A5061222353- Congenital Heart Disease Studies
- Cardiovascular Issues in Pregnancy
- Congenital Diaphragmatic Hernia Studies
- Cardiac Arrhythmias and Treatments
- Systemic Lupus Erythematosus Research
- Coronary Artery Anomalies
- Cardiovascular Conditions and Treatments
- Cardiovascular Function and Risk Factors
- Cardiac Structural Anomalies and Repair
- Ethics and Legal Issues in Pediatric Healthcare
- Cardiovascular Syncope and Autonomic Disorders
- Primary Care and Health Outcomes
- Food Security and Health in Diverse Populations
- Fetal and Pediatric Neurological Disorders
- Congenital Anomalies and Fetal Surgery
- Blood groups and transfusion
- Palliative Care and End-of-Life Issues
- Pulmonary Hypertension Research and Treatments
- Grief, Bereavement, and Mental Health
- Lipoproteins and Cardiovascular Health
- Cardiovascular Effects of Exercise
- Systemic Sclerosis and Related Diseases
- Neuroscience of respiration and sleep
- Cardiac pacing and defibrillation studies
- Atrial Fibrillation Management and Outcomes
University of Vermont Children’s Hospital
2020-2025
University of Vermont
2022-2024
University of Vermont Medical Center
2023
University of Colorado Denver
2019-2021
Children's Hospital Colorado
2019-2021
Morgan Stanley Children's Hospital
2019
Columbia University Irving Medical Center
2019
Columbia University
2016
Objective This prospective study of pregnant patients, S urveillance To P revent AV B lock L ikely to O ccur Q uickly (STOP BLOQ), addresses the impact anti‐SSA/Ro titers and utility ambulatory monitoring in detection fetal second‐degree atrioventricular block (AVB). Methods Women with autoantibodies by commercial testing were stratified into high low anti–52‐kD and/or 60‐kD SSA/Ro applying at‐risk thresholds defined previous evaluation AVB pregnancies. The high‐titer group performed heart...
ABSTRACT Objective The false‐positive rate for prenatal diagnosis of coarctation the aorta (FP‐CoA) commonly exceeds 50%, with an accurate detection < 50%. This study was conducted to determine if sensitivity true CoA and FP‐CoA could be improved by evaluating fetal epicardial size shape in four‐chamber view (4CV) endocardial right (RV) left (LV) ventricular size, contractility. Methods We analyzed retrospectively Digital Imaging Communications Medicine (DICOM) clips 4CV from last...
The majority of congenital cardiovascular disease including structural cardiac defects, abnormalities in function, and rhythm disturbances can be identified prenatally using screening obstetrical ultrasound with referral for fetal echocardiogram when indicated. Diagnosis heart the fetus should prompt assessment extracardiac associated genetic once parental consent is obtained. Pediatric cardiologists, conjunction maternal-fetal medicine, neonatology, cardiothoracic surgery subspecialists,...
OBJECTIVE: To evaluate a fetal telecardiology program in medically underserved area. METHODS: We conducted prospective case series of pregnant women at 18–38 weeks gestation with risk factors for congenital heart disease. Obstetric ultrasonographers performed echocardiograms (local site) that were read real time. The results given to the mother by cardiologist children's hospital 243 miles and two mountain passes away (distant site). evaluated five domains: 1) education obstetric before...
ABSTRACT Background Prenatal counseling following a fetal diagnosis of critical congenital heart disease (CCHD) is challenging and requires delivery detailed complete information to ensure appropriate decision making pregnancy support. Methods An anonymous 50‐item survey was distributed providers who performed cardiac counseling. The primary purpose evaluate on national scale physician beliefs attitudes toward available choices after CCHD their association with reported practices....
Fetal cardiac anomalies are the most commonly diagnosed structural anomalies. In these cases, Maternal-Fetal Medicine (MFM) specialists tasked with counseling patients on a spectrum of diagnoses as well their prognostic implications. A recent study pediatric cardiologists demonstrated that personal beliefs regarding termination impact provided to patients. Our objective was whether MFMs severe fetal and compare providers cardiology counterparts.
. Background: Third-degree atrioventricular block (AVB) is the most common manifestation of Anti-Ro antibody associated fetal cardiac disease. Extranodal findings isolated echogenicity, valvulitis with insufficiency and AV interval prolongation have been reported but not described in large prospective series. Aims: To report occurrence outcomes extranodal subjects followed prospectively since 2020 STOP BLOQ (Surveillance Treatment to Prevent Fetal Likely Occur Quickly) Registry for Neonatal...
Introduction:: The management of anti-Ro/SSA positive pregnancies is challenging because fetal atrioventricular (AV) block rare and echo seldom detects reversible injury. Hypothesis: We hypothesized that ambulatory heart rate/rhythm monitoring improves detection AV when compared with echo. Methods: Anti-Ro antibody subjects from 21 US centers at less than 20 weeks gestation were risk stratified into high low anti-Ro60 52 titers the New York University (NYU) core laboratory. Low titer was...
Fetal coarctation of the aorta (CoA) diagnosis has low sensitivity and a high-false positive rate. This retrospective study compared fetal echo (FE) standard cardiac measurements with previously described aortic arch angles to determine which was most accurate in prenatal detection CoA. We reviewed Colorado Care Centre database for fetuses suspected CoA between 2012 2018. last FE prior birth, measured: mitral (MV), tricuspid (TV), (AoV) pulmonary valve (PV) diameters; ascending (AAo), main...
<h3>Introduction</h3> Fetal cardiac disease is strongly associated with maternal anti-SSA/Ro antibodies, but gaps in our knowledge include the influence of antibody specificity and titer, diagnosis, overall non-cardiac adverse pregnancy outcomes (APOs), optimal surveillance protocols, efficacy rapid treatment. <h3>Methods</h3> The multi-center <b>S</b>urveillance <b>T</b>reatment T<b>o P</b>revent AV <b>B</b>lock <b>L</b>ikely to <b>O</b>ccur <b>Q</b>uickly (STOP BLOQ) study recruited...