| Imaging of patients with congenital heart disease. | |
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MedLine Citation:
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PMID: 22045045 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Congenital defects most-commonly affect the heart, with an estimated incidence of up to 10 in 1,000 live births. Over the past few decades, mortality has decreased and subsequent survival has increased; approximately 90% of all patients with congenital heart disease (CHD) reach adulthood. Echocardiography is sufficient in most cases for prenatal and postnatal diagnosis of CHD and to plan an intervention, with cardiac MRI and CT providing complementary information on vascular and extracardiac abnormalities. During follow-up, cardiovascular dysfunction is an important cause of reintervention and death. Therefore, routine evaluation of systolic, diastolic, valvular, and vascular function is essential in the care of patients with CHD. Application of echocardiography, cardiac MRI, and CT during follow-up of patients with CHD ideally identifies patients at risk of adverse outcomes, and elucidates the pathophysiological mechanisms that underlie cardiovascular dysfunction. The advent of advanced imaging strategies might further improve the detection of subclinical cardiovascular failure, although further study is required to establish the value of these techniques. Finally, imaging beyond the heart is essential for the complete understanding of the interaction between CHD and noncardiac organ systems, and to extend the success of increased survival to improvements in long-term functional outcome. |
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Authors:
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Arno A W Roest; Albert de Roos |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-01 |
Journal Detail:
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Title: Nature reviews. Cardiology Volume: - ISSN: 1759-5010 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101500075 Medline TA: Nat Rev Cardiol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Pediatric Cardiology, Leiden University Medical Center, P. O. Box 9600, 2300 RC, Leiden, The Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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