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The Relationship Between Ambulatory Blood Pressure and Atherogenic Index with LV Geometry Pattern in Obese Children: Results from a Cross-Sectional Study in Serbia.
Pediatr Cardiol
December 2024
Department of Preventive Cardiology, Medical University of Lodz (MUL), Lodz, Poland.
Arterial hypertension and increased atherogenic index of plasma (AIP) are strong predictors of cardiovascular risk associated in individuals with obesity both in adults and children. Thus, we aimed to explore the relationship between AIP and systolic ambulatory blood pressure index (sABPI) with left ventricular geometry pattern in obese children. In this cross-sectional study, a total of 129 obese children (BMI greater or equal to the 95th percentile for age and sex) were examined.
View Article and Find Full Text PDFEchocardiographic Changes in Infants with Severe Congenital Diaphragmatic Hernia After Fetoscopic Endoluminal Tracheal Occlusion (FETO).
Pediatr Cardiol
December 2024
Division of Pediatric General, Thoracic, and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Fetoscopic endoluminal tracheal occlusion (FETO) induces lung growth and may improve survival in congenital diaphragmatic hernia (CDH) but the effect on post-natal right (RV) and left (LV) ventricular size and cardiac function is unknown. Quantitative measures of heart size and function including tricuspid annular plane systolic excursion Z-score (TAPSEZ), RV fractional area change (RVFAC), RV global longitudinal and free wall strain (RVGLS, RVFWS), RV/LV ratio, LV eccentricity index (LVEI), and LV M-mode diastolic and systolic Z-scores (LVIDDZ, LVIDSZ) were compared between FETO and control patients on first post-natal echocardiogram, prior to and post CDH repair, and on last available echocardiogram using non-parametric Wilcoxon rank-sum test in a single-center, retrospective cohort study. Linear regression models evaluated change over time, adjusting for clustering and interaction of echocardiogram parameters with time.
View Article and Find Full Text PDFRole of Cardiovascular Magnetic Resonance in the Assessment of Native Aortic Regurgitation With Insights on Mixed and Multiple Valvular Heart Disease: A Narrative Review.
Echocardiography
December 2024
Department of Radiology, G.B. Rossi University Hospital, University of Verona, Verona, Italy.
Cardiovascular magnetic resonance imaging (CMR) has received extensive validation for the assessment of valvular heart disease (VHD) and offers an accurate and direct method for the quantification of aortic regurgitation (AR). According to the current guidelines, CMR represents a useful second-line investigation in patients with poor acoustic windows or when echocardiography is inconclusive, for example, in cases of multiple or eccentric aortic jets. Without ionizing radiation exposure, CMR provides in-depth information not only on the severity degree of AR, providing a precise quantification of regurgitant volume and fraction, but also on cardiac structure and function, being recognized as the gold standard for the assessment of heart chamber size and systolic function.
View Article and Find Full Text PDFCHRONIC HEART FAILURE WITH PRESERVED LEFT VENTRICLE EJECTION FRACTION (HFPEF) AND RIGHT VENTRICLE INVOLVEMENT IN PATIENTS WITH NORMAL SINUS RHYTHM AND ATRIAL FIBRILLATION; A SMALL OBSERVATIONAL STUDY: RELEVANCE OF THE PROBLEM, DIAGNOSTIC APPROACH, ECHOCARDIOGRAPHIC EVALUATION OF RIGHT VENTRICLE.
Georgian Med News
September 2024
David Aghmashenebeli University of Georgia Faculty of Medicine, Tbilisi, Georgia.
Article Synopsis
- Chronic Heart Failure (CHF) affects over 6.5 million adults in the U.S., with more than 50% of patients having preserved left ventricle ejection fraction (HFpEF), but the role of right ventricle (RV) dysfunction in these patients is not well understood.
- The study analyzed 26 HFpEF patients, dividing them into groups with normal sinus rhythm and atrial fibrillation, and assessed various RV functions through transthoracic ultrasound.
- Results indicated that none of the echocardiographic parameters effectively marked RV function in HFpEF patients, with the exception of the Right Ventricular Index of Myocardial Performance (RIMP), which
Persistent pulmonary hypertension in children after apparent resolution of ultrasound-defined pulmonary hypertension associated with bronchopulmonary dysplasia.
Eur J Pediatr
November 2024
Department of Pediatrics, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu Mie, 514-8507, Japan.
Article Synopsis
- A study evaluated pulmonary hemodynamics in infants with bronchopulmonary dysplasia (BPD)-associated pulmonary hypertension (PH) after mid-term follow-up using right heart catheterization (RHC) on 56 patients born before 28 weeks of gestation.
- Out of the 10 infants with PH defined by ultrasound, 7 were treated with sildenafil, and results showed significant improvements in PH indicators at a median age of 25 months.
- Despite improvements, half of the patients still had catheterization-defined PH, highlighting the need for continued long-term monitoring of BPD-associated PH in infants.
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