Cardiac Autonomic Nervous System Activity and Cardiac Function in Children After Coarctation Repair

Nederend, Ineke; Geus, Eco J. C. de; Kroft, Lucia J.M.; Westenberg, Jos J.M.; Blom, Nico A.; Harkel, Arend D J Ten

doi:10.1016/j.athoracsur.2018.01.084

Cited by 9 publications

(13 citation statements)

References 32 publications

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“…In this study the clinical applicability of 4D flow MRI with automated valve tracking was evaluated. The main findings were (a) time needed for analysis was shorter for automated versus manual valve tracking (all patients: median, 14 .5%], respectively; P = .65). Of the 35 volunteers for whom a whole-heart protocol was followed, 21 were examined at 3.0 T and 14 at 1.5 T. For automated tracking, the volunteers who were examined at 3.0 T showed a smaller difference in NFV variation compared to those examined at 1.5 T (5.2% [IQR, 4.1%-7.9%] vs 3.6% [IQR, 2.6%-4.5%], respectively; P = .005), but not for manual tracking (5.9% [IQR, 3.2%-9.4%] vs 8.2% [IQR, 5.8%-13.0%], respectively; P = .07).…”

Section: Discussionmentioning

confidence: 96%

“…The total study group consisted of 114 patients and 46 healthy volunteers. Patient data were retrospectively retrieved from several prospective research studies and included patients with ischemic cardiomyopathy and mitral valve regurgitation (9), corrected tetralogy of Fallot (11), corrected coarctation of the aorta (14), and corrected atrioventricular septal defect (AVSD) (7). From the same MRI research database, 46 healthy volunteers without history of cardiac disease were randomly retrieved.…”

Section: Study Populationmentioning

confidence: 99%

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Automated Cardiac Valve Tracking for Flow Quantification with Four-dimensional Flow MRI

Kamphuis¹,

Roest²,

Marsan³

et al. 2019

Radiology

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To compare four-dimensional flow MRI with automated valve tracking to manual valve tracking in patients with acquired or congenital heart disease and healthy volunteers. Materials and Methods: In this retrospective study, data were collected from 114 patients and 46 volunteers who underwent fourdimensional flow MRI at 1.5 T or 3.0 T from 2006 through 2017. Among the 114 patients, 33 had acquired and 81 had congenital heart disease (median age, 17 years; interquartile range [IQR], 13-49 years), 51 (45%) were women, and 63 (55%) were men. Among the 46 volunteers (median age, 28 years; IQR, 22-36 years), there were 19 (41%) women and 27 (59%) men. Two orthogonal cine views of each valve were used for valve tracking. Wilcoxon signed-rank test was used to compare analysis times, net forward volumes (NFVs), and regurgitant fractions. Intra-and interobserver variability was tested by using intraclass correlation coefficients (ICCs). Results: Analysis time was shorter for automated versus manual tracking (all patients, 14 minutes [IQR, 12-15 minutes] vs 25 minutes [IQR, 20-25 minutes]; P , .001). Although overall differences in NFV and regurgitant fraction were comparable between both methods, NFV variation over four valves was smaller for automated versus manual tracking (all patients, 4.9% [IQR, 3.3%-6.7%] vs 9.8% [IQR, 5.1%-14.7%], respectively; P , .001). Regurgitation severity was discordant for seven pulmonary valves, 22 mitral valves, and 21 tricuspid valves. Intra-and interobserver agreement for automated tracking was excellent for NFV assessment (intra-and interobserver, ICC  0.99) and strong to excellent for regurgitant fraction assessment (intraobserver, ICC  0.94; interobserver, ICC  0.89). Conclusion: Automated valve tracking reduces analysis time and improves reliability of valvular flow quantification with fourdimensional flow MRI in patients with acquired or congenital heart disease and in healthy volunteers.

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Section: Discussionmentioning

confidence: 96%

Section: Study Populationmentioning

confidence: 99%

Automated Cardiac Valve Tracking for Flow Quantification with Four-dimensional Flow MRI

Kamphuis¹,

Roest²,

Marsan³

et al. 2019

Radiology

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“…Of the 31 studies analyzed in the review, 17 (55%) (12,18,(22)(23)(24)(25)(26)(27)29,(34)(35)(36)(37)(38)(39)41) referred to the DCO phenomenon, and 14 (45%) (13)(14)(15)(16)(17)(19)(20)(21)28,(30)(31)(32)(33)40) , to DCO. The studies were mostly carried out in countries in South America (n=12;38%) (13)(14)(15)17,19,21,28,(30)(31)(32)(33)40) and in Europe (n=9; 29%) (16,18,22,29,(35)(36)(37)(38)42) , with emphasis on...…”

Section: Resultsmentioning

confidence: 99%

Decreased cardiac output: an integrative review

et al. 2023

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Objective: to identify, in the scientific literature, the defining characteristics and contributing factors (related factors, associated conditions and populations at risk) for nursing diagnosis decreased cardiac output. Method: an integrative literature review, conducted between September and October 2020, with an update in March 2022, in the MEDLINE via PubMed, LILACS, SciELO, CINAHL and EMBASE databases. Using acronym PEO, studies published in the last 10 years in Portuguese, English and Spanish were included. A descriptive analysis was carried out to present the elements mapped in the literature. Results: analysis of 31 articles identified different elements, highlighting 4 new related factors: hyperglycemic stress, prone position, left lateral position, sleep deprivation. Individuals with a history of cardiovascular disease and males were identified as possible populations at risk. Final considerations: the elements for decreased cardiac output, identified in the literature, add evidence that justifies the permanence of this diagnosis in the NANDA-I classification.

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“…Thirty-two patients after surgical CoA repair participated in the study and underwent a cardiovascular magnetic resonance imaging (MRI) examination. These patients were also included in a previous study with the aim to investigate the cardiac autonomic nervous system activity, cardiac function, and their relationship in children after CoA repair [21]. Eventually, eleven of them were excluded due to practical and emotional problems ( e.g ., patient movement and endurance) during the MRI.…”

Section: Methodsmentioning

confidence: 99%

The effects of age at correction of aortic coarctation and recurrent obstruction on adolescent patients: MRI evaluation of wall shear stress and pulse wave velocity

et al. 2019

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Background Coarctation patients before curative reconstruction are exposed to abnormal flow patterns which potentially could cause wall deterioration. This study evaluated the effect of age at correction on the pulse wave velocity (PWV) and peak wall shear stress (WSS) in adolescent patients with corrected coarctation. Effects of valve morphology and presence of reobstruction were also evaluated. Methods Twenty-one patients aged 13.7 ± 2.6 years (mean ± standard deviation) were included (bicuspid aortic valve, n = 14; reobstruction, n = 9). Mean age at correction was 1.0 ± 1.8 years. PWV was determined from two high-temporal through-plane phase-contrast magnetic resonance imaging (MRI) acquisitions, for two segments: ascending aorta plus aortic arch and descending aorta. WSS was determined from four-dimensional flow MRI. Peak WSS over five systolic phases was determined for ascending aorta, aortic arch, and descending aorta. Results Patients with tricuspid aortic valve showed a significant correlation between the age at correction and descending aorta PWV ( r s = 0.80, p = 0.010). Significant differences were found between patients without and with reobstruction for peak WSS in the aortic arch (3.9 ± 1.3 Pa versus 6.5 ± 2.2 Pa, respectively; p = 0.003) and descending aorta (5.0 ± 1.3 Pa versus 6.7 ± 1.1 Pa, respectively; p = 0.005). Conclusions A prolonged period of abnormal haemodynamic exposure may result in increased aortic wall stiffening. The increased peak WSS as results of a reobstruction possibly promotes different disease progression, which endorse longitudinal follow-up examination of corrected coarctation patients.

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Cardiac Autonomic Nervous System Activity and Cardiac Function in Children After Coarctation Repair

Abstract: Left ventricular function and ambulatory cardiac output are impaired in patients after CoA repair, despite unchanged cardiac ANS activity in this group. These results underscore the importance of clinical follow-up, even in patients without residual stenosis.

Cited by 9 publications

References 32 publications

Automated Cardiac Valve Tracking for Flow Quantification with Four-dimensional Flow MRI

Automated Cardiac Valve Tracking for Flow Quantification with Four-dimensional Flow MRI

Decreased cardiac output: an integrative review

The effects of age at correction of aortic coarctation and recurrent obstruction on adolescent patients: MRI evaluation of wall shear stress and pulse wave velocity

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