Publications by authors named "Gemma Giralt"
Introduction/objectives: Asian scores developed to predict unresponsiveness to intravenous immunoglobulin (IVIG) or development of coronary artery aneurysms (CAA) in patients with Kawasaki disease (KD) are not appropriate in Western populations. The purpose of this study is to develop 2 scores, to predict unresponsiveness to IVIG and development of CAA, appropriate for Spanish population.
Method: Data of 625 Spanish children with KD collected retrospectively (2011-2016) were used to identify variables to develop the 2 scores of interest: unresponsiveness to IVIG and development of CAA.
A retrospective study that compared children younger than 6 months versus older children of a Spanish cohort of patients diagnosed with Kawasaki disease between 2011 and 2016 (Kawa-Race study). From the 598 patients recruited, 42 patients were younger than 6 months (7%) and presented more frequently with an incomplete diagnosis of Kawasaki disease (52.4 vs 27.
View Article and Find Full Text PDFThis study evaluated the preclinical effect of obesity on the ventricular remodeling in adolescents with morbid obesity, and determined if subjects labelled as metabolically healthy obesity (MHO) presented better heart index than those with metabolically unhealthy obesity (MUO). Prospective case-control research of 45 adolescents (14-year-old) with morbid obesity and 25 normal weight adolescents' gender- and age-matched with Tanner stage 4-5. Left ventricle (LV) was evaluated by conventional Doppler echocardiography, tissue Doppler imaging and two-dimensional speckle tracking echocardiography.
View Article and Find Full Text PDFCor triatriatum sinister: out of the Lucas-Schmidt classification.
Rev Esp Cardiol (Engl Ed)
November 2021
Article Synopsis
- - COVID-19 generally causes less severe illness in children, but during the pandemic, an increase in cases resembling Kawasaki disease (KD) was observed, prompting many hospital admissions to pediatric intensive care units (PICU).
- - A study analyzed KD patients in Spain from January 2018 to May 2020, comparing those who were SARS-CoV-2 positive and negative during the COVID-19 period with cases from the same months in prior years.
- - Key findings revealed that CoV+ patients were older, had different clinical presentations (like incomplete KD), and showed higher inflammation levels compared to PreCoV patients, while also possibly aligning with the criteria for a new condition called pediatric inflammatory multisystem syndrome.
Objectives: Cardiac compression in pectus excavatum remains difficult to evaluate. We describe the findings with intraoperative transesophageal echocardiography during pectus excavatum correction in pediatric patients.
Methods: We studied right heart changes during surgical correction of pectus excavatum by transesophageal echocardiograph.
Loeys-Dietz syndrome (LDS) is an autosomal dominant connective tissue disorder characterized mainly by cardiovascular, craniofacial and skeletal features. We report on a patient with LDS, whose prenatal examination was compatible with the diagnosis of arthrogryposis multiplex congenita. Neonatal assessment showed craniofacial and cardiovascular findings suggestive of LDS whose diagnosis was confirmed by the detection of a novel mutation (HGVN: NM_003242.
View Article and Find Full Text PDFIntroduction And Objectives: Since the creation of the Adult Congenital Heart Disease Units and of the High Obstetric Risk Units, there has been increasing interest in hemodynamic and obstetric outcomes in pregnant woman with congenital heart disease.
Methods: Retrospective descriptive study of 56 women with congenital heart disease aged (mean [range]) 25 (18-40) years, who experienced a total of 84 pregnancies between January 1992 and August 2006. The women were divided into three pregnancy risk groups: A, low-risk; B, moderate-risk, and C, high-risk.