CARDIOLOGY IN THE YOUNG儿童心脏病学
CARDIOLOGY IN THE YOUNG(英文缩写 CARDIOL YOUNG),ISSN 1047-9511,eISSN 1467-1107,中文译名:儿童心脏病学 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 1.023 | Q4 |
| 2022 | 1.000 | Q4 |
| 2023 | 0.900 | Q3 |
| 2024 | 0.700 | Q4 |
| 2025 | 0.800 | Q4 |
CARDIOLOGY IN THE YOUNG 最新收录文献
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1. Cardiology across continents, case series session #15: complicated post-op course in an infant with Tetralogy of Fallot.
PMID:日期:2026-09-25Clinical experience during fellowship training and post-graduation depends on training length, resources, and time at specific institutions, contributing to knowledge deficits. Institutional collaboration overcomes such barriers wherein case discussions share knowledge and management strategy, enhancing patient outcomes. Our discussion of the management of Tetralogy of Fallot highlights key insights between programmes differing in geography and resources, hosted by Heart University.
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2. Retrospective diagnosis and characterisation of fetal CHD at the Fetal Exploration Unit, Guillermo Grant Benavente Hospital, Chile.
PMID:日期:2026-09-25Prenatal diagnosis of CHD is essential for counseling, perinatal management, and planning surgical strategies. Data from southern Chile are scarce. We conducted a retrospective, observational, descriptive study of all cases with a confirmed prenatal diagnosis of moderate or complex CHD at the Fetal Exploration Unit, Guillermo Grant Benavente Hospital, between January 2018 and March 2025. Maternales variables, fetal echocardiographic findings, genetic studies, and neonatal outcomes were analysed. Survival was estimated using Kaplan-Meier curves. Eighty cases were analysed, one with complete atrioventricular block requiring pacemaker implantation and 79 with structural CHD. Male fetuses accounted for 63.8%. The most frequent entities were isolated or associated transposition of the great arteries (24.1%), hypoplastic left heart syndrome (16.5%), and coarctation of the aorta (10.1%). Twenty-one diagnostic combinations (26.6%) were documented, the most common being double-outlet right ventricle with transposition of the great arteries. Genetic testing was performed in 39 cases (48.8%), revealing chromosomal anomalies in 13 (16.3%). Maternal comorbidities were recorded in 27 pregnancies (33.8%), notably diabetes and hypothyroidism. Seventy percent of patients underwent neonatal cardiac surgery. Seventeen deaths (21.3%) occurred: one stillbirth and 16 postnatal deaths, of which 13 were neonatal. Overall survival at follow-up was 78.8%. Kaplan-Meier analysis showed a marked drop in the first month of life, stabilising thereafter at ∼81%. Findings highlight a high prevalence of critical lesions, a relevant proportion of chromosomal abnormalities, and a notable association with maternal hypothyroidism. Survival reflects advances in prenatal diagnosis and neonatal cardiac surgery, although challenges remain for non-surgical cases.
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3. {"_":"Balloon-assisted TorqVue delivery catheter advancement for residual patent ductus arteriosus closure in a postsurgical infant with Edwards syndrome.","sup":["TM"]}
PMID:日期:2026-09-24Patent ductus arteriosus closure is usually straightforward, but prior surgical ligation may create barriers to device delivery. We describe a 1.5-month-old infant (2.9 kg) with Edwards syndrome, large ventricular septal defect, and clinically significant residual patent ductus arteriosus after pulmonary artery banding and surgical ligation. Catheterisation via 4F femoral venous access confirmed a 2.5 mm patent ductus arteriosus. An Amplatzer Piccolo Occluder 4/2 mm was planned, but delivery proved difficult. Three approaches failed: telescoping (0.014″ wire, Progreat 2.8F, and TorqVue 4F), wire escalation with multipurpose catheters and 0.018″/0.035″ exchanges, and a long 4F Flexor sheath. Obstruction at the patent ductus arteriosus level was consistent with suspected residual surgical ligature. As bailout, a 2.0 × 15 mm Ryurei coronary balloon was gently hand-inflated only to fill the TorqVue tip and used to advance the system across the obstruction. This enabled successful occluder deployment with complete closure. Residual patent ductus arteriosus after surgery may pose unique challenges; balloon-assisted sheath advancement is a simple and effective bailout when conventional techniques fail.
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4. Extended neurological function monitoring during paediatric cardiac catheterisation.
PMID:日期:2026-09-24Patients with complex CHDs are at risk for impaired neurological development. There is too little knowledge about the effects of cardiac catheterisation under conscious sedation on electrocortical activity and cerebral oxygenation. This pilot study describes extended neurological function monitoring during paediatric cardiac catheterisation. We conducted a prospective single-centre study including 52 patients with a median age and body weight of 3.5 [0-17] years and 15.3 [3.7-69.2] kg. Electrocortical activity and cerebral oxygenation were monitored via amplitude-integrated electroencephalography and near-infrared spectroscopy. The median duration of extended monitoring was 130 [80-275] minutes. After propofol administration, amplitude-integrated electroencephalography amplitudes increased ( < 0.01) with a concomitant change in background patterns from continuous to high voltage in 45 patients (86.5%), while near-infrared spectroscopy decreased in tissue oxygenation index [ < 0.01] as did ΔHb. Propofol in one patient caused a rapidly reversible transition from high voltage to flat tracing and burst-suppression pattern. Cardiac interventions and arrhythmias caused short-term variations in near-infrared spectroscopy but had no significant impact on electrocortical activity. Paediatric cardiac catheterisation under conscious sedation is associated with a high degree of patient safety. Extended monitoring of neurological function may be crucial to minimise risks and adjust conscious sedation levels, especially in high-risk patients.
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5. Two slits good, four slits bad? Assessing the hemodynamic impact of modifications to microvascular plugs in pulmonary flow restriction using a bench-top model.
PMID:日期:2026-09-24In patients with functionally univentricular circulations, the flow restriction achieved by modifying microvascular plugs (MVPs) during percutaneous stage I palliation has not been widely quantified. This study evaluates how progressive modification of the polytetrafuoroethylene (PTFE) membrane of MVPs alters flow restriction using a bench-top model of uni-ventricular physiology. A 3D-printed model mimicking branch pulmonary arteries in parallel with a systemic outflow was connected to a Harvard pulsatile pump. Two MVP-9Q devices, each modified with one, two, three, or four slits in the PTFE membrane, were placed in limbs representing left and right pulmonary arteries. Mathematical scaling produced a valid hemodynamic model matching neonatal univentricuar physiology. Flow (L/min) was measured using sensors placed on both pulmonary arteries and the systemic limb. Flow distribution between systemic and pulmonary limbs was calculated as a percentage of fixed total flow to determine the pulmonary (Qp) to systemic (Qs) flow ratio (Qp:Qs). With a baseline model representing 2:1 Qp:Qs ratio, MVPs with one slit reduced pulmonary flow (Qp) by 23%. Two slits reduced Qp by 21% and produced a Qp:Qs ratio closest to 1:1. Additional slits progressively increased Qp and reduced restriction (three-slits: 18% reduction, Qp:Qs 1.1:1; four-slits: 15% reduction, Qp:Qs 1.3:1). Incremental PTFE membrane modification generated proportional but nonlinear effects on flow distribution in a simulated univentricular circulation. Creating one or two slits provided the optimal balance between pulmonary and systemic flow, while more than two slits produced minimal restriction.
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6. Polysomnography and neurocognition in children with Fontan circulation.
PMID:日期:2026-09-24Children with single-ventricle post-Fontan palliation often struggle with chronic hypoxaemia and adverse neurodevelopmental outcomes. This brief report describes cardiorespiratory parameters obtained through polysomnography in 48 children and adolescents with Fontan circulation and investigates associations between polysomnography and neuropsychological testing in a subset of 26 patients. We found intermittent hypoxaemia was associated with parent-reported inattention symptoms, and severity of obstructive sleep apnoea with poorer visual-motor integration skills (all < 0 .05). Prompt recognition and treatment of these modifiable risk factors may have the potential to improve neurodevelopmental outcomes and quality of life.
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7. Mannheimer Lecture 2026: paediatric cardiology across the lifespan: building the future of congenital heart care.
PMID:日期:2026-09-24Traditionally, pediatric cardiology has been fundamentally reactive: structural abnormalities were diagnosed, symptoms developed, complications occurred, and clinicians responded. Increasingly, however, the field is shifting upstream from reaction to anticipation. To highlight the transition from reactive to predictive pediatric cardiology and discuss the implications of integrating molecular and computational approaches into the management of congenital heart disease (CHD). Narrative review of emerging concepts in precision medicine, focusing on the integration of genomics, transcriptomics, proteomics, other multi-omics technologies, advanced cardiac imaging, and computational analysis. Multi-omics approaches demonstrate that CHD is not solely an anatomical disorder but also a biological disease. Distinct molecular pathways may explain why patients with apparently identical cardiac anatomy experience markedly different clinical trajectories. The combination of molecular profiling, advanced imaging, and computational analysis enables more accurate risk stratification and earlier prediction of disease progression, paving the way for personalized management strategies. The transition from reactive to predictive medicine represents more than a technological advance; it fundamentally redefines the role and responsibilities of pediatric cardiologists. As the ability to anticipate disease progression improves, clinical decisions must increasingly be made before overt manifestations appear, raising new opportunities and responsibilities regarding the timing and appropriateness of intervention.
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8. Serious cardiac events in the COVID-19 era in the paediatric population: what did we learn?
PMID:日期:2026-09-24Serious cardiac events, which are frequently associated with myocarditis or arrhythmias, pose serious public health concerns. COVID-19 can increase cardiovascular risks by causing cardiac damage, arrhythmias, and multisystem inflammatory syndrome in children. However, important knowledge gaps about the long-term cardiac effects of COVID-19 still exist. These lead to the possibility of unusual or delayed cardiac consequences and the requirement for specialised monitoring techniques to reduce potential risks, particularly in high-risk populations. This narrative review compares serious cardiac event incidence, mechanisms, and outcomes in adults and children. Data were gathered from peer-reviewed studies between 2019 and 2025, such as systematic reviews, clinical reports, and cohort analyses. Focus was placed on the potential contribution of COVID-19-related cardiac events. Key research and clinical practice gaps were identified by analysing paediatric and adult populations in terms of diagnostic methods, management techniques, and long-term results. While vaccine-related cardiac complications are still uncommon, COVID-19 infection is linked to an increased risk of serious cardiac events in adults. Paediatric serious cardiac events, on the other hand, are rare but frequently associated with multisystem inflammatory syndrome in children, and there have been rare, documented vaccine-associated deaths in this population. Significant findings reveal clear patterns in serious cardiac events mechanisms, with age-dependent differences in the severity and prognosis of COVID-19-related myocarditis, arrhythmias, and long QT syndrome, among others. These variations highlight the necessity of age-appropriate risk assessment and management techniques. In the context of COVID-19, these findings highlight distinct risk profiles for serious cardiac events, underscoring the need for targeted screening methods and focused public health initiatives.
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9. Change in patient-reported physical and mental health after adult CHD interventions: a prospective cohort study.
PMID:日期:2026-09-22Psychosocial challenges are well-described among adults with CHD. Limited literature explores the impact of adults with CHD interventions on patient-reported outcomes. We examined changes in patient-reported mental and physical health status 30 days after a diagnostic or interventional adult with CHD procedure. A prospective registry captured patient-reported physical and mental health through the Patient Reported Outcomes Measurement and Information System Global Health Questionnaire before and 30 days after the procedure. Global mental and physical health scores were derived and standardised, with 50 points as the mean of the general U.S. population and a minimal important change of 3 points. In our sample of 160 patients, patent foramen ovale closure and diagnostic catheterisation of complex CHDs were the most common procedures (44.4% and 35.6%, respectively). Palpitations were a commonly reported symptom before the procedure (21.8%), with increasing proportions at 30-days (34.0%, = 0.003). At baseline, the median global mental health and global physical health scores were 48.3 [IQR = 43.5-53.3] and 47.7 [IQR = 39.8-54.1], respectively, within one standard deviation of the general U.S. population; there were no significant differences from baseline at 30 days. However, these differences were not uniform; approximately 53% and 72% of patients had a clinically meaningful improvement or decline in their global mental health or global physical health score (>minimal important change of 3). In this novel investigation, patients experienced both improvement and decline in mental and physical self-reported health after adults with CHD interventions, indicating considerable variability in short-term outcomes. Future analyses should explore predictors of divergent changes in health scores after procedures, to promote patient-centred care.