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From Other Journals: A Review of Recent Articles by Our Editorial Team
Tarek Alsaied1,2, Awais Ashfaq3
1Heart Institute, Pittsburgh Children's Hospital Medical Center, 4401 Penn Ave, Pittsburgh, PA, 45224, USA. tarek.alsaied84@gmail.com.
Insights
This review summarizes recent pediatric cardiology research, highlighting COVID-19 impacts on congenital heart disease, inflammatory syndromes in children, Fontan liver disease, adult congenital heart surgery outcomes, Ebstein
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Recent literature provides critical updates for pediatric cardiologists.
- Key areas include COVID-19's impact, inflammatory syndromes, and surgical outcomes.
Purpose of the Study:
- To review and summarize recent pivotal articles in pediatric cardiology.
- To offer a concise overview of current research findings and their clinical implications.
Main Methods:
- Literature review of recently published articles.
- Synthesis of findings across diverse pediatric cardiology topics.
Main Results:
- COVID-19 poses higher risks for individuals with congenital heart disease, especially those with genetic syndromes or advanced physiological stages.
- Multisystem inflammatory syndrome in children frequently involves myocardial injury, with improvement in the subacute phase.
- Fontan-associated liver disease scoring predicts failure risk; 6-month mortality is a better indicator than 30-day for adult congenital heart surgery.
- Cone repair for Ebstein's anomaly shows superior midterm results compared to conventional repair.
- African American children undergoing cardiac surgery face higher mortality due to increased disease severity.
Conclusions:
- Recent research underscores the multifaceted challenges in pediatric cardiology, from infectious disease impacts to surgical outcomes and disparities.
- These findings emphasize the need for continued research and tailored clinical approaches in managing complex pediatric cardiac conditions.
Abstract:
In this review we provide a brief description of recently published articles addressing topics relevant to pediatric cardiologists. Our hope is to provide a summary of the latest articles published recently in other journals in our field. The articles address (1) The impact of COVID-19 in individuals with congenital heart disease through the life span. Patients with a genetic syndrome and adults at advanced physiological stage were at highest risk for moderate/severe infection. (2) Echocardiographic findings of the multisystem inflammatory syndrome in children showing a high prevalence of myocardial injury and systolic dysfunction that improves in the subacute phase. (3) A score assessment of the Fontan associated liver disease which correlated with the risk for Fontan failure. (4) Grown-up congenital heart surgery in 1093 consecutive cases showed that the 30 day mortality may underestimate the mortaility and that the 6 months mortality is likely a better measure in this population. (5) Cone versus conventional repair for Ebstein's anomaly showed better midterm results and freedom from tricuspid regurgitation after the cone operation. (6) Association between race/ethnicity, illness severity, and mortality in children undergoing cardiac surgery. The study showed that the African American race associated with increased disease severity and thus higher postoperative mortality compared to the caucausian race.
