102017Oct
Can aortopexy improve pulmonary venous stenosis in selected cases?

Can aortopexy improve pulmonary venous stenosis in selected cases?

Pulmonary vein stenosis, particularly affecting the left lower pulmonary vein is sometimes seen following cardiac surgery. The exact mechanism is unknown but enlargement of the heart and rotation of the heart to the left can cause compression on the left lower pulmonary vein at its entrance in the left atrium. Anterolateral displacement of the descending…

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32017Oct
The effect of physical activity on mortality and cardiovascular disease

The effect of physical activity on mortality and cardiovascular disease

“Those who think they have not time for bodily exercise will sooner or later have to find time for illness” Even though it is well known that exercise has a protective effect against cardiovascular diseases, many people find it difficult to build structured exercise in their busy lives. It is often assumed that only high…

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292017Sep
Gym warning: Drinking THIS before a workout could be deadly

Gym warning: Drinking THIS before a workout could be deadly

As the UK becomes increasingly health-conscious, people are paying more attention to optimising their workout sessions than ever before. Along with protein shakes and bars, sports energy drinks have become an integral part of the gym routine. Indeed, our consumption of them soared from 235 to 600 million litres in the UK between 2006 and…

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62017Jan
Can we assess central Fontan haemodynamics using peripheral venous pressure?

Can we assess central Fontan haemodynamics using peripheral venous pressure?

The Fontan operation represents a milestone in the treatment of children born with hearts with a functionally single pumping chamber. Unfortunately the durability of the Fontan operation is limited, primarily as a consequence of the increased pressure in the general venous circulation. As such measurement of central venous and Fontan pressures is very important to…

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112016May
Mitral valve prolapse is a very common anomaly

Mitral valve prolapse is a very common anomaly

Mitral valve prolapse is a very common anomaly, seen in up to 2.4% of otherwise healthy children and adults. The occurrence is more common in some families where there are clusters of people affected by mitral valve prolapse and often with different degrees of prolapse in different members of the same family. On-going follow-up is…

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182016Apr
Respiratory rate in the first day of life of healthy newborns

Respiratory rate in the first day of life of healthy newborns

One of the questions parents ask often is whether their children breathing or heart rate are too high. This is a very important question as most current early warning scores use such variables to flag up children who may be unwell and in danger. However, breathing rate and heart rate change considerably from the newborn…

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302016Mar
Non cardiac surgery in children with congenital heart disease

Non cardiac surgery in children with congenital heart disease

Children with congenital heart disease (CHD) sometimes require surgical treatment for non cardiac problems. Actually, children with CHD are more likely to require surgery for non cardiac problems than children with no cardiac problems. This is due to the fact that not infrequently abnormalities in multiple systems can be present at the same time. In…

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152016Mar
Arrhythmias and cardiac dysfunction in Duchenne and Becker muscular dystrophy

Arrhythmias and cardiac dysfunction in Duchenne and Becker muscular dystrophy

Duchenne (DMD) and Becker muscular dystrophies (BMD) are rare inherited conditions where there is progressive skeletal muscle degeneration and loss and premature death. The conditions typically also involve the heart where the loss of muscle causes the heart to weaken and progressively fail in its pumping function. This cardiac pump failure can be detected by…

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252016Feb
Stimulation of ventricular stiffening trough the different stages of single ventricle surgery leading to the Fontan operation

Stimulation of ventricular stiffening trough the different stages of single ventricle surgery leading to the Fontan operation

The usual management for single ventricle congenital heart defects is staged surgical treatment leading to the Fontan operation. In this path, children go trough different phases or stages. Stage I is characterised by overwork of the single ventricle which has to pump blood to the lungs as well as the general circulation. With the second…

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