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Moehler Eva - - 2007
The impact of delivery mode on the cardiac autonomic balance was studied in a sample of 101 full term appropriate for gestational age (AGA) human infants. Cardiac autonomic balance was measured by assessing basic heart rate, and two indicators of vagal tone, the Root Mean Square of Successive Differences (RMSSD) ...
Toomasian John M - - 2007
Extracorporeal life support (ECLS) was established in a newborn infant diagnosed with severe respiratory failure secondary to complex congenital heart disease. After 4 days of ECLS support in the intensive care unit, the infant was brought to the operating room for repair of the primary lesion. Due to concerns related ...
Cramm Kelly J - - 2006
The purpose of this case report is to illustrate the diagnostic difficulties of congestive heart failure in an infant. When presenting to the emergency department, these patients are often evaluated for sepsis, congenital heart disease, metabolic disorders, and myocarditis. We report a case of a 3(1/2)-month-old male who presented to ...
van Trotsenburg A S Paul - - 2006
OBJECTIVE: Young infants with Down syndrome have an increased occurrence of several well-known medical conditions such as congenital heart and gastrointestinal disease. The aim of this study was to establish consequences like hospitalization and medication use rates and to determine their possible influence on early neurodevelopment. PATIENTS AND METHODS: This ...
Courtnage, Alesya
Studies have shown that the combination of stress, pain, isolation from the mother, aversive environmental stimuli and multiple caregivers, which are all characteristics of the NICU environment, may negatively affect the premature neonate's general state of health The purpose of this study was to establish whether live, infant directed singing ...
Texter Karen M - - 2006
OBJECTIVES: We sought to characterize the clinical nature of atrial flutter (AFL) in a large cohort of infants. BACKGROUND: There are no large studies describing the natural history of AFL in infants. Previous studies vary in the therapy used and expected prognosis. METHODS: We reviewed the records of all children ...
von Heymann Christian - - 2006
BACKGROUND: Heparin-induced thrombocytopenia type II (HIT II) is a rare but potentially life-threatening complication of heparin therapy. Hitherto, only few reports on HIT II in infants and children have been published. In particular, infants and children who have to be operated under cardiopulmonary bypass are at risk as an alternative ...
Veldman Alex - - 2006
Pharmacologic support of the failing neonatal heart to maintain cardiac output, which is vital for sufficient end organ perfusion, is a challenging task for the pediatric intensivist, especially since strategies which have been proven to be effective in adults cannot necessarily be extrapolated to neonates. The unique biochemical properties and ...
Gillespie Matthew - - 2006
OBJECTIVE: The purpose of this study was to identify factors that influence postoperative intensive care unit length of stay (ICULOS) in infants less than 6 months of age undergoing congenital heart surgery. METHODS: Records from a single institution, from January 2000 to December 2000, were reviewed. For analysis, surgical severity ...
Durall Amy L - - 2006
We report a 1-month-old infant with Kawasaki disease and peripheral gangrene. We advocate using the newly published American Heart Association guidelines advising early laboratory and echocardiogram investigations in infants with fever but without other classic manifestations of Kawasaki disease. Initiation of early therapy may prevent this serious complication with its ...
Lewis Michael - - 2006
This study examined the relation of anger and sadness to heart rate and cortisol in 4-month-old infants' (n = 56) response to a goal blockage. The blockage occurred during a contingency learning procedure where infants' response no longer produced a learned interesting event. Anger and sadness were the major emotional ...
de Vries F - - 2006
Linear models were used to analyse the relationships between the prion protein genotypes and the height at the withers and rump, the heart girth and the length of the trunk of 440 East Friesian milk sheep. Significant associations were found between the ARR allele and the height of the withers ...
Sahney Shobha - - 2006
Most infants and children referred for cardiac transplantation have low cardiac output with concurrent renal hypoperfusion leading to renal insufficiency and failure. This article is a review of the literature of and a single center's experience with combined heart and kidney failure in infants and children less than 10 yr ...
Hunyady Agnes I - - 2006
Pediatric patients with uncorrected cyanotic congenital heart diseases may present for noncardiac surgery. Associated congenital defects and severe uncompensated secondary erythrocytosis may complicate their anesthetic management. We describe the uncomplicated anesthetic for open G-tube placement of an ex-premature 8-month-old infant with uncorrected tetralogy of Fallot, multiple associated congenital anomalies, and ...
Schranz Dietmar - - 2006
In neonates and infants with critical aortic coarctation, balloon angioplasty is considered for rescue therapy of heart failure. The use of conventional stents is limited because of further vessel growth, the need of redilation, and later surgical removal. However, a novel bioabsorbable magnesium stent (AMS) might overcome such restrictions of ...
Hanson-Morris Kathleen A - - 2006
On January 1, 2000, the Wisconsin Pediatric Cardiac Registry began registering families of infants born with a congenital heart defect (CHD) in Wisconsin. Pediatric cardiologists across the state developed the Registry as a database and as a research study exploring potential etiologies of CHDs. Participating pediatric cardiologists identify the infants ...
Barreto Edwin D - - 2006
BACKGROUND: Previous studies have shown that 4-month-old infants have a decrease in heart rate, a component of the orienting reflex, in response to interesting auditory stimuli and an increase in heart rate to aversive auditory stimuli. OBJECTIVE: To compare the heart rate responses of former preterm and term infants at ...
Sarti Armando - - 2006
BACKGROUND: Current international guidelines state that heart rate counted at the brachial pulse must be absent or <60 b x min(-1) to diagnose cardiac arrest. Some data suggest that this site may not be the best to check cardiac activity. Hypotension is a likely real scenario of the need for ...
Hogenhuis Jochem - - 2006
BACKGROUND: B-type natriuretic peptide (BNP) and 6-min walk test (6MWT) are both related to the severity and prognosis in chronic heart failure (CHF), but may reflect different aspects of CHF. We related BNP and 6MWT to left ventricular ejection fraction (LVEF), New York Heart Association functional class (NYHA), and two ...
Kelleher Deanne K - - 2006
BACKGROUND: Protein-energy malnutrition is common among infants with congenital heart disease. We hypothesized that infants with hypoplastic left heart syndrome (HLHS) are at risk for malnutrition. OBJECTIVE: To determine the prevalence of and risk factors for malnutrition in infants undergoing palliative surgery for HLHS. METHODS: Retrospective chart review of 50 ...
Chang Feng-Yu - - 2006
BACKGROUND: Kawasaki disease is the leading cause of acquired heart disease in childhood. However, there are only a few reports in infants younger than 6 months. The objective of this study is to investigate the clinical and laboratory characteristics of Kawasaki disease in infants younger than 6 months. METHODS: From ...
Andrews R E - - 2006
OBJECTIVE: To determine outcome of delivery before 36 weeks gestation in babies diagnosed antenatally with serious congenital heart disease (CHD). STUDY DESIGN: A retrospective database review at 2 tertiary care fetal cardiology centers. Details of neonatal course and outcome were obtained for those antenatally diagnosed with serious CHD who were ...
Obidi Emeka - - 2006
Isolated postnatal atrial flutter (AF) with a structurally normal heart is rare in the neonatal period. Central lines have their inherent risks and are frequently used in the management of growing premature newborns. Some new antimicrobial agents do have pro-arrhythmic effects, proven in adults but with limited data available for ...
Johnson W Thomas - - 2006
Although cytochrome-c oxidase (CCO) is a copper-dependent enzyme, the effect of maternal copper deficiency on the expression of CCO activity during postnatal development of the neonatal rat heart has not been investigated extensively. Here, we show that CCO activity in heart mitochondria isolated from neonates of copper-deficient dams did not ...
Elish Diana - - 2006
Neonatal lupus erythematosus (NLE) is a rare syndrome of newborns and infants defined by the presence of maternal autoantibodies and the characteristic clinical features of the infant. The clinical findings most often reported are congenital heart block and cutaneous lesions; however, many children have cardiomyopathy, hepatobiliary disease, and/or hematologic diatheses. ...
Lim D S - - 2006
We prospectively employed a risk-stratified approach to first-stage palliation of hypoplastic left heart syndrome. High-risk features included severe tricuspid insufficiency, severe right ventricular dysfunction, a severely restrictive or intact atrial septum, an ascending aortic diameter < or = 2 mm, late presentation, weight < 2 kg, or significant extracardiac issues, ...
Nisenblat Vicki - - 2006
BACKGROUND: To evaluate the validity of fetal heart rate monitoring during the last hour prior to birth, as a predictor of long term neurodevelopmental outcome of very low birth weight infants. METHODS: A total of 111 very low birth weight infants were included in the study. Fetal heart rate tracings ...
Myers Michael M - - 2006
AIM: Newborn infants produce significant heart rate responses to both head-up and head-down tilting: heart rate increases with head-up tilting and decreases with head-down tilting. However, previously we found that, at 2-4 mo of age, heart rate increases were no longer significant following slow head-up tilting. This study was designed ...
Wheeler Adam D - - 2006
OBJECTIVES: To report the occurrence of bradycardia associated with the use of methadone administered to prevent withdrawal in an infant with physical tolerance following long-term opioid therapy in the pediatric intensive care unit setting. DESIGN: Retrospective case report. PATIENTS AND RESULTS: Methadone (0.1 mg/kg) was administered to a 6-month-old infant ...
Moorman J Randall - - 2006
While heart rate variability has been measured in many clinical settings and has offered insights into how HR is controlled, rarely has it offered unique information that has led to changes in patient management. We review our experience in developing continuous HR characteristics monitoring to aid in the early diagnosis ...
Clark Simon J - - 2006
Cardiac troponin T (cTnT) has been used to assess prevalence of myocardial injury in critically ill children. The majority of studies investigated patients undergoing cardiac surgery. Myocardial injury has been associated with increased mortality. Our objectives were to investigate whether cTnT levels are elevated in infants without congenital heart disease ...
Schultz Amy H - - 2005
OBJECTIVES: We sought to assess the effect of congenital heart disease requiring surgical intervention with cardiopulmonary bypass at 6 months of age or less on developmental outcomes and growth at 1 year of age while controlling for socioeconomic status, prematurity, home environment, and parental intelligence. METHODS: We performed within-family comparison ...
Ades Anne - - 2005
Low birth weight infants with congenital heart disease (CHD) have a higher mortality risk and likely a higher morbidity risk than their preterm or appropriate for gestational age counterparts without CHD and term counterparts with CHD. As our understanding of the pathophysiology and treatment of the diseases associated with prematurity ...
de Wahl Granelli Anne - - 2005
AIM: To evaluate the feasibility of detecting duct-dependent congenital heart disease before hospital discharge by using pulse oximetry. DESIGN: Case-control study. SETTING: A supra-regional referral centre for paediatric cardiac surgery in Sweden. PATIENTS: 200 normal term newborns with echocardiographically normal hearts (median age 1.0 d) and 66 infants with critical ...
Taşar M Ayşin - - 2005
Cardiac troponin (cTn) is highly specific for myocardial injury. However, effect of beta2-agonist therapy on cTn in wheezy infants is unknown. We aimed to assess serum troponin in children with wheezy infant treated by short-acting inhaler beta2-agonists. Twenty-four children, under 5 years old, with the diagnosis of wheezy infant with ...
Griffin M Pamela - - 2005
OBJECTIVE: Monitoring of regulated physiologic processes using physiomarkers such as heart rate variability may be important in the early diagnosis of subacute, potentially catastrophic illness. Early in the course of neonatal sepsis, there are physiomarkers of reduced heart rate variability and transient decelerations similar to fetal distress. The goal of ...
McCain Gail C - - 2005
To examine the effect of kangaroo care on heart rate variability in a healthy preterm infant. Case study. Private room on a postpartum unit. A mother-preterm infant dyad. Kangaroo (skin-to-skin) care. Heart rate variability, a noninvasive measurement of the sympathetic and parasympathetic components of the autonomic nervous system's influence on ...
Ferber Sari Goldstein - - 2006
BACKGROUND: Emerging evidence on faster growth in preterm infants with higher heart rate as opposed to the classical approach calls for further research. AIMS: to test whether (1) high or low heart rate and (2) heart rate during the first days of life predict greater weight gain in preterm infants. ...
Diaz Laura K - - 2005
BACKGROUND: Infants with tracheoesophageal fistula (TEF) and/or esophageal atresia (EA) frequently have other associated congenital anomalies which can have a significant impact on their anesthetic care and survival to discharge. METHODS: A medical record review and retrospective data analysis were performed in a university affiliated children's hospital of all infants ...
Inoue Seiji - - 2005
We report a very low birthweight infant with congenital complete atrioventricular block (CCAVB) who underwent delayed implantation of a permanent pacemaker without temporary pacing. The female infant was born at 30 weeks gestation and weighed 1422 g. After birth, the infant showed respiratory failure due to pleural effusion and respiratory ...
Chuan Wei Xin - - 2005
BACKGROUND: A specifically designed ultrasound scanner may be helpful in percutaneous cannulation of the internal jugular vein in pediatric patients. We report a new two-dimensional (2D) ultrasound prelocation (UL) technique using a transesophageal echocardiography (TEE) intraoperative probe instead of the portable scanner, and have compared the new technique with conventional ...
Bergman Philip - - 2005
BACKGROUND: Infants commonly present with failure to thrive. Psychosocial and nutritional causes are commonly responsible, but significant organic pathology requires exclusion in all children with failure to thrive. OBJECTIVE: This article discusses an approach to the assessment of infants presenting with failure to thrive, together with information on management and ...
Lucas J F - - 2005
We report on a premature infant with a body weight < 900 g who developed complete heart block as a complication of Enterobacter bacteremia. The infant could be successfully paced using a transcutaneous pacemaker for a limited time. Histopathological examination of the heart did not reveal any abnormalities of the ...
Leyenaar Joanna - - 2005
Hypotonia may be the presenting sign for many systemic diseases and diseases of the nervous system. The present paper discusses a rational, simple and accurate diagnostic approach to hypotonia in infancy, illustrated by the case of a five-month-old infant girl recently referred to the IWK Health Centre in Halifax, Nova ...
Jung Dai Hyun - - 2005
Excitation-contraction coupling (ECC) proteins in the human heart were characterized using human atrial tissues from different age groups. The samples were classified into one infant group (Group A: 0.2-7 years old) and three adult groups (Group B: 21-30; Group C: 41-49; Group D: 60-66). Whole homogenates (WH) of atrial tissues ...
García Pablo R - - 2005
Tracheal stenosis is a rare complication that follows operations for congenital heart disease in the newborn period. We report the case of an infant with hypoplastic left heart syndrome who developed symptomatic tracheal stenosis 5 months after a first-stage Norwood operation. The combined surgical procedure of a bidirectional Glenn anastomosis ...
Longin Elke - - 2005
BACKGROUND: The measurement of heart rate variability (HRV) reveals information on the functional state of the autonomic nervous system (ANS). Moreover, several diseases are known to be accompanied by a reduction in HRV. Currently, there are no data on HRV within larger samples of healthy neonates. AIM: This study was ...
Stiller Brigitte - - 2005
OBJECTIVE: Although considerable progress has been made on ventricular assist devices (VAD) for adults, pneumatic pulsatile circulatory support in young infants is still limited. There is a need for long-term ventricular assist devices to bridge the failing myocardium of young children until recovery or transplantation. Miniaturized devices and innovative modalities ...
Maeno Y - - 2005
To elucidate the prenatal and postnatal course of fetal congenital atrioventricular block (CAVB) during the past decade in the Japanese population. Retrospective multicentre study. All fetuses with CAVB in 10 Japanese institutions in the period from January 1990 to August 2001 were included. Of the 48 fetuses with CAVB, 17 ...
Wong Teresa Kit-Man - - 2005
We report a protracted hypoxic event during Soave's endorectal pull-through for Hirschsprung's disease in a 2-month-old male infant with tetralogy of Fallot. After the bowel loops were delivered out of the abdominal cavity, profound hypoxemia occurred which persisted for about 120 min. The hypoxemia was completely resolved after the intestine ...
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