A5046784696- Congenital Heart Disease Studies
- Cardiovascular Issues in Pregnancy
- Cardiac Structural Anomalies and Repair
- Healthcare Policy and Management
- Cardiac Arrhythmias and Treatments
- Cardiac pacing and defibrillation studies
- Heart Failure Treatment and Management
- Cardiovascular Conditions and Treatments
- Cardiovascular Function and Risk Factors
- Pulmonary Hypertension Research and Treatments
- Birth, Development, and Health
- Family and Disability Support Research
- Healthcare Operations and Scheduling Optimization
- Healthcare Systems and Technology
- Pericarditis and Cardiac Tamponade
- Cardiomyopathy and Myosin Studies
- Frailty in Older Adults
- Child Welfare and Adoption
- Cardiac Health and Mental Health
- Cardiovascular Health and Risk Factors
- Obesity, Physical Activity, Diet
- Child Abuse and Trauma
- Cardiac Arrest and Resuscitation
- Renal and Vascular Pathologies
- Maternal and fetal healthcare
Oregon Health & Science University
2016-2025
Cardiovascular Institute of the South
2023
Adults with congenital heart disease (CHD) face a unique set of medical, psychological, and social challenges, access to specialised adult care has been associated improved outcomes. Rural adults CHD may represent uniquely disadvantaged group given additional challenges when accessing care. The aim this study was investigate the faced by in outpatient cardiac care, specific focus on understanding differences between urban- rural-dwelling patients.This cross-sectional, survey-based took place...
Adults with congenital heart disease (CHD) may be at increased risk of acquired cardiovascular (CVD). Understanding the prevalence CV factors (CVRF) in this population is an important step developing strategies to mitigate long-term risk.
Case Description: A 28-year-old G2P1 woman presented at 27 weeks gestation with progressive dyspnea and lower extremity edema. She was found to have atrial fibrillation flutter RVR. Initial TTE revealed severely dilated left ventricle (LV) reduced systolic function (EF 20-25%) (Figure 1). remained in despite diuresis, rate control metoprolol digoxin, cardioversion, ablation. Initiation of guideline-directed medical therapy limited by hypotension pregnancy. underwent a cesarean section 32...
Background Many adults with congenital heart disease (ACHD) are cared for by non-ACHD specialists, if they receive care at all. Little is known about the differences between those who access an ACHD center and do not ACHD-specific care. Methods Results The Oregon All Payer Claims database was queried to identify subjects aged 18 65 years International Classification of Diseases,Ninth Revision (ICD-9) code consistent from 2010 2015. providers were identified using National Provider...
Objective: The ideal type of hospital to care for adult congenital heart disease (ACHD) patients is not well known. Hospital competitiveness, clinical volume and market structure can influence outcomes. We sought understand how competitiveness affects outcomes in ACHD the era prior Adult Congenital Heart Association accreditation program. Methods: Patient discharges with diagnosis codes were filtered between 2006–2011 from an all-payer inpatient healthcare database. Hospital-level data was...
Adults with congenital heart disease (CHD) represent a heterogeneous and growing population high healthcare utilization. We sought to understand the association between insurance type, use, outcomes among adults CHD in Oregon.
Adverse childhood experiences (ACEs) are associated with poorer health outcomes, including a higher risk of acquired cardiovascular disease. This was the first investigation ACEs in adults congenital heart disease (CHD). Adults CHD completed following surveys outpatient setting: ACE questionnaire, measure attachment style, and linear analogue quality life. We performed Chi-square tests t-tests to explore relationships between scores other as well demographic clinical characteristics. A total...
Arrhythmias are a common complication in pregnant women with heart disease. While continuous electrocardiographic monitoring is useful tool for diagnosis, it also has significant associated costs, and identifying which most likely to benefit from an important goal. This retrospective observational study of adult disease cared at academic medical center between 2016 2020. Clinical information ambulatory inpatient results were abstracted the electronic health record descriptive statistics...
The Ross operation for aortic valve replacement continues to be a controversial option because of concerns related late autograft dilation and progressive neo-aortic insufficiency. In 2005, the reinforced procedure was described at our institution address this problem. We aim analyze short mid-term outcomes following procedure.This is retrospective study patients who underwent between 2004 2019. A comprehensive chart review performed. Echocardiograms were independently reviewed by an adult...
Introduction: Adult congenital heart disease (ACHD) patients face a unique set of medical, psychological, and social challenges, access to specialized ACHD care has been shown improve their outcomes. Rural may represent uniquely disadvantaged group given complex health needs the distance they must travel care. The aim this study was investigate challenges faced by in accessing outpatient cardiac care, with specific focus on understanding barriers related from Methods: This cross-sectional,...
Abstract Background: While guidelines recommend echocardiography for pregnant women with heart disease, there are limited data on its effect clinical practice. In this study, we investigated pregnancy-associated echocardiographic changes and their impact management. Methods: This was a retrospective study of disease followed at an academic medical centre from 2016 to 2020. Data maternal intrapartum postpartum echocardiograms were collected the management analysed. Results: 421 in 232...