1
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Laforest R, Ghai A, Fraum TJ, Oyama R, Frye J, Kaemmerer H, Gaehle G, Voller T, Mpoy C, Rogers BE, Fiala M, Shoghi KI, Achilefu S, Rettig M, Vij R, DiPersio JF, Schwarz S, Shokeen M, Dehdashti F. First-in-Humans Evaluation of Safety and Dosimetry of 64Cu-LLP2A for PET Imaging. J Nucl Med 2023; 64:320-328. [PMID: 36008121 PMCID: PMC9902845 DOI: 10.2967/jnumed.122.264349] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 08/11/2022] [Accepted: 08/11/2022] [Indexed: 02/04/2023] Open
Abstract
There remains an unmet need for molecularly targeted imaging agents for multiple myeloma (MM). The integrin very late antigen 4 (VLA4), is differentially expressed in malignant MM cells and in pathogenic inflammatory microenvironmental cells. [64Cu]Cu-CB-TE1A1P-LLP2A (64Cu-LLP2A) is a VLA4-targeted, high-affinity radiopharmaceutical with promising utility for managing patients diagnosed with MM. Here, we evaluated the safety and human radiation dosimetry of 64Cu-LLP2A for potential use in MM patients. Methods: A single-dose [natCu]Cu-LLP2A (Cu-LLP2A) tolerability and toxicity study was performed on CD-1 (Hsd:ICR) male and female mice. 64Cu-LLP2A was synthesized in accordance with good-manufacturing-practice-compliant procedures. Three MM patients and six healthy participants underwent 64Cu-LLP2A-PET/CT or PET/MRI at up to 3 time points to help determine tracer biodistribution, pharmacokinetics, and radiation dosimetry. Time-activity curves were plotted for each participant. Mean organ-absorbed doses and effective doses were calculated using the OLINDA software. Tracer bioactivity was evaluated via cell-binding assays, and metabolites from human blood samples were analyzed with analytic radio-high-performance liquid chromatography. When feasible, VLA4 expression was evaluated in the biopsy tissues using 14-color flow cytometry. Results: A 150-fold mass excess of the desired imaging dose was tolerated well in male and female CD-1 mice (no observed adverse effect level). Time-activity curves from human imaging data showed rapid tracer clearance from blood via the kidneys and bladder. The effective dose of 64Cu-LLP2A in humans was 0.036 ± 0.006 mSv/MBq, and the spleen had the highest organ uptake, 0.142 ± 0.034 mSv/MBq. Among all tissues, the red marrow demonstrated the highest residence time. Image quality analysis supports an early imaging time (4-5 h after injection of the radiotracer) as optimal. Cell studies showed statistically significant blocking for the tracer produced for all human studies (82.42% ± 13.47%). Blood metabolism studies confirmed a stable product peak (>90%) up to 1 h after injection of the radiopharmaceutical. No clinical or laboratory adverse events related to 64Cu-LLP2A were observed in the human participants. Conclusion: 64Cu-LLP2A exhibited a favorable dosimetry and safety profile for use in humans.
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Affiliation(s)
- Richard Laforest
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri;,Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Anchal Ghai
- Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Tyler J. Fraum
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri;,Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Reiko Oyama
- Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Jennifer Frye
- Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Helen Kaemmerer
- Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Greg Gaehle
- Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Tom Voller
- Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Cedric Mpoy
- Department of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri
| | - Buck E. Rogers
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri;,Department of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri
| | - Mark Fiala
- Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri; and
| | - Kooresh I. Shoghi
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri;,Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri;,Department of Biomedical Engineering, Washington University in St. Louis, St. Louis, Missouri
| | - Samuel Achilefu
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri;,Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Michael Rettig
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri;,Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri; and
| | - Ravi Vij
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri;,Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri; and
| | - John F. DiPersio
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri;,Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri; and
| | - Sally Schwarz
- Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | - Monica Shokeen
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri; .,Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.,Department of Biomedical Engineering, Washington University in St. Louis, St. Louis, Missouri
| | - Farrokh Dehdashti
- Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri; .,Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
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2
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Neidenbach R, Achenbach S, Andonian C, Beckmann J, Biber S, Dittrich S, Ewert P, Freilinger S, Huntgeburth M, Nagdyman N, Oberhoffer R, Pieper L, von Kodolitsch Y, Weyand M, Bauer UMM, Kaemmerer H. [Medical care of adults with congenital heart diseases : Present and future]. Herz 2019; 44:553-572. [PMID: 31263905 DOI: 10.1007/s00059-019-4820-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Congenital heart diseases (CHD) are the most common types of congenital organ defects. Thanks to medical progress in congenital cardiology and heart surgery, most children with CHD reach adulthood. Despite primarily successful treatment residual and subsequent conditions as well as (non)cardiac comorbidities can influence the chronic course of the disease and lead to a higher morbidity and mortality. Adults with congenital heart disease (ACHD) in Germany are not tied to the healthcare structure despite the great need for aftercare. According to the results of the medical care of ACHD (MC-ACHD) study, ACHD centers and specialists in Germany are insufficiently perceived despite increased complication rates and the great need for specialist guidance. General practitioners and patients are not adequately informed about existing ACHD facilities. A better awareness of the ACHD problem should be created at the level of primary medical supply in order to optimize care and to reduce morbidity and mortality. Improved future-oriented patient care includes lifelong regular follow-up and the possibility of interdisciplinary, integrated medical care of CHD.
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Affiliation(s)
- R Neidenbach
- Klinik für angeborene Herzfehler und Kinderkardiologie, Deutsches Herzzentrum München, Lazarettstr. 36, 80636, München, Deutschland.
| | - S Achenbach
- Medizinische Klinik 2, Kardiologie und Angiologie, Universitätsklinikum Erlangen, Ulmenweg 18, 91054, Erlangen, Deutschland
| | - C Andonian
- Lehrstuhl für Sportpsychologie, Fakultät für Sport- und Gesundheitswissenschaften, Technische Universität München, Georg-Brauchle-Ring 60-62, 80992, München, Deutschland
| | - J Beckmann
- Lehrstuhl für Sportpsychologie, Fakultät für Sport- und Gesundheitswissenschaften, Technische Universität München, Georg-Brauchle-Ring 60-62, 80992, München, Deutschland
| | - S Biber
- Lehrstuhl für Sportpsychologie, Fakultät für Sport- und Gesundheitswissenschaften, Technische Universität München, Georg-Brauchle-Ring 60-62, 80992, München, Deutschland
| | - S Dittrich
- Medizinische Klinik 2, Kardiologie und Angiologie, Universitätsklinikum Erlangen, Ulmenweg 18, 91054, Erlangen, Deutschland
| | - P Ewert
- Klinik für angeborene Herzfehler und Kinderkardiologie, Deutsches Herzzentrum München, Lazarettstr. 36, 80636, München, Deutschland
| | - S Freilinger
- Klinik für angeborene Herzfehler und Kinderkardiologie, Deutsches Herzzentrum München, Lazarettstr. 36, 80636, München, Deutschland
| | - M Huntgeburth
- Klinik III für Innere Medizin, Zentrum für Erwachsene mit angeborenen Herzfehlern (EMAH), Herzzentrum, Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland
| | - N Nagdyman
- Klinik für angeborene Herzfehler und Kinderkardiologie, Deutsches Herzzentrum München, Lazarettstr. 36, 80636, München, Deutschland
| | - R Oberhoffer
- Lehrstuhl für Präventive Pädiatrie, Technische Universität München, Georg-Brauchle-Ring 60/62, 80992, München, Deutschland
| | - L Pieper
- Professur für behaviorale Epidemiologie, Technische Universität Dresden, Chemnitzer Str. 46, 01187, Dresden, Deutschland
| | - Y von Kodolitsch
- Universitäres Herzzentrum Hamburg, Klinik und Poliklinik für Allgemeine und Interventionelle Kardiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland
| | - M Weyand
- Medizinische Klinik 2, Kardiologie und Angiologie, Universitätsklinikum Erlangen, Ulmenweg 18, 91054, Erlangen, Deutschland
| | - U M M Bauer
- Nationales Register für angeborene Herzfehler, Berlin, Deutschland
| | - H Kaemmerer
- Klinik für angeborene Herzfehler und Kinderkardiologie, Deutsches Herzzentrum München, Lazarettstr. 36, 80636, München, Deutschland.
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3
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Neidenbach RC, Pieper L, Sanftenberg L, Schelling J, Freilinger S, Seidel L, Oberhoffer R, Nagdyman N, Ewert P, Kaemmerer H. P718Adults with congenital heart disease: lack of specific disease related medical health care from the general practitioners view. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- R C Neidenbach
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - L Pieper
- Dresden University of Technology, Dresden, Germany
| | | | - J Schelling
- Ludwig-Maximilians University, Munich, Germany
| | - S Freilinger
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - L Seidel
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - R Oberhoffer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - N Nagdyman
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - P Ewert
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - H Kaemmerer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
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4
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Remmele J, Pringsheim M, Nagdyman N, Tutarel O, Kaemmerer H, Oberhoffer R, Ewert P. P2604Cognitive function in adults with congenital heart (ACHD) and its association with cyanosis duration, a pilot study in adults with congenital heart disease. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Remmele
- German Heart Center of Munich, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - M Pringsheim
- German Heart Center of Munich, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - N Nagdyman
- German Heart Center of Munich, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - O Tutarel
- German Heart Center of Munich, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - H Kaemmerer
- German Heart Center of Munich, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - R Oberhoffer
- Technical University of Munich, Chair of Preventive Pediatrics, Munich, Germany
| | - P Ewert
- German Heart Center of Munich, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
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5
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Neidenbach RC, Diebold I, Pieper L, Freilinger S, Oberhoffer R, Krauss A, Seidel H, Sanftenberg L, Nagdyman N, Ewert P, Kaemmerer H. P2603Adults with congenital heart defects: insufficient medical primary health care in patients with genetic disorders. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- R C Neidenbach
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - I Diebold
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - L Pieper
- Dresden University of Technology, Dresden, Germany
| | - S Freilinger
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - R Oberhoffer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - A Krauss
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - H Seidel
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | | | - N Nagdyman
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - P Ewert
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - H Kaemmerer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
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6
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Neidenbach RC, Pieper L, Freilinger S, Nebel K, Sanftenberg L, Schelling J, Nagdyman N, Ewert P, Kaemmerer H. P717Adults with congenital heart disease: lack of specific disease related medical health care from the patients point of view. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- R C Neidenbach
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - L Pieper
- Dresden University of Technology, Dresden, Germany
| | - S Freilinger
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - K Nebel
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | | | - J Schelling
- Ludwig-Maximilians University, Munich, Germany
| | - N Nagdyman
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - P Ewert
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - H Kaemmerer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
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7
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Rumpf PM, Tutarel O, Michl J, Frangieh A, Kasel AM, Kaemmerer H, Schunkert H, Kastrati A, Ewert P, Ott I. P1590Percutaneous systemic av-valve repair for the treatment of severe tricuspid regurgitation in patients with congenitally corrected transposition of the great arteries. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- P M Rumpf
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - O Tutarel
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - J Michl
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - A Frangieh
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - A M Kasel
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - H Kaemmerer
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - H Schunkert
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - A Kastrati
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - P Ewert
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
| | - I Ott
- Deutsches Herzzentrum Technische Universitat, Munich, Germany
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8
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Neidenbach R, Schelling J, Pieper L, Sanftenberg L, Oberhoffer R, de Haan F, Weyand M, Schlensak C, Lossnitzer D, Nagdyman N, von Kodolitsch Y, Kallfelz HC, Helm PC, Bauer UMM, Ewert P, Meinertz T, Kaemmerer H. Sind Erwachsene mit angeborenen Herzfehlern ausreichend versorgt? Z Herz- Thorax- Gefäßchir 2017. [DOI: 10.1007/s00398-016-0134-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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9
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Hauser M, Lummert E, Braun SL, Vigl M, Engelhardt A, Pujol C, Neidenbach RC, Oberhoffer R, Ewert P, Kaemmerer H. Nichtkardiale Komorbiditäten bei erwachsenen Patienten mit angeborenen Herzfehlern. Z Herz- Thorax- Gefäßchir 2017. [DOI: 10.1007/s00398-016-0127-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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10
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Neidenbach R, Pieper L, Schelling J, Sanftenberg L, Oberhoffer R, Nagdyman N, Ewert P, Kaemmerer H. Klärung der Versorgungssituation von Erwachsenen mit angeborenen Herzfehlern (EMAH) aus der Sicht der Patienten. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- R. Neidenbach
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - L. Pieper
- Institut für Klinische Psychologie und Psychotherapie, Professur für Behaviorale Epidemiologie, Technische Universität Dresden, Dresden, Germany
| | - J. Schelling
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Germany
| | - L. Sanftenberg
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Germany
| | - R. Oberhoffer
- Technische Universität München, Lehrstuhl für präventive Pädiatrie, München, Germany
| | - N. Nagdyman
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - P. Ewert
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - H. Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
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11
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Helm P, Kahlert AK, Kramer HH, Abdul-Khaliq H, Pickardt T, Asfour B, Kaemmerer H, Bauer U, Hitz MP. Patients Support Genetic Heart Research. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- P.C. Helm
- Nationales Register für angeborene Herzfehler e. V., DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - A.-K. Kahlert
- Institut für Klinische Genetik, Technische Universität Dresden, Dresden, Germany
| | - H.-H. Kramer
- Universitätsklinikum Schleswig-Holstein - Campus Kiel, Klinik für angeborene Herzfehler und Kinderkardiologie, DZHK (German Centre for Cardiovascular Research), Partner Site Hamburg/Kiel/Lübeck, Kiel, Germany
| | - H. Abdul-Khaliq
- Klinik für pädiatrische Kardiologie, Universitätsklinik des Saarlandes, Homburg, Germany
| | - T. Pickardt
- Nationales Register für angeborene Herzfehler e. V., DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - B. Asfour
- Asklepios Klinik Sankt Augustin GmbH, German Pediatric Heart Center, Sankt Augustin, Germany
| | - H. Kaemmerer
- Department of Paediatric Cardiology and Congenital Heart Defects, Technical University of Munich, German Heart Centre Munich, DZHK (German Centre for Cardiovascular Research), Partner Site Munich, München, Germany
| | - U.M.M. Bauer
- Nationales Register für angeborene Herzfehler e. V., DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - M.-P. Hitz
- Universitätsklinikum Schleswig-Holstein - Campus Kiel, Klinik für angeborene Herzfehler und Kinderkardiologie, DZHK (German Centre for Cardiovascular Research), Partner Site Hamburg/Kiel/Lübeck, Kiel, Germany
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12
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Helm P, Diller GP, Kaemmerer H, Bauer U, Asfour B, Tutarel O. Are Adults with Congenital Heart Disease Informed about Their Risk for Infective Endocarditis and Treated in Accordance to Current Guidelines? Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- P.C. Helm
- Nationales Register für angeborene Herzfehler e. V., DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - G.-P. Diller
- Universitätsklinikum Münster, Kardiologisches Zentrum für Erwachsene mit angeborenen (EMAH) and erworbenen Herzfehlern, Münster, Germany
| | - H. Kaemmerer
- Department of Paediatric Cardiology and Congenital Heart Defects, Technical University of Munich, German Heart Centre Munich, DZHK (German Centre for Cardiovascular Research), Partner Site Munich, München, Germany
| | - U.M.M. Bauer
- Nationales Register für angeborene Herzfehler e. V., DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - B. Asfour
- Asklepios Klinik Sankt Augustin GmbH, German Pediatric Heart Center, Sankt Augustin, Germany
| | - O. Tutarel
- Medizinische Hochschule Hannover, Klinik für Kardiologie und Angiologie, Hannover, Germany
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13
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Neidenbach R, Pieper L, Schelling J, Sanftenberg L, Oberhoffer R, Nagdyman N, Ewert P, Kaemmerer H. Die Versorgungssituation von Erwachsenen mit angeborenen Herzfehlern (EMAH) aus Sicht der Allgemein Ärzte und Internisten, sowie praktischer Ärzte. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- R. Neidenbach
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - L. Pieper
- Institut für Klinische Psychologie und Psychotherapie, Professur für Behaviorale Epidemiologie, Technische Universität Dresden, Dresden, Germany
| | - J. Schelling
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Germany
| | - L. Sanftenberg
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Germany
| | - R. Oberhoffer
- Technische Universität München, Lehrstuhl für präventive Pädiatrie, München, Germany
| | - N. Nagdyman
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - P. Ewert
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - H. Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
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Tutarel O, Diller GP, Helm P, Asfour B, Kaemmerer H, Bauer U, Lammers A. Mechanical Circulatory Support in Pediatric and Congenital Heart Disease Patients: Evolving Use and Outcome in 325 Patients from the German National Register for Congenital Heart Defects. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- O. Tutarel
- Klinik für Kardiologie und Angiologie, Medizinische Hochschule Hannover, Hannover, Germany
| | - G.-P. Diller
- Universitätsklinikum Münster, Kardiologisches Zentrum für Erwachsene mit angeborenen (EMAH) & erworbenen Herzfehlern, Münster, Germany
| | - P.C. Helm
- Nationales Register für angeborene Herzfehler e. V., DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - B. Asfour
- Asklepios Klinik Sankt Augustin GmbH, German Pediatric Heart Center, Sankt Augustin, Germany
| | - H. Kaemmerer
- Technische Universität München, Deutsches Herzzentrum München, Department of Paediatric Cardiology and Congenital Heart Defects, München, Germany
| | - U.M.M. Bauer
- Nationales Register für angeborene Herzfehler e. V., DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - A. Lammers
- Department of Paediatric Cardiology, Universitätsklinikum Münster, Münster, Germany
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15
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Leuchte HH, Ten Freyhaus H, Gall H, Halank M, Hoeper MM, Kaemmerer H, Kähler C, Riemekasten G, Ulrich S, Schwaiblmair M, Ewert R. [Risk stratification and follow-up assessment of patients with pulmonary arterial hypertension: Recommendations of the Cologne Consensus Conference 2016]. Dtsch Med Wochenschr 2016; 141:S19-S25. [PMID: 27760446 DOI: 10.1055/s-0042-114524] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The 2015 European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension are also valid for Germany. The guidelines contain detailed information about the diagnosis of pulmonary hypertension, and furthermore provide novel recommendations for risk stratification and follow-up assessments. However, the practical implementation of the European Guidelines in Germany requires the consideration of several country-specific issues and already existing novel data. This requires a detailed commentary to the guidelines, and in some aspects an update already appears necessary. In June 2016, a Consensus Conference organized by the PH working groups of the German Society of Cardiology (DGK), the German Society of Respiratory Medicine (DGP) and the German Society of Pediatric Cardiology (DGPK) was held in Cologne, Germany. This conference aimed to solve practical and controversial issues surrounding the implementation of the European Guidelines in Germany. To this end, a number of working groups was initiated, one of which was specifically dedicated to risk stratification and follow-up assessment of patients with PAH. This manuscript summarizes the results and recommendations of this working group.
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Kaemmerer H, Apitz C, Brockmeier K, Eicken A, Gorenflo M, Hager A, deHaan F, Huntgeburth M, Kozlik-Feldmann R, Miera O, Diller GP. [Pulmonary hypertension in grown-ups with congenital heart disease: Recommendations of the Cologne Consensus Conference 2016]. Dtsch Med Wochenschr 2016; 141:S70-S79. [PMID: 27760453 DOI: 10.1055/s-0042-114530] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The 2015 European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension are also valid for Germany. The guidelines contain detailed recommendations for different forms of PH, and specifically address PH associated with congenital heart disease (CHD). However, the practical implementation of the European Guidelines in Germany requires the consideration of several country-specific issues and already existing novel data. This requires a detailed commentary to the guidelines, and in some aspects an update already appears necessary. In June 2016, a Consensus Conference organized by the PH working groups of the German Society of Cardiology (DGK), the German Society of Respiratory Medicine (DGP) and the German Society of Pediatric Cardiology (DGPK) was held in Cologne, Germany. This conference aimed to solve practical and controversial issues surrounding the implementation of the European Guidelines in Germany. To this end, a number of working groups was initiated, one of which was specifically dedicated to PH in grown-ups with congenital heart disease (GUCH). This article summarizes the results and recommendations of this working group.
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17
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Grünig E, Benjamin N, Krüger U, Kaemmerer H, Harutyunova S, Olsson K, Ulrich S, Gerhardt F, Neurohr C, Sablotzki A, Halank M, Kabitz HJ, Thimm G, Fliegel KG, Klose H. Allgemeine und supportive Therapie der pulmonal arteriellen Hypertonie: Empfehlungen der Kölner Konsensus Konferenz 2016. Dtsch Med Wochenschr 2016; 141:S26-S32. [DOI: 10.1055/s-0042-114525] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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18
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Hoeper MM, Apitz C, Grünig E, Halank M, Ewert R, Kaemmerer H, Kabitz HJ, Kähler C, Klose H, Leuchte H, Ulrich S, Olsson KM, Distler O, Rosenkranz S, Ghofrani HA. [Targeted therapy of pulmonary arterial hypertension: Recommendations of the Cologne Consensus Conference 2016]. Dtsch Med Wochenschr 2016; 141:S33-S41. [PMID: 27760448 DOI: 10.1055/s-0042-114526] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The 2015 European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension are also valid for Germany. The guidelines contain detailed recommendations for the targeted treatment of pulmonary arterial hypertension (PAH). However, the practical implementation of the European Guidelines in Germany requires the consideration of several country-specific issues and already existing novel data. This requires a detailed commentary to the guidelines, and in some aspects an update already appears necessary. In June 2016, a Consensus Conference organized by the PH working groups of the German Society of Cardiology (DGK), the German Society of Respiratory Medicine (DGP) and the German Society of Pediatric Cardiology (DGPK) was held in Cologne, Germany. This conference aimed to solve practical and controversial issues surrounding the implementation of the European Guidelines in Germany. To this end, a number of working groups was initiated, one of which was specifically dedicated to the targeted therapy of PAH. This article summarizes the results and recommendations of the working group on targeted treatment of PAH.
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Tomlinson D, Deppe C, Kaemmerer H, Polanetz R, Heineking B, Delius M, Köhm J, Kur F, Herber-Jonat S, Dossow VV, Hübener C, Mahner S, Hasbargen U. Schwangerschaft bei funktionell univentrikulärem Herz der Mutter – Strukturelle Voraussetzungen zur Betreuung dieser Hochrisikoschwangerschaften. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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20
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Pujol C, Niesert AC, Engelhardt A, Schoen P, Kusmenkov E, Pittrow D, Ewert P, Kaemmerer H. Use of Direct Oral Anticoagulants in Adult Congenital Heart Disease: A Preliminary Clinical Experience. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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21
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Koerten MA, Szatmári A, Niwa K, Ruzsa Z, Nagdyman N, Niggemeyer E, Peters B, Schneider KTM, Kuschel B, Mizuno Y, Berger F, Bauer UMM, Kaemmerer H. Evaluation of contraceptive methods in women with congenital heart disease in Germany, Hungary and Japan. Int J Cardiol 2015; 206:13-8. [PMID: 26773763 DOI: 10.1016/j.ijcard.2015.12.031] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Revised: 11/10/2015] [Accepted: 12/28/2015] [Indexed: 11/28/2022]
Abstract
AIMS For women with congenital heart defects (CHD), pregnancy may pose a health risk. Sexually active women with CHD without the desire for own children or for whom pregnancy would imply considerable health risks require adequate counselling regarding appropriate contraception. This study gathers data on the contraceptive behaviour of women with CHD from three different cultural regions. METHODS AND RESULTS 634 women with CHD from Germany, Hungary and Japan were surveyed regarding contraception and contraceptive methods (CM) used. The patients were divided into groups according to different criteria such as pregnancy associated cardiovascular risk or "safety" of the contraceptive methods used. 59% of the study participants had already gained experience with CM. The average age at the first time of use was 18.4 years; the German patients were significantly younger at the first time of using a CM than those from Hungary and Japan. Overall the condom was the method used the most (38%), followed by oral contraceptives (30%) and coitus interruptus (11%). The range of CM used in Japan was much smaller than that in Germany or Hungary. Unsafe contraceptives were currently, or had previously been used, by 29% of the surveyed patients (Germany: 25%, Hungary: 37%, Japan: 32%). CONCLUSION Most women with CHD use CM. There are differences between the participating countries. Adequate contraceptive counselling of women with CHD requires considering the individual characteristics of each patient, including potential contraindications. For choosing an appropriate CM, both the methods' "safety", as well as the maternal cardiovascular risk, are important.
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Affiliation(s)
- M-A Koerten
- German Heart Centre Munich, Department of Paediatric Cardiology and Congenital Heart Defects, Technical University of Munich, Germany; Competence Network for Congenital Heart Defects, Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site Munich, Germany.
| | - A Szatmári
- Gottsegen Hungarian Institute of Cardiology, Pediatric Cardiac Centre, Budapest, Hungary
| | - K Niwa
- St. Luke's International Hospital, Tokyo, Japan
| | - Z Ruzsa
- University of Szeged, Medical Faculty, 2nd Department of Medicine and Cardiology Center, Division of Invasive Cardiology, Szeged, Hungary
| | - N Nagdyman
- German Heart Centre Munich, Department of Paediatric Cardiology and Congenital Heart Defects, Technical University of Munich, Germany; German Heart Institute Berlin, Department of Congenital Heart Disease and Pediatric Cardiology, Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site Munich, Germany
| | - E Niggemeyer
- Competence Network for Congenital Heart Defects, Berlin, Germany
| | - B Peters
- Otto-von-Guericke University of Magdeburg, Germany
| | - K T M Schneider
- Frauenklinik, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
| | - B Kuschel
- Frauenklinik, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
| | - Y Mizuno
- Chiba Cardiovascular Center, Department of Adult Congenital Heart Disease and Pediatrics, Ichihara, Japan
| | - F Berger
- German Heart Institute Berlin, Department of Congenital Heart Disease and Pediatric Cardiology, Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site Munich, Germany
| | - U M M Bauer
- Competence Network for Congenital Heart Defects, Berlin, Germany.
| | - H Kaemmerer
- German Heart Centre Munich, Department of Paediatric Cardiology and Congenital Heart Defects, Technical University of Munich, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site Munich, Germany
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Gorenflo M, Pittrow D, Huscher D, Ziesenitz V, Pattathu J, Praus A, Ewert P, Apitz C, Stiller B, Weil J, Abdul-Khaliq H, Berger F, Breuer J, Hansmann G, Hofbeck M, Dähnert I, Michel-Behnke I, Stein J, Delcroix M, Hoeper MM, Kaemmerer H. Pulmonale Hypertension bei pädiatrischen Patienten: COMPERA-Kids Register. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1555958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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23
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Gorenflo M, Apitz C, Miera O, Stiller B, Schranz D, Berger F, Hager A, Kaemmerer H. [Pulmonary hypertension/pulmonary arterial hypertension in congenital heart disease and therapy of pulmonary arterial hypertension in children]. Dtsch Med Wochenschr 2014; 139 Suppl 4:S166-70. [PMID: 25489686 DOI: 10.1055/s-0034-1387491] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- M Gorenflo
- Klinik Kinderheilkunde II, Pädiatrische Kardiologie und Angeborene Herzfehler, Zentrum für Kinder- und Jugendmedizin, Universitätsklinikum Heidelberg, Deutschland
| | - C Apitz
- Kinderkardiologie, Universitätsklinikum Gießen, Deutschland
| | - O Miera
- Klinik für angeborene Herzfehler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Deutschland
| | - B Stiller
- Klinik für Angeborene Herzfehler und Pädiatrische Kardiologie ZKJ, Universitäts Herzzentrum Freiburg Bad Krozingen
| | - D Schranz
- Kinderkardiologie, Universitätsklinikum Gießen, Deutschland
| | - F Berger
- Klinik für angeborene Herzfehler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Deutschland
| | - A Hager
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Klinik an der Technischen Universität München, Deutschland
| | - H Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Klinik an der Technischen Universität München, Deutschland
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24
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Hauser M, Eicken A, Kühn A, Hess J, Fratz S, Ewert P, Kaemmerer H. Der rechtsventrikuläre Ausflusstrakt bei korrigierter Fallotʼscher Tetralogie: Hämodynamik, Diagnostik und Therapie. Aktuel Kardiol 2014. [DOI: 10.1055/s-0033-1357979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- M. Hauser
- Praxis für Kinderkardiologie, München
| | - A. Eicken
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
| | - A. Kühn
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
| | - J. Hess
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
| | - S. Fratz
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
| | - P. Ewert
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
| | - H. Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
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25
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Nagdyman N, Pujol Salvador C, Kuschel B, Schneider K, Kaemmerer H. Schwangerschaftsberatung bei Frauen mit angeborenen Herzfehlern. Aktuel Kardiol 2014. [DOI: 10.1055/s-0033-1357985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- N. Nagdyman
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
| | - C. Pujol Salvador
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
| | - B. Kuschel
- Frauenklinik und Poliklinik, Klinikums rechts der Isar der TU München, München
| | - K. Schneider
- Frauenklinik und Poliklinik, Klinikums rechts der Isar der TU München, München
| | - H. Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München
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26
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Gorenflo M, Pittrow D, Huscher D, Ziesenitz V, Praus A, Ewert P, Apitz C, Stiller B, Weil J, Abdul-Khaliq H, Berger F, Breuer J, Hansmann G, Michel-Behnke I, Stein J, Hoeper M, Kaemmerer H. Charakterisierung und Therapie pädiatrischer Patienten mit pulmonaler Hypertension: COMPERA-Kids Register. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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27
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Pujol C, Braun S, Seidel H, Meierhofer C, Horndasch M, Schoetzau J, Stöckl A, Ewert P, Kaemmerer H. Störungen der Thrombozytenaggregation bei Marfan Syndrom. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Mebus S, Kügel J, Zachoval R, Braun S, Haverkämper G, Opgen-Rhein B, Berger F, Horster S, Salvador C, Kappler S, Bauer U, Hess J, Ewert P, Kaemmerer H. Noninvasive assessment of liver function in adults with congenital heart disease (ACHD) by transient elastography (Fibroscan), Acoustic Radiation Force Impulse Imaging (ARFI) and biochemical markers. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Kaemmerer H, Pittrow D, Huscher D, Tiede H, Delcroix M, Gorenflo M, D’alto M, Pujol C, Praus A, Engelhardt A, Ewert P, Hoeper M. Behandlungscharakteristika von Erwachsenen mit PAH assoziiert mit angeborenen Herzfehlern. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Hrycyk J, Kaemmerer H, Nagdyman N, Schneider KTM, Kuschel B. Entbindungsmodus bei Frauen mit angeborenen Herzfehlern. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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31
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Pujol C, Braun S, Seidel H, Meierhofer C, Mebus S, Horndasch M, Stöckl A, Schoetzau J, Ewert P, Kaemmerer H. PP-370 Coagulation Disorders in Marfan Syndrome. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Kaemmerer H, Pittrow D, Huscher D, Tiede H, Delcroix M, Gorenflo M, D'alto M, Pujol C, Praus A, Engelhardt A, Ewert P, Hoeper M. PP-372 Characteristics of Adults with Congenital Heart Disease and Pulmonary Arterial Hypertension in the COMPERA-CHD Registry. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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33
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Lummert E, Hauser M, Vigl M, Pujol C, Braun S, Zachoval R, Fischereder M, Engelhardt A, Mebus S, Eicken A, Ewert P, Kaemmerer H. PP-371 Noncardiac Comorbidities of Congenital Heart Disease in Adults. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Sheikhzadeh S, Sondermann C, Rybczynski M, Habermann CR, Brockstaedt L, Keyser B, Kaemmerer H, Mir T, Staebler A, Robinson PN, Kutsche K, Berger J, Blankenberg S, von Kodolitsch Y. Comprehensive analysis of dural ectasia in 150 patients with a causative FBN1 mutation. Clin Genet 2013; 86:238-45. [PMID: 23991918 DOI: 10.1111/cge.12264] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2013] [Revised: 08/26/2013] [Accepted: 08/26/2013] [Indexed: 11/26/2022]
Abstract
The purpose of this study was to perform a comprehensive study of dural ectasia (DE) related to FBN1 mutations. We performed a database analysis of two German metropolitan regions of 150 patients (68 men, 82 women; mean age 35 ± 16 years). All patients had a FBN1 mutation and underwent dural magnetic resonance imaging. Age was <16 years in 20, 16-25 in 27, 26-35 in 67, and >35 in 36 patients. Prevalence of dural ectasia was 89% with criteria of Oosterhof and Habermann, 83% with Fattori, 78% with Lundby, and 59% with Ahn. DE was less frequent in patients <16 years with Ahn and Fattori. DE related to skeletal manifestations with all criteria, to aortic Z-scores and mitral valve prolapse with criteria of Habermann and Lundby, and to age with criteria of Fattori. The Fattori-grade of DE increased with age, aortic Z-scores, and skeletal score points. There was no consistent relationship of DE with any type of FBN1 mutation. DE is frequent in patients with FBN1 mutations irrespective of age and its severity increases during life. Criteria of Oosterhof and Habermann yielded most consistent diagnostic results. DE relates to skeletal involvement, aortic Z-scores, and mitral valve prolapse.
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Kaemmerer H, Gorenflo M, Hoeper M, Huscher D, Ewert P, Pittrow D. Pulmonalarterielle Hypertonie bei angeborenen Herzfehlern: Problemstellung und Versorgungslage. Dtsch Med Wochenschr 2013. [DOI: 10.1055/s-0033-1353943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- H. Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Klinik an der Technischen Universität München
| | - M. Gorenflo
- Klinik für Kinderkardiologie und angeborene Herzfehler, Universitätsklinikum Heidelberg
| | - M. Hoeper
- Klinik für Pneumologie, Medizinische Hochschule Hannover
| | - D. Huscher
- Deutsches Rheuma-Forschungszentrum Berlin und Rheumatologie, Charité - Universitätsmedizin Berlin
| | - P. Ewert
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Klinik an der Technischen Universität München
| | - D. Pittrow
- Institut für Klinische Pharmakologie, Medizinische Fakultät, Technische Universität Dresden
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36
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Zimmermann R, Schranz D, Ewert P, Kaemmerer H. [Pulmonary arterial hypertension in congenital heart defects with shunt: a heterogeneous and complex constellation]. Dtsch Med Wochenschr 2013; 138:1244-6. [PMID: 23720181 DOI: 10.1055/s-0033-1343187] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
It will be explained how pulmonary vascular disease can develop in congenital heart defects with primary left-to-right shunt across the different ages and stages of development, with and without surgical, interventional or medical treatment. Furthermore it will be discussed, in which specific stages of pulmonary vascular disease "advanced therapy" can be used.
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Affiliation(s)
- R Zimmermann
- Klinik für Kinderkardiologie und angeborene Herzfehler, Universitätsklinikum Gießen
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Kaemmerer H, Gorenflo M, Hoeper M, Huscher D, Ewert P, Pittrow D. [Pulmonary arterial hypertension in patients with congenital heart disease: current issues and health care situation]. Dtsch Med Wochenschr 2013; 138:1247-52. [PMID: 23720182 DOI: 10.1055/s-0033-1343189] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Defects of the heart and associated large vessels (CHD) are among the most frequent congenital anomalies. Owing to improved interdisciplinary management, about 90% of CHD patients reach adulthood. Up to 10% maintain or newly develop pulmonary arterial hypertension (PAH) over time, which impairs exercise tolerance and prognosis. Data on the health care situation of patients with PAH-CHD are limited. The ongoing Prospective Registry of Newly Initiated Therapies for Pulmonary Hypertension (COMPERA, ClinTrials.gov Identifier NCT01347216) prospectively documents adult patients with all forms of pulmonary hypertension, if treated with PAH drugs (mean follow-up 40 months). As of 16 November 2012, 8% of the 3642 patients in the database had PAH-CHD. Of the latter, 104 were documented in great detail in specific CHD report forms. These patients were on average 39 years old, men in 39%, had a mean 6-minute walk distance of 370 ± 102 meters, and were in NYHA functional class I/II in 39%, III in 59%, und IV in 3%. Mean quality of life on the 100-point visual analogue scale (EQ-5 D) was 51. PAH-CHD patients received monotherapy in 80%, combination therapy in 9%, and no PAH drugs in 11%. Only 20% were on oral anticoagulation (OAC). Mean 4-year survival in incident patients (PAH-CHD diagnosis after start of the registry in 2007) was 79%, compared with 72% in patients with idiopathic PAH (IPAH). According to these registry data, patients with PAH-CHD have impaired exercise capacity, and substantially reduced quality of life. They receive combination therapy or OAC, respectively, less frequently than IPAH patients, however, their survival rate is higher.
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Affiliation(s)
- H Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Klinik an der Technischen Universität München.
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Körten M, Szatmári A, Nagdyman N, Niggemeyer E, Niwa K, Peters B, Pickardt T, Schneider KT, Bauer U, Kaemmerer H. OP-203 EVALUATION OF CONTRACEPTIVE METHODS IN WOMEN WITH CONGENITAL HEART DEFECTS IN GERMANY, HUNGARY AND JAPAN. Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70204-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Körten M, Szatmári A, Nagdyman N, Niggemeyer E, Niwa K, Peters B, Pickardt T, Schneider KT, Kaemmerer H, Bauer U. OP-165 FREQUENCY OF MISCARRIAGE, STILLBIRTH AND PREGNANCY TERMINATION IN WOMEN WITH CONGENITAL HEART DEFECTS IN GERMANY, HUNGARY AND JAPAN. Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70166-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Greutmann M, Tobler D, Sharma NC, Vonder Muhll I, Mebus S, Kaemmerer H, Schuler PK, Deanfield JE, Beauchesne L, Salehian O, Hoffmann A, Golovatyuk V, Oechslin EN, Silversides CK. Cardiac outcomes in adults with supravalvar aortic stenosis. Eur Heart J 2012; 33:2442-50. [DOI: 10.1093/eurheartj/ehs206] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Pawelczak C, Anker G, Pildner von Steinburg S, Schneider KTM, Kaemmerer H, Kuschel B. Schwangerschaft bei Frauen mit angeborenen Herzfehlern–maternales und fetales Outcome. Z Geburtshilfe Neonatol 2011. [DOI: 10.1055/s-0031-1293225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Schmidmayr M, Vigl M, Seifert-Klauss V, Schneider KTM, Kaemmerer H. Interdisziplinäre Betreuung von Frauen mit angeborenen Herzfehlern – Kontrazeption und fortpflanzungsmedizinische Aspekte. Z Geburtshilfe Neonatol 2011. [DOI: 10.1055/s-0031-1293226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Sheikhzadeh S, Rybczynski M, Habermann CR, Bernhardt AMJ, Arslan-Kirchner M, Keyser B, Kaemmerer H, Mir TS, Staebler A, Oezdal N, Robinson PN, Berger J, Meinertz T, von Kodolitsch Y. Dural ectasia in individuals with Marfan-like features but exclusion of mutations in the genes FBN1, TGFBR1 and TGFBR2. Clin Genet 2011; 79:568-74. [PMID: 20662850 DOI: 10.1111/j.1399-0004.2010.01494.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Mutations in the genes FBN1, TGFBR1, and TGFBR2 can result in heritable connective tissue disorders comprising the Marfan syndrome and the Loeys-Dietz syndrome. Dural ectasia is a characteristic manifestation of both syndromes. However, dural ectasia has not yet been investigated in connective tissue disorders that are unrelated to mutations in the FBN1, TGFBR1 or TGFBR2 genes. Here, we assessed dural ectasia in 33 individuals both with typical manifestations of heritable connective tissue disease and in whom mutations in all three genes had been excluded. We identified 19 individuals with dural ectasia (58%), who exhibited major skeletal manifestations of the Marfan syndrome more frequently than the remaining 14 persons without dural ectasia (p = 0.06). Moreover, only persons with dural ectasia fulfilled clinical criteria of the Marfan syndrome (p = 0.01). Conversely, aortic aneurysm (12 patients; p = 0.8), aortic dissection (five patients; p = 0.1), spontaneous dissection of the carotid arteries (five patients; p = 1), and mitral valve prolapse (13 patients; p = 0.4) were similarly frequent irrespective of dural ectasia. We conclude that dural ectasia is a marker for connective tissue disease which coincides with skeletal rather than with cardiovascular manifestations, and which may involve currently uncharacterized pathogenetic mechanisms and syndromes.
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Affiliation(s)
- S Sheikhzadeh
- Centre of Cardiology and Cardiovascular Surgery, University Hospital Eppendorf, Hamburg, Germany
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Ghofrani H, Distler O, Gerhardt F, Gorenflo M, Grünig E, Haefeli W, Held M, Hoeper M, Kähler CM, Kaemmerer H, Klose H, Köllner V, Kopp B, Mebus S, Meyer A, Miera O, Pittrow D, Riemekasten G, Rosenkranz S, Schranz D, Voswinckel R, Olschewski H. Therapie der pulmonal arteriellen Hypertonie (PAH). Dtsch Med Wochenschr 2010; 135 Suppl 3:S87-101. [DOI: 10.1055/s-0030-1263316] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Haida H, Kaemmerer H, Lorenz H, Seidel-Morgenstern A. Estimation of Reliable Parameters for Solid-Liquid Equilibrium Description of Chiral Systems. Chem Eng Technol 2010. [DOI: 10.1002/ceat.200900612] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Abstract
There is a increasing clinical and scientific interest in adults with congenital heart disease. Germany is among, if not the first country worldwide, with a structured care of adults with congenital heart disease. Due to the advances in cardiology and in heart surgery, the primarily high mortality rate of relevant congenital heart disease has declined from 80% to less than 20% during the recent decades. Currently, in Europe the estimated number of adults with congenital heart disease is between 1.2 and 2.7 Mio., and the number in Germany exceeds 180,000. Almost all congenital heart defects, either native or interventionally or surgically treated, need regular control, since even after successful primary treatment significant residua or sequels have to be expected. Optimal care of these patients begins in the childhood and must be continued down to the high adulthood. The complexity of congenital heart defects makes a multidisciplinary approach necessary. A specialized, interdisciplinary cooperation between cardiologists, pediatric cardiologists, cardiac surgeons and other specialists is mandatory.
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Affiliation(s)
- H Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Klinik an der Technischen Universität München, 80636 München.
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Moons P, Meijboom FJ, Baumgartner H, Trindade PT, Huyghe E, Kaemmerer H. Structure and activities of adult congenital heart disease programmes in Europe. Eur Heart J 2009; 31:1305-10. [DOI: 10.1093/eurheartj/ehp551] [Citation(s) in RCA: 66] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kaemmerer H, Seidel-Morgenstern A, Lorenz H. Alternatives Verfahren zur Racemattrennung verbindungsbildender Systeme mittels Kristallisation. CHEM-ING-TECH 2009. [DOI: 10.1002/cite.200900080] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Schulze-Neick I, Kaemmerer H. Pulmonale Hypertonie und pulmonale Zirkulation bei angeborenen Herzfehlern. Dtsch Med Wochenschr 2009; 134 Suppl 5:S170-2. [DOI: 10.1055/s-0029-1225317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Vigl M, Hager A, Bauer U, Niggemeyer E, Wittstock B, Kohn FM, Hess J, Kaemmerer H. Sexuality and subjective wellbeing in male patients with congenital heart disease. Heart 2009; 95:1179-83. [DOI: 10.1136/hrt.2008.156695] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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