Heart Matters - a publication about treating heart disease, congenital heart disorders and heart defects

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	Heart Matters
	Heart Matters is a multidisciplinary forum for cardiac education. Produced quarterly, Heart Matters began in January 1998 and originally was distributed internally to Children's Hospital of Wisconsin staff. It has been well received by many disciplines, including cardiology, cardiothoracic surgery, critical care, anesthesia, nursing, respiratory care, perfusion and general pediatrics and continues to be a tool for improving care for children with congenital heart disease. As our number of heart cases increases, and technology and pharmacology continue to advance, we have found this type of education to be very important. In a continued effort to provide the best care - from diagnosis (including prenatal) through discharge and follow-up - we are expanding our print distribution list to include referring cardiologists and pediatricians, as well as offering archived issues online. If you have ideas for articles or other feedback, call (414) 266-5430. July 2008 Ross procedure becomes key method in pediatric aortic valve replacement High-fidelity mannequins improve patient care Aminocaproic acid replaces aprotinin in cardiac surgery Six new physicians join Herma Heart Center April 2008 Pediatric stress echocardiography improves diagnosis process - Peter Bartz, MD, pediatric cardiologist, Herma Heart Center, Children's Hospital of Wisconsin; assistant professor, Pediatrics (Cardiology), Medical College of Wisconsin Children's Hospital of Wisconsin participates in Berlin Heart study - Kathy Mussatto, RN, Herma Heart Center research manager, Children's Hospital of Wisconsin Herma Heart Center expands to care for growing population of children, adults with congenital heart disease - Maryanne Kessel, RN, MBA, director, Herma Heart Center Adult congenital heart disease patients: anticipating growing needs - Linda Henderson, RN, BSN, Children's Hospital of Wisconsin Project ADAM helps prevent sudden cardiac arrest - Debra Klich, program administrator, Project ADAM February 2008 Etiologic or causal factors of congenital heart defects: gene-environment interaction hypothesis - John Dellinger, PhD, professor, College of Health Sciences, University of Wisconsin-Milwaukee; Sarah Antoniewski, BS, teaching assistant, College of Health Sciences, University of Wisconsin-Milwaukee; Nicia Lemoine, BS; and Andrew Pelech, MD, pediatric cardiologist, Children's Hospital of Wisconsin; professor, Medical College of Wisconsin Infants with congenital heart disease benefit from developmental-based therapies - Jenni Goldbaum, OTR/L, occupational therapist, Children's Hospital of Wisconsin Herma Heart Center Developmental Follow-up Clinic - Ann Chin, RN, program coordinator, Herma Heart Center Developmental Follow-up Clinic, Children's Hospital of Wisconsin; and Laurel M. Bear, MD, director, Herma Heart Center Developmental Follow-up Clinic, Children's Hospital of Wisconsin; assistant professor, Pediatrics, Medical College of Wisconsin Using bone marrow cells to treat heart disease - Jos Domen, PhD, assistant professor, Surgery (Cardiothoracic), Medical College of Wisconsin; and Kimberly Gandy, MD, PhD, pediatric cardiothoracic surgeon, Children's Hospital of Wisconsin; associate professor, Surgery (Cardiothoracic), Medical College of Wisconsin Clinical uses of stem cells hold great promise - Jos Domen, PhD, assistant professor, Surgery (Cardiothoracic), Medical College of Wisconsin; and Kimberly Gandy, MD, PhD, pediatric cardiothoracic surgeon, Children's Hospital of Wisconsin; associate professor, Surgery (Cardiothoracic), Medical College of Wisconsin Herma Heart Center 2007 statistics through Nov. 30 November 2007 Pilot study assesses TEG applications in pediatric population - Robert N. Chaplin, MD; and Nancy Ghanayem, MD, clinical director, Cardiac Critical Care, Children's Hospital of Wisconsin; Associate Professor, Medical College of Wisconsin; member of Children's Specialty Group Fetal Cardiac Program: identifying, treating defects - Maura Flynn-Galganski, RN, Children's Hospital of Wisconsin New cardiac surgeon, researcher join Herma Heart Center Pilot study supports healthy cardiovascular lifestyle - Pamela S. Cava, DO, director, Pediatric Cardiology, Children's Hospital of Wisconsin Clinics-Gurnee; pediatric cardiologist, Children's Hospital of Wisconsin Clinics-Kenosha and Racine; assistant professor, Pediatrics (Cardiology), Medical College of Wisconsin; and Susan Hovis, RN, BSN, project coordinator, F4Kids, Medical College of Wisconsin Daily AT3 testing speeds results, decreases costs - Beth A. Trost, MD, technical director, Hematology/Coagulation Laboratory; and Jane Kegel, medical technologist, Children's Hospital of Wisconsin August 2007 Organ donation after cardiac death - Anne Krueger, BSN, CPTC, hospital development coordinator, Wisconsin Donor Network A research study: Erythropoietin and pediatric cardiac surgery - Mary Krolikowski, RN, MSN, research coordinator, Herma Heart Center; with Steve Zangwill, MD, assistant professor, Pediatric Cardiology, Medical College of Wisconsin; and John Baker, PhD, professor, Cardiothoracic Surgery, Medical College of Wisconsin. Rapid Response Team - Karen Fry, patient care supervisor, Pediatric Intensive Care Unit, Children's Hospital of Wisconsin Monoclonal antibodies for solid organ transplant - Sonia Peterson, PharmD, Children's Hospital of Wisconsin April 2007 Neurodevelopmental outcomes in children with congenital heart disease: What do we know and what can we do? - Kathy Mussatto, RN The use of intraoperative transcranial doppler at Children's Hospital of Wisconsin - Michael E. Mitchell, MD Identifying genetic risk factors of congenital heart disease - Aoy Tomita-Mitchell, PhD Interstage home monitoring benefits infants with hypoplastic left heart syndrome - Nancy Rudd, RN, PNP A multidisciplinary approach to the diagnosis and management of infants with DiGeorge syndrome - Laurie Newton, RN, MSN, CPNP January 2007 A thank you to the medical community - S. Bert Litwin, MD S. Bert Litwin, MD - Maryanne Kessel, RN, MBA Cardiac MRI for the assessment of tetralogy of Fallot - Margaret Samyn, MD, FAAP, FACC Late follow-up of tetralogy of Fallot - Peter Bartz, MD Scimitar syndrome - L. Eliot May, PA-C Clinical director of Cardiac Clinical Care named 2006 statistics through November October 2006 New cardiologists join Herma Heart Center - Stuart Berger, MD Pediatric hypertension - Pamela S. Cava, DO Pediatric heart transplantation: An update on outcomes and surveillance - Gail Stendahl, RN, MSN, CPNP Non-invasive assessment of cardiac output with near-infrared spectroscopy - George Hoffman, MD, and Nancy Ghanayem, MD Pulmonary hypertension in children - Stuart Berger, MD ECMO program designated a Center of Excellence - Richard Berens, MD July 2006 Fetal echocardiography and fetal intervention - Michele Frommelt, MD Surgical techniques in orthotopic cardiac transplantation - Michael Madrzak, PA-C Berlin Pediatric Heart ventricular assist device - Christopher Brabant Herma Heart Center Marfan Syndrome and Related Connective Tissue Disorder Clinic - Michael Earing, MD April 2006 New surgeon joins Herma Heart Center - James Tweddell, MD Pulmonary artery stenosis - Luke Lamers, MD Aortopulmonary window - L. Eliot May, PA-C Feeding challenges for infants with congenital heart disease - Katherine Frontier, MS, CCC-SLP The Hacienda tube - L. Eliot May, PA-C Herma Heart Center satellite clinics - Matt Groninger January 2006 DiGeorge syndrome, 22q11 deletion, truncus arteriosus with interrupted aortic arch: Making sense of it all - L. Eliot May, PA-C New ECMO coagulation management - Jeanne Braby, RN, MSN Changes to resuscitation guidelines - Karen Bauer Cardiologist joins Herma Heart Center October 2005 Fontan physiology and the natriuretic peptides - Joseph Cava, MD, PhD New strategies of invasive and noninvasive monitoring - Nancy Ghanayem, MD Second research study of prophylaxis against RSV in children with CHD - Raymond Fedderly, MD Cytokine/Corticosteroid study - Kathy Murkowski, RN Robert (Jake) Jaquiss, MD, leaves Herma Heart Center - James Tweddell, MD July 2005 Congenital heart disease and pregnancy - Michael Earing, MD Preventive Cardiology Clinic begins - Pamela Cava, DO Mediapleural tubes - L. Eliot May, PA-C Pediatric heart transplant versus staged reconstruction operations as primary treatment for hypoplastic left heart syndrome - Erin Fritinger, RN April 2005 Porcine heparin replaces beef-derived heparin - Tom Nelson, RPh Nesiritide: A pediatric perspective - Brian Simpkins, PharmD Special Needs Family Center offers support and resources to patients and families Perfusion strategies for operative neuroprotection - James Groneck, BS, CCP Malignant hyperthermia - Alexis Sullivan, RN, BSN Herma Heart Center names manager January 2005 Magnetic resonance imaging: Noninvasive assessment of cardiac structure and function - Joseph Cava, MD, PhD Vapotherm - Khris O'Brien, RRT Descriptive and comparison study of atrioventricular septal defect with and without Down syndrome - Kathy Hanson-Morris, RN, MS October 2004 Mobile ECMO program begins - Jeanne Braby, RN Monophasic vs. biphasic defibrillation - Alexis Sullivan, RN First pediatric cardiology fellows begin - Peter Frommelt, MD Herma Heart Center and Medical College of Wisconsin collaborate on translational research projects - Stuart Berger, MD Research update - Kathy Mussatto, RN New pediatric cardiologist joins staff July 2004 A new wrinkle for hypoplastic left heart syndrome patients - Robert Jaquiss, MD Understanding arrhythmias at all ages - Janette Strasburger, MD Herma Heart Center branches out to community locations - Pamela Sayger, DO Annual Gallen lectureship held - Maryanne Kessel, RN, MS Medical management of neonates prior to heart surgery - Beth Ann Johnson, MD Director of Herma Heart Center appointed April 2004 Growth of the Cardiac Exercise Lab: New equipment and advanced testing options spur growth - Michael Danduran, MS Atherosclerosis prevention in children: The epidemic of pediatric overweight - Steven Sondike, MD Fetal Concerns Program - Emilie Lamberg Jones, RN, BSW Annual parent education day held - Carol Carson, RN January 2004 HLA antibody sensitization - Implications for heart transplantation - Steven Zangwill, MD Ventricular versus innominate artery shunt in the modified Norwood procedure: Evaluating the evidence - Kathy Mussatto, RN, BSN; Nancy Ghanayem, MD Comparison of intravenous morphine analgesia with caudal morphine analgesia in single ventricle patients - Eckehard Stuth, MD; Richard Berens, MD; George Hoffman, MD Pediatric cardiac fellowship program October 2003 Excess birth prevalence of hypoplastic left heart syndrome in Wisconsin (1997-1999) – Christine E. Cronk, ScD, Andrew N. Pelech, MD, Marsha E. Malloy, RN, BSN, MBA, D. Gail McCarver, MD Gastric tonometry and sublingual capnography – Alexis Sullivan, RN, BSN Current research studies in subjects with congenital heart disease – Kathy Mussatto, RN, BSN Postoperative fontan management July 2003 New circuit developed for cardiopulmonary support - Patrick L. VanderWaal, MS, CCP Mechanical ventilation - Sara M. Eckes, RRT-NPS; Khris E. O'Brien, RRT Continuous milrinone home infusion therapy - Gen M. Owens, RN, MSN, CPNP D-Transposition of the great vessels - Ndidiamaka Musa, MD ADAM Act becomes national law April 2003 Pulmonary hypertension research in the laboratory - John Gordon, MD; Robert Jaquiss, MD Collaboration forged to provide heart care in Illinois Antibiotic kinetics in the patient with heart disease - Jeff Sinner, RPh Nutritional management in chylous leaks - Joyce Owens, RD
	January 2003
	Fenoldopam (Corlopam®) Vasodilator has properties to protect renal function - Mary Szulczewski, RPh Beyond survival: Exploring the psychosocial implications of congenital heart disease - Kathy Mussatto, RN, BSN; Cheryl Brosig, PhD Nutrition for children with congenital heart disease - Joyce Owens, RD, CD, CNSD
	October 2002
	Primary pulmonary hypertension - Stuart Berger, MD Pharmaceutical treatment of pulmonary hypertension - Kevin McCanna, RpH Hepcon HMS - New method of determining heparin levels in the operating room - Kristine Chase, RN Congenitally-corrected transposition of the great arteries (d-TGA) - Eliot May
	July 2002
	Continuous cerebral perfusion - A strategy to limit the duration of deep hypothermic circulatory arrest - James Tweddell, MD Home surveillance program prevents interstage mortality following Norwood procedure - Nancy Ghanayem, MD Adults with congenital heart disease - Alexis Sullivan, RN Heart Center research update - Kathy Mussatto, RN
	April 2002
	Congenital heart surgery at Children's Hospital of Wisconsin - A journey - S. Bert Litwin, MD Nurse to present Norwood success at national meeting Advances in neuromonitoring - Perioperative EEG and cerebral oximetry - Susan Staudt, MD
	January 2002
	A medical strategy to address persistent chest tube drainage after the Fontan operation - Joseph Cava, MD Growth velocity with hypoplastic left heart syndrome: A comparison of enteral feeding strategies - Nancy Rudd, CPNP A primary pediatric care provider perspective on comprehensive cardiac care for children - Michael Gutzeit, MD Is rectal acetaminophen an effective postoperative analgesic in patients after cardiac surgery? - Eckehard A. E. Stuth, MD
	October 2001
	Measurement of the mechanical PR interval in the fetus at risk for congenital complete heart block - Michele Frommelt, MD Extended role for nurse practitioners - Gen Owens, CPNP; Nancy Rudd, CPNP; and Michelle Steltzer, CPNP Mechanical pumps for extracorporeal circulation - Christopher Brabant Heart Center loses physician and friend - Stuart Berger, MD
	July 2001
	Cerebral oximetry - A new way to help protect the brain - Robert Jaquiss, MD Project ADAM goes national - Karen Bauer and Stuart Berger, MD 3rd World Congress of Pediatric Cardiology and Cardiac Surgery - Kathy Mussatto, RN; and Beth Newberry-Whitstone, RN, MA
	April 2001
	Cerebral oximetry - A new way to help protect the brain - Chris Brabant Variables influencing lab results preanalytical variation - Stanley F. Lo, PhD The Comfort Zone: An innovative model for improving pain management - Renee Ladwig, RN, MSN, CS Blunt cardiac injury in children - Anna Karpas, MD; and Kenneth Yen, MD Update on cardiac ECMO usage - Jeanne Braby, RN, MSN
	January 2001
	Temperature regulation in the operating room - Steven Butz, MD Amiodarone: An old drug with new importance - Tom Nelson Don't know? Ask a social worker - Darcia Behrens, MSW, CICSW Clinical research trial updates - Milrinone and Esmolol - Kathy Mussatto, RN; and Beth Newberry Whitstone, RN, MA Protection of the infant heart during surgical repair of congenital defects: Prospects for future therapies - John E. Baker, PhD Amplatzer device now used to close atrial septal defects - Beth Newberry Whitstone, RN, MA; and Andrew Pelech, MD Adult Congenital Heart Association provides support and education - Alexis Sullivan, RN New director of Cardiothroacic Surgery
	October 2000
	Statewide registry needs data to succeed in preventing congenital heart defects - Andrew Pelech, MD; and Kathy Hanson-Morris, RN, BSN Opioid tolerance, physical dependency and withdrawal after prolonged analgesic exposure - Michael T. Meyer, MD; and Richard J. Berens, MD Children's Transport well equipped to care for cardiac patients - Judi Stoegbauer, CNS Myocarditis - Alexis Sullivan, RN Single ventricle: The heterotaxy variants - Eliot May, PA
	July 2000
	Use of MRI in the evaluation of congenital heart disease - John R. Sty, MD Ross procedure for infants and children with aortic valve disease - Deb Soetenga, RN, MS Parenting young children with congenital heart disease - Lynn Carey, MS, RN, PhD Saving Hearts in Trinidad - James Tweddell, MD The role of the Internet in family education - Mary Grosel, RN
	April 2000
	Outcomes research can lead to more cost-efficient care - Ramesh Sachdeva, MD, PhD, MBA; and Kathy Mussatto, RN Acute renal failure in the postop cardiac patient - Cynthia G. Pan, MD Benzodiazepine use in the Pediatric Intensive Care Unit - Richard Berens, MD; and Michael T. Meyer, MD Feeding the neonate with congenital heart disease - Sandy Wesolowski, RN Summary of 22q11 deletion - Alexis Sullivan, RN
	January 2000
	Immunosuppressive therapy after heart transplantation - Jane Zlotocha, RN The genetics of congenital heart disease - Christine Sauer PT/OT in postsurgical heart patients - Chris Casey, OT; and Jackie Shay, PT Current research - Kathy Mussatto, RN
	October 1999
	Adults with corrected congenital heart disease - David Frieberg, MD Mission to Trinidad - Chris Brzakala, RN Perioperative use of opiates - Richard Berens, MD New Servo 300A ventilators - Chris Richey, RRT
	July 1999
	Ectopia cordis - S. Bert Litwin, MD Bloodless open heart surgery - Chris Brabant Thoratec VAD system - Heather Nelson, RN Interventional electrophysiology - Alexis Sullivan, RN Cylexin trial terminated - Kathy Mussatto, RN
	January 1999
	Update on pediatric cardiac anesthesia - George Hoffman, MD Double outlet right ventricle defect - Peter Frommelt, MD Transition project - Kathy Mussatto, RN
	October 1998
	Transcatheter closure of ASDs - The Amplatzer device - Andrew Pelech, MD When half-hearted is a huge gift - Maryanne Kessel, RN Pulmonary atresia with VSD - Eliot May Fetal echocardiography - Michele Frommelt, MD Pharmacy update on phenoxybenzamine - Tom Nelson


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