Access

    ARTICLE

    Use of Patient-Specific “4D” Tele-Education to Enhance Actual and Perceived Knowledge in Congenital Heart Disease (CHD) Patients

    Molly Clarke1,*, Karin Hamann2, Nancy Klein2, Laura Olivieri3, Yue-Hin Loke2
    Congenital Heart Disease, DOI:10.32604/chd.2024.046328
    Abstract Background: Patients with congenital heart disease (CHD) will transition to lifelong adult congenital cardiac care. However, their structural heart disease is challenging to convey via two-dimensional drawings. This study utilized a tele-educational environment, with personalized three-dimensional (3D) modeling and health Details (3D + Details = “4D”), to improve actual and perceived knowledge, both important components of transition readiness in CHD patients. Methods: Participants aged ≥13 years with a history of CHD and cardiac magnetic resonance imaging (MRI) studies were eligible. Cardiac MRI datasets were then used to segment and create 3D heart models (using Mimics, Materialize Inc.). Participants first completed… More >

  • Open Access

    ARTICLE

    Impact of Social Determinants of Health on Self-Perceived Resilience: An Exploratory Study of Two Cohorts of Adults with Congenital Heart Disease

    Albert Osom1, Krysta S. Barton2, Katie Sexton3,4, Lyndia Brumback1, Joyce P. Yi-Frazier4, Abby R. Rosenberg5,6, Ruth Engelberg7, Jill M. Steiner8,*
    Congenital Heart Disease, DOI:10.32604/chd.2024.046656
    Abstract Social determinants of health (SDOH) affect quality of life. We investigated SDOH impacts on self-perceived resilience among people with adult congenital heart disease (ACHD). Secondary analysis of data from two complementary studies: a survey study conducted May 2021–June 2022 and a qualitative study conducted June 2020–August 2021. Resilience was assessed through CD-RISC10 score (range 0–40, higher scores reflect greater self-perceived resilience) and interview responses. Sociodemographic and SDOH (education, employment, living situation, monetary stability, financial dependency, area deprivation index) data were collected by healthcare record review and self-report. We used linear regression with robust standard errors to analyze survey data and… More >
    Graphic Abstract

    Impact of Social Determinants of Health on Self-Perceived Resilience: An Exploratory Study of Two Cohorts of Adults with Congenital Heart Disease