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Related Concept Videos

Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

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A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Cardiomyopathy V: Interprofessional Care01:29

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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Aortic Regurgitation III: Medical Management01:25

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Heart Failure V: Medical Management01:30

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Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
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A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
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Articles linked to this work by shared authors, journal, and citation graph.

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Correction: Measuring Atrioventricular Valve Regurgitation Using 4D Flow Cardiovascular Magnetic Resonance Post-Fontan.

Pediatric cardiology·2026
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Pulmonary Hypertension in Adults With a Systemic Right Ventricle (Biventricular Circulation).

JACC. Advances·2026
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Magnetic Resonance Imaging-Based Psoas Muscle Volume as an Additional Risk Factor for Fontan Failure: A Prospective Cohort Study.

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The FUEL FALD Study: Effects of Udenafil on Liver Stiffness and Fibrosis after Fontan.

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The Proteomic Profile of Adults With a Fontan Circulation.

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Related Experiment Video

Updated: Nov 6, 2025

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
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Developing an adolescent and adult Fontan Management Programme.

Adam M Lubert1,2, Tarek Alsaied1, Andrew T Trout3

  • 1Cincinnati Children's Hospital Heart Institute, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Cardiology in the Young
|May 10, 2021
PubMed
Summary

Adults with single-ventricle congenital heart disease (CHD) need specialized care after the Fontan procedure. A multidisciplinary Fontan Management Programme aims to detect and treat complications early for improved long-term outcomes.

Keywords:
Fontanadult congenital heart diseasemultidisciplinary clinic

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Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Adult Congenital Heart Disease

Background:

  • Single-ventricle congenital heart disease (CHD) necessitates palliative surgeries, often culminating in the Fontan procedure.
  • While life-extending, Fontan circulation poses risks for cardiac complications and multi-organ dysfunction in adulthood.
  • Traditional cardiac-focused care models are evolving to address the complex, multi-system needs of Fontan patients.

Purpose of the Study:

  • To describe the development and goals of a multidisciplinary Fontan Management Programme.
  • To emphasize the shift towards comprehensive, multi-organ system monitoring for early risk identification in Fontan patients.
  • To establish a cohesive network of subspecialists for expert Fontan patient care.

Main Methods:

  • Development of a multidisciplinary care model integrating various medical subspecialties.
  • Implementation of screening protocols to monitor multiple organ systems.
  • Focus on early detection and proactive treatment of potential complications.

Main Results:

  • The programme facilitates earlier identification of patients at risk for adverse outcomes.
  • Enhanced collaboration among diverse medical subspecialists provides comprehensive care.
  • The multidisciplinary approach aims to mitigate long-term complications associated with Fontan circulation.

Conclusions:

  • A multidisciplinary Fontan Management Programme is crucial for addressing the complex needs of adults with Fontan circulation.
  • Proactive, multi-system monitoring and early intervention can improve patient outcomes.
  • Integrated care models are essential for managing long-term sequelae of single-ventricle CHD.