Publications by authors named "Hajnalka O Balint"

Background: Catheter ablation is a rarely used procedure to treat arrhythmias during pregnancy.

Hypothesis: In the case of maternal arrhythmia during pregnancy, zero-fluoroscopic catheter ablation is preferable to medical treatment.

Methods: Between April 2014 and September 2021, we examined the demographic data, procedural parameters, and fetal and maternal outcomes in pregnant women undergoing ablation at the Gottsegen National Cardiovascular Center and University of Pécs Medical School, Heart Institute.

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Background: Infective endocarditis (IE) remains major cause of morbidity and mortality in adult congenital heart disease (ACHD). Limited data exists on ACHD with IE in Central and South-Eastern European (CESEE) countries. The aim of this study is to characterize contemporary management and assess outcomes of ACHD with IE in CESEE region.

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Article Synopsis
  • The study evaluates adult congenital heart disease (ACHD) services in 19 countries within Central and South Eastern Europe (CESEE), revealing that most have established ACHD centres with a median patient follow-up of 2114.
  • Despite adequate infrastructure, there's a shortage of specialists and nurses, with 75% of centres lacking dedicated ACHD nursing staff.
  • Financial limitations, including government reimbursement caps, result in patient waiting lists and restrict the number of procedures, highlighting the need for increased advocacy and resources to improve care across the region.
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Background: Pregnant women with a mechanical heart valve (MHV) are at a heightened risk of a thrombotic event, and their absolute need for adequate anticoagulation puts them at considerable risk of bleeding and, with some anticoagulants, fetotoxicity.

Methods And Results: Within the prospective, observational, contemporary, worldwide Registry of Pregnancy and Cardiac disease (ROPAC), we describe the pregnancy outcome of 212 patients with an MHV. We compare them with 134 patients with a tissue heart valve and 2620 other patients without a prosthetic valve.

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