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  1. Article ; Online: In memoriam: A tribute to David Jonathan Sahn (July 18, 1945 - Dec 31, 2021).

    Broberg, Craig S

    International journal of cardiology

    2022  

    Language English
    Publishing date 2022-02-22
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2022.02.027
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    Zs.A 1673: Show issues Location:
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  2. Article: Failing with Cyanosis-Heart Failure in End-Stage Unrepaired or Partially Palliated Congenital Heart Disease.

    Aldweib, Nael / Broberg, Craig

    Heart failure clinics

    2024  Volume 20, Issue 2, Page(s) 223–236

    Abstract: Heart failure in cyanotic congenital heart disease (CHD) is diagnosed clinically rather than relying solely on ventricular function assessments. Patients with cyanosis often present with clinical features indicative of heart failure. Although myocardial ... ...

    Abstract Heart failure in cyanotic congenital heart disease (CHD) is diagnosed clinically rather than relying solely on ventricular function assessments. Patients with cyanosis often present with clinical features indicative of heart failure. Although myocardial injury and dysfunction likely contribute to cyanotic CHD, the primary concern is the reduced delivery of oxygen to tissues. Symptoms such as fatigue, lassitude, dyspnea, headaches, myalgias, and a cold sensation underscore inadequate tissue oxygen delivery, forming the basis for defining heart failure in cyanotic CHD. Thus, it is pertinent to delve into the components of oxygen delivery in this context.
    MeSH term(s) Humans ; Heart Defects, Congenital/complications ; Heart Failure/complications ; Heart Failure/therapy ; Cyanosis/etiology ; Oxygen ; Ventricular Function
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2024-01-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2212019-1
    ISSN 1551-7136
    ISSN 1551-7136
    DOI 10.1016/j.hfc.2023.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6554: Show issues Location:
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  3. Article ; Online: Myocardial Dysfunction in Tetralogy of Fallot and Its Association With Outcome.

    Broberg, Craig S

    JAMA cardiology

    2017  Volume 2, Issue 6, Page(s) 683–684

    MeSH term(s) Cardiomyopathies ; Cardiovascular System ; Humans ; Magnetic Resonance Imaging ; Tetralogy of Fallot
    Language English
    Publishing date 2017-02-24
    Publishing country United States
    Document type Journal Article ; Comment
    ISSN 2380-6591
    ISSN (online) 2380-6591
    DOI 10.1001/jamacardio.2016.6020
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  4. Article ; Online: Myocardial fibrosis in adult congenital heart disease.

    Broberg, Craig S / Khan, Abigail M

    Revista espanola de cardiologia (English ed.)

    2020  Volume 73, Issue 9, Page(s) 707–710

    MeSH term(s) Adult ; Cardiomyopathies/diagnosis ; Cardiomyopathies/etiology ; Cardiomyopathies/pathology ; Fibrosis ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/diagnosis ; Humans ; Myocardium/pathology
    Language Spanish
    Publishing date 2020-03-23
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2592481-3
    ISSN 1885-5857 ; 1885-5857
    ISSN (online) 1885-5857
    ISSN 1885-5857
    DOI 10.1016/j.rec.2020.02.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Challenges and management issues in adults with cyanotic congenital heart disease.

    Broberg, Craig S

    Heart (British Cardiac Society)

    2016  Volume 102, Issue 9, Page(s) 720–725

    MeSH term(s) Adaptation, Physiological/physiology ; Blood Viscosity/physiology ; Cerebrovascular Disorders/etiology ; Cerebrovascular Disorders/therapy ; Cyanosis/diagnosis ; Cyanosis/physiopathology ; Cyanosis/therapy ; Erythropoiesis/physiology ; Female ; Heart Defects, Congenital/physiopathology ; Heart Defects, Congenital/therapy ; Hemoptysis/etiology ; Hemoptysis/therapy ; Humans ; Iron/deficiency ; Pregnancy ; Pregnancy Complications, Cardiovascular/therapy ; Pulmonary Embolism/etiology ; Pulmonary Embolism/therapy ; Pulmonary Gas Exchange/physiology ; Vasodilator Agents/therapeutic use ; Young Adult
    Chemical Substances Vasodilator Agents ; Iron (E1UOL152H7)
    Language English
    Publishing date 2016-05
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1303417-0
    ISSN 1468-201X ; 1355-6037
    ISSN (online) 1468-201X
    ISSN 1355-6037
    DOI 10.1136/heartjnl-2015-308042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ui IV Zs.40: Show issues Location:
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    Zs.MO 112: Show issues

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  6. Article ; Online: Risk and resiliency: thrombotic and ischemic vascular events, in cyanotic congenital heart disease.

    Broberg, Craig S

    Heart (British Cardiac Society)

    2015  Volume 101, Issue 19, Page(s) 1521–1522

    MeSH term(s) Cyanosis/epidemiology ; Female ; Heart Defects, Congenital/epidemiology ; Humans ; Intracranial Thrombosis/epidemiology ; Lung/blood supply ; Male ; Thrombosis/epidemiology
    Language English
    Publishing date 2015-10
    Publishing country England
    Document type Comment ; Editorial
    ZDB-ID 1303417-0
    ISSN 1468-201X ; 1355-6037
    ISSN (online) 1468-201X
    ISSN 1355-6037
    DOI 10.1136/heartjnl-2015-307849
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MO 112: Show issues

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  7. Article ; Online: Common diagnostic errors in adults with congenital heart disease.

    Celermajer, David S / Baker, David W / Cordina, Rachael L / Gatzoulis, Michael / Broberg, Craig S

    European heart journal

    2022  Volume 44, Issue 34, Page(s) 3217–3227

    Abstract: Owing to the great advances in the care for children with congenital heart disease by paediatric cardiac surgeons and cardiologists, there are ever increasing numbers of patients with congenital heart disease who reach adult life. At some stage during ... ...

    Abstract Owing to the great advances in the care for children with congenital heart disease by paediatric cardiac surgeons and cardiologists, there are ever increasing numbers of patients with congenital heart disease who reach adult life. At some stage during the late teenage years or soon after, these patients 'transition' from paediatric cardiac care to surveillance by cardiologists who look after adults. Many such specialists, however, are more familiar with commoner acquired heart problems such as coronary disease, heart failure, and arrhythmia in structurally normal hearts and less familiar with congenital heart disease. For this reason, international guidelines have suggested that the care of young adults with congenital heart disease take place in designated specialist adult congenital heart disease centres. It remains very important, however, for general cardiologists to have a good understanding of many aspects of adult congenital heart disease, including common pitfalls to avoid and, importantly, when to refer on, to a specialist centre. To help healthcare providers across the spectrum of cardiology practice to address common themes in adult congenital heart disease, this state-of-the-art review provides a series of case vignettes to illustrate frequent diagnostic problems that we have seen in our tertiary-level adult congenital heart disease centres, which are sometimes encountered in general cardiology settings. These include commonly 'missed' diagnoses, or errors with diagnosis or management, in these often very complex patients.
    MeSH term(s) Adolescent ; Young Adult ; Humans ; Child ; Adult ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/surgery ; Diagnostic Errors ; Cardiology
    Language English
    Publishing date 2022-12-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 603098-1
    ISSN 1522-9645 ; 0195-668X
    ISSN (online) 1522-9645
    ISSN 0195-668X
    DOI 10.1093/eurheartj/ehac717
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1563: Show issues Location:
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    Zs.MO 640: Show issues

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  8. Article ; Online: Substance Use Disorders Are Prevalent in Adults With Congenital Heart Disease and Are Associated With Increased Healthcare Use.

    Shalen, Evan F / McGrath, Lidija B / Bhamidipati, Castigliano M / Garcia, Ibett Colina / Ramsey, Katrina / Broberg, Craig S / Khan, Abigail M

    The American journal of cardiology

    2023  Volume 192, Page(s) 24–30

    Abstract: Adults with congenital heart disease (CHD) represent a heterogeneous group with significant long-term health risks. Previous studies have demonstrated a high prevalence of psychiatric disorders among adults with CHD; however, little is known about the ... ...

    Abstract Adults with congenital heart disease (CHD) represent a heterogeneous group with significant long-term health risks. Previous studies have demonstrated a high prevalence of psychiatric disorders among adults with CHD; however, little is known about the frequency of co-morbid substance use disorders (SUDs) in patients with CHD. The Oregon All Payer All Claims (APAC) database for the years 2014 to 2017 was queried for adults aged 18 to 65 years with International Classification of Diseases, Ninth or Tenth Revision codes consistent with CHD. Alcohol and substance use were identified by International Classification of Diseases codes for use or dependence and classified in mutually exclusive categories of none, alcohol only, and other drugs (with or without alcohol). Descriptive statistics were used to characterize prevalence and chi-square tests were used to test for associations between variables. A total of 12,366 adults with CHD were identified. The prevalence of substance use was 15.7%. The prevalence of isolated alcohol use was 3.9%. A total of 19% of patients used tobacco. Insurance type, presence of a concurrent mental health diagnosis, and age were associated with substance use, whereas CHD complexity was not. Cardiovascular co-morbidities were more common in patients with reported substance use. Inpatient and emergency care use were higher in those with SUD. In conclusion, this study of substance and alcohol use among adults with CHD demonstrates high rates of co-morbid SUD, particularly among patients with mental health disorders and Medicaid insurance, associated with increased healthcare utilization. We identify a population in need of targeted interventions to improve long-term health.
    MeSH term(s) Adult ; Humans ; Comorbidity ; Delivery of Health Care ; Heart Defects, Congenital/epidemiology ; Oregon/epidemiology ; Prevalence ; Substance-Related Disorders/epidemiology ; Young Adult ; Middle Aged ; Aged ; Medicaid ; Mental Disorders/epidemiology
    Language English
    Publishing date 2023-01-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2023.01.008
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    Ui IV Zs.73: Show issues Location:
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  9. Article ; Online: Hospital Care for Adult Patients with Congenital Heart Diseases.

    Johnson, Alicia J / McGrath, Lidija B / Khan, Abigail M / Broberg, Craig S / Otaki, Yoshio / Shen, Irving / Muralidaran, Ashok / Bhamidipati, Castigliano M

    The heart surgery forum

    2023  Volume 26, Issue 6, Page(s) E842–E854

    Abstract: 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 clinical outcomes. We sought to understand how hospital ... ...

    Abstract 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 clinical outcomes. We sought to understand how hospital competitiveness affects clinical outcomes in ACHD patients in the era prior to the Adult Congenital Heart Association accreditation program.
    Methods: Patient discharges with ACHD diagnosis codes were filtered between 2006-2011 from an all-payer inpatient healthcare database. Hospital-level data was linked to market structure patient flow. A common measure of market concentration used to determine market competitiveness-the Herfindahl-Hirschman Index (HHI)-was stratified into: more competitive (HHI ≤25th percentile), moderately competitive (HHI 25th to <75th percentile), and less competitive (HHI ≥75th percentile) hospital. Any complication, home discharge and mortality were analyzed with clustered mixed effects logistic regression. The combined impact of HHI and any complication on mortality by interaction was assessed.
    Results: A total of 67,434 patient discharges were isolated. More competitive hospitals discharged the least number of patients (N = 15,270, 22.6%) versus moderately competitive (N = 36,244, 53.7%) and less competitive (N = 15,920, 23.6%) hospitals. The adjusted odds of any complication or home discharge were not associated with hospital competitiveness strata. Compared to more competitive hospitals, mortality at moderately competitive hospitals (Adjusted Odds Ratio (AOR) 0.79, 95% CI: 0.66-0.94) and less competitive hospitals (AOR 0.79, 95% CI: 0.63-0.98) were lower (p = 0.025). Age, race, elective admission, transfer status, and payer mix were all significantly associated with adjusted odds of any complication, home discharge and mortality (p ≤ 0.05). Having any complication independently increased the adjusted odds of mortality more than 6-fold (p < 0.001), and this trend was independent of HHI strata. Failure to rescue an ACHD patient from mortality after having any complication is highest at less competitive hospitals. Sensitivity analysis which excluded the transfer status variable, showed that any complication (p = 0.047) and mortality (p = 0.01) were independently associated with HHI strata.
    Conclusions: Whether lower competition allow hospitals to focus more on quality of care is unknown. Hospital competitiveness and outcome seem to have an inverse trend relationship among ACHD patients. Since medical care is frequently provided away from the home area, hospital selection is an important issue for ACHD patients. Further research is needed to determine why competitiveness is linked to surgical outcomes in this population.
    MeSH term(s) Humans ; Adult ; Heart Defects, Congenital/therapy ; Hospitals ; Hospitalization ; Inpatients ; Logistic Models
    Language English
    Publishing date 2023-12-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2069188-9
    ISSN 1522-6662 ; 1098-3511
    ISSN (online) 1522-6662
    ISSN 1098-3511
    DOI 10.59958/hsf.6833
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5745: Show issues Location:
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  10. Article ; Online: Association of Adults With Congenital Heart Disease-Specific Care With Clinical Characteristics and Healthcare Use.

    Khan, Abigail M / McGrath, Lidija B / Ramsey, Katrina / Agarwal, Anushree / Broberg, Craig S

    Journal of the American Heart Association

    2021  Volume 10, Issue 11, Page(s) e019598

    Abstract: 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 care at an ACHD center and those who do not access ACHD- ... ...

    Abstract 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 care at an ACHD center and those who do not access ACHD-specific care. Methods and Results The Oregon All Payer All Claims database was queried to identify subjects aged 18 to 65 years with an
    MeSH term(s) Adolescent ; Adult ; Aged ; Delivery of Health Care/statistics & numerical data ; Female ; Heart Defects, Congenital/epidemiology ; Heart Defects, Congenital/therapy ; Humans ; Male ; Middle Aged ; Morbidity/trends ; Oregon/epidemiology ; Patient Acceptance of Health Care/statistics & numerical data ; Retrospective Studies ; Young Adult
    Language English
    Publishing date 2021-05-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2653953-6
    ISSN 2047-9980 ; 2047-9980
    ISSN (online) 2047-9980
    ISSN 2047-9980
    DOI 10.1161/JAHA.120.019598
    Database MEDical Literature Analysis and Retrieval System OnLINE

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