Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Oct 1995
Cardiopulmonary function in adult patients late after Fontan repair.
The clinical status and exercise assessment of adult patients late after the Fontan operation were reviewed to determine cardiovascular function. ⋯ Despite a clinical impression of good function, by objective measures adult patients continue to have significant cardiovascular limitation late after the Fontan operation.
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J. Am. Coll. Cardiol. · Oct 1995
Comparative StudyDigoxin or flecainide for prophylaxis of supraventricular tachycardia in infants?
This study compared the safety and efficacy of digoxin and flecainide in the prophylaxis of supraventricular tachycardia in infants. ⋯ Comparison with previous natural history studies suggests that digoxin is ineffective in the prophylaxis of supraventricular tachycardia. Oral flecainide was effective in a small number of infants, with no adverse effects (95% CI 0% to 12%), and may now be preferred as the primary prophylactic agent.
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J. Am. Coll. Cardiol. · Oct 1995
Comparative StudyIdentification of patent foramen ovale permitting paradoxic embolism.
We sought to analyze the morphologic and functional characteristics of the patent foramen ovale in patients with different clinical likelihoods for paradoxic embolism. ⋯ Right to left contrast shunting is more severe and opening of the patent foramen ovale is larger in patients with ischemic arterial events considered to be due to paradoxic embolism. In patients with a patent foramen ovale as the only potential cause for ischemic events and no signs of venous thrombosis, morphologic and functional variables assessed by transesophageal echocardiography may be helpful in estimating the likelihood of paradoxic embolism.