Cardiovascular Disease in the Young Council's Science and Clinical Education Lifelong Learning Committee: Year in Review
Year: 2018
Type: other
Abstract: Lifelong Learning committee to oversee the various channels of the AHA/American Stroke Association's robust learning enterprise, which includes scientific meetings, professional education online learning, spotlight series, journals, and journal webinars.As a part of this learning enterprise, the Science and Clinical Education Lifelong Learning committee of the Council on Cardiovascular Diseases of the Young embarked on writing "The Year in Review" compilation highlighting the scientific progress made in the pediatric cardiology and cardiac surgery community between May 2016 and May 2018.The purpose of this article is to highlight 1 to 2 original research or guideline publications that have been the most impactful and innovative in the various areas of pediatric and adult congenital cardiovascular research that have the potential to dramatically change pediatric and adult congenital cardiovascular care and outcomes.Experts in the field were invited from the Council on Cardiovascular Diseases of the Young committees to focus on the following categories: congenital cardiac defects including imaging, electrophysiology, cardiac intensive care, interventional cardiology, heart failure/transplantation, and pulmonary hypertension, congenital cardiothoracic surgery, rheumatic fever/endocarditis/Kawasaki's disease, adult congenital heart disease (CHD), basic science research, preventative cardiology, and early career and mentoring.Among the many worthy recent publications across pediatric cardiology, the authors summarized the following papers. Advances in Cardiac ImagingFetal echocardiography is an invaluable tool for the identification of CHD, and is critical to the preparation of the medical team and family for postnatal care.While considerable ongoing efforts target diagnostic rates, Bensemlali and colleagues 1 identified significant issues in diagnostic accuracy.Among the 1258 patients reviewed, there was a 29.3% discordance of pre-and postnatal diagnosis leading to a major change in the planned neonatal treatment in 10.6% of cases.These discordances also led to changes in planned care beyond the neonatal period in 4.9% of cases: more complex CHD that was deemed unsuitable for biventricular repair, need for additional surgeries, increase in the complexity level of the Aristotle score, and unplanned compassionate care.Continued efforts to improve the accuracy of prenatal diagnosis of CHD are needed.Three-dimensional echocardiography is now integrated into most clinical laboratories.Simpson and colleagues 2 provided an expert consensus document about the use of 3dimensional echocardiography in the setting of CHD with a focus on technical considerations, image orientation, procedural guidance, and functional assessment.This report serves as an important reference for the field as the technology matures to the point of routine use.Cardiac magnetic resonance imaging continues to provide new insights on cardiovascular disease through tissue characterization.Axelsson and colleagues 3 used late gadolinium
Institutions: Stanford Medicine, Stanford University, Northwestern University, Lurie Children's Hospital, University of Maryland Medical Center, Children's National, George Washington University, Baylor College of Medicine, Texas Children's Hospital, Cincinnati Children's Hospital Medical Center, Children's Hospital of Philadelphia, University of Pennsylvania, University of Pittsburgh, University of Michigan, C. S. Mott Children's Hospital
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,810
OpenAlex ID: W2904923680