Pei‐Ni Jone
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View article: Persistent Imbalance
Persistent Imbalance Open
Women hold fewer leadership positions across most subsections of pediatric cardiology programs, with more equitable distribution at centers led by women division chiefs. Women are more likely to share a leadership position with another car…
View article: Routine Echocardiographic Assessments of Single Ventricle Patients Should Include Atrial Strain
Routine Echocardiographic Assessments of Single Ventricle Patients Should Include Atrial Strain Open
View article: ICU Admission Prediction for Patients With Kawasaki Disease or MIS-C Using Machine Learning
ICU Admission Prediction for Patients With Kawasaki Disease or MIS-C Using Machine Learning Open
ML algorithms can effectively predict ICU admission for pediatric patients with MIS-C or KD. These models may prompt physicians to pre-emptively implement supportive measures, possibly mitigating the risk of clinical deterioration.
View article: Diagnostic Accuracy Prior to Congenital Heart Defect Surgery
Diagnostic Accuracy Prior to Congenital Heart Defect Surgery Open
This work represents the feasibility and advantages of a multicenter approach to preoperative diagnostic errors. Variability existed in sedated protocols, number of echos needed, use of other modalities, and in other processes. Common anat…
View article: Artificial Intelligence in Fetal and Pediatric Echocardiography
Artificial Intelligence in Fetal and Pediatric Echocardiography Open
Echocardiography is the main modality in diagnosing acquired and congenital heart disease (CHD) in fetal and pediatric patients. However, operator variability, complex image interpretation, and lack of experienced sonographers and cardiolo…
View article: Size and Function of the Right Atrium in Healthy Children by Three‐Dimensional Echocardiography
Size and Function of the Right Atrium in Healthy Children by Three‐Dimensional Echocardiography Open
Purpose Right atrial volume (RAV) and function have proven prognostic value in the assessment of cardiac disease and may be more accurately assessed using three‐dimensional echocardiography (3DE). Normal 3DE reference values for the right …
View article: Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design
Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design Open
Importance The prevalence, pathophysiology, and long-term outcomes of COVID-19 (post-acute sequelae of SARS-CoV-2 [PASC] or “Long COVID”) in children and young adults remain unknown. Studies must address the urgent need to define PASC, its…
View article: Mind the Gap! Working Toward Gender Equity in Pediatric and Congenital Heart Disease: Present and Future
Mind the Gap! Working Toward Gender Equity in Pediatric and Congenital Heart Disease: Present and Future Open
Evidence from medicine and other fields has shown that gender diversity results in better decision making and outcomes. The incoming workforce of congenital heart specialists (especially in pediatric cardiology) appears to be more gender b…
View article: Consensus‐Based Development of a Pediatric Echocardiography Complexity Score: Design, Rationale, and Results of a Quality Improvement Collaborative
Consensus‐Based Development of a Pediatric Echocardiography Complexity Score: Design, Rationale, and Results of a Quality Improvement Collaborative Open
Background The complexity of congenital heart disease has been primarily stratified on the basis of surgical technical difficulty, specific diagnoses, and associated outcomes. We report on the refinement and validation of a pediatric echoc…
View article: Obesity and Outcomes of Kawasaki Disease and COVID-19–Related Multisystem Inflammatory Syndrome in Children
Obesity and Outcomes of Kawasaki Disease and COVID-19–Related Multisystem Inflammatory Syndrome in Children Open
Importance Obesity may affect the clinical course of Kawasaki disease (KD) in children and multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19. Objective To compare the prevalence of obesity and associations with…
View article: Cardiac Biomarkers Aid in Differentiation of Kawasaki Disease from Multisystem Inflammatory Syndrome in Children Associated with COVID-19
Cardiac Biomarkers Aid in Differentiation of Kawasaki Disease from Multisystem Inflammatory Syndrome in Children Associated with COVID-19 Open
Background: Kawasaki disease (KD) and Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19 show clinical overlap and both lack definitive diagnostic testing, making differentiation challenging. We sought to determ…
View article: Pulmonary Hypertension in Congenital Heart Disease: A Scientific Statement From the American Heart Association
Pulmonary Hypertension in Congenital Heart Disease: A Scientific Statement From the American Heart Association Open
Patients with pulmonary hypertension associated with congenital heart disease make up an increasing proportion of the total pulmonary hypertension population who bring with them added complexity because of underlying anatomical and hemodyn…
View article: Kawasaki Disease in the Time of COVID-19 and MIS-C: The International Kawasaki Disease Registry
Kawasaki Disease in the Time of COVID-19 and MIS-C: The International Kawasaki Disease Registry Open
View article: The (Heart and) Soul of a Human Creation: Designing Echocardiography for the Big Data Age
The (Heart and) Soul of a Human Creation: Designing Echocardiography for the Big Data Age Open
View article: Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design
Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design Open
Importance The prevalence, pathophysiology, and long-term outcomes of COVID-19 (post-acute sequelae of SARS-CoV-2 [PASC] or “Long COVID”) in children and young adults remain unknown. Studies must address the urgent need to define PASC, its…
View article: Can Multisystem Inflammatory Syndrome in Children Be Managed in the Outpatient Setting? An EHR-Based Cohort Study From the RECOVER Program
Can Multisystem Inflammatory Syndrome in Children Be Managed in the Outpatient Setting? An EHR-Based Cohort Study From the RECOVER Program Open
Using electronic health record data combined with primary chart review, we identified seven children across nine participant pediatric medical centers with a diagnosis of Multisystem Inflammatory Syndrome in Children (MIS-C) managed exclus…
View article: Utility of Fetal Echocardiography with Acute Maternal Hyperoxygenation Testing in Assessment of Complex Congenital Heart Defects
Utility of Fetal Echocardiography with Acute Maternal Hyperoxygenation Testing in Assessment of Complex Congenital Heart Defects Open
Fetal echocardiography is an excellent tool for accurately assessing the anatomy and physiology of most congenital heart defects (CHDs). Knowledge gathered from a thorough initial fetal echocardiogram and serial assessment assists with app…
View article: Examination of Adverse Reactions After COVID-19 Vaccination Among Patients With a History of Multisystem Inflammatory Syndrome in Children
Examination of Adverse Reactions After COVID-19 Vaccination Among Patients With a History of Multisystem Inflammatory Syndrome in Children Open
Importance Data are limited regarding adverse reactions after COVID-19 vaccination in patients with a history of multisystem inflammatory syndrome in children (MIS-C). The lack of vaccine safety data in this unique population may cause hes…
View article: Use of adjunctive 3-dimensional echocardiogram for His bundle pacing in pediatric patients
Use of adjunctive 3-dimensional echocardiogram for His bundle pacing in pediatric patients Open
The right ventricle has been the traditional site of transvenous pacing, but targeting the His bundle has emerged as potentially more physiologic, with reductions in pacemaker-mediated cardiomyopathy being suggested. Although the use of Hi…
View article: Artificial Intelligence in Congenital Heart Disease
Artificial Intelligence in Congenital Heart Disease Open
The current era of big data offers a wealth of new opportunities for clinicians to leverage artificial intelligence to optimize care for pediatric and adult patients with a congenital heart disease. At present, there is a significant under…
View article: Changes in Treatment and Severity of Multisystem Inflammatory Syndrome in Children: An EHR-based cohort study from the RECOVER program
Changes in Treatment and Severity of Multisystem Inflammatory Syndrome in Children: An EHR-based cohort study from the RECOVER program Open
Objectives The purpose of this study was to examine how the treatment and severity of multisystem inflammatory syndrome in children (MIS-C) has changed over more than two years of the COVID-19 pandemic in the United States. Methods Electro…
View article: Multisystem Inflammatory Syndrome in Children Managed in the Outpatient Setting: An EHR-based cohort study from the RECOVER program
Multisystem Inflammatory Syndrome in Children Managed in the Outpatient Setting: An EHR-based cohort study from the RECOVER program Open
Using electronic health record data combined with primary chart review, we identified 7 children across 8 pediatric medical centers with a diagnosis of Multisystem Inflammatory Syndrome in Children (MIS-C) who were managed as outpatients. …
View article: Cardiac Troponin Testing as a Component of Return to Play Cardiac Screening in Young Competitive Athletes Following SARS‐CoV‐2 Infection
Cardiac Troponin Testing as a Component of Return to Play Cardiac Screening in Young Competitive Athletes Following SARS‐CoV‐2 Infection Open
Background Initial protocols for return to play cardiac testing in young competitive athletes following SARS‐CoV‐2 infection recommended cardiac troponin (cTn) to screen for cardiac involvement. This study aimed to define the diagnostic yi…
View article: Epidemiological and Clinical Features of Kawasaki Disease During the COVID-19 Pandemic in the United States
Epidemiological and Clinical Features of Kawasaki Disease During the COVID-19 Pandemic in the United States Open
In this study of epidemiological and clinical features of KD during the COVID-19 pandemic in the United States, KD cases fell and remained low during the period of masking and school closure. Mobility data indicated that differential inten…
View article: Association of Acute Anti-inflammatory Treatment With Medium-term Outcomes for Coronary Artery Aneurysms in Kawasaki Disease
Association of Acute Anti-inflammatory Treatment With Medium-term Outcomes for Coronary Artery Aneurysms in Kawasaki Disease Open
Persistence of CAA and MACE are more strongly associated with baseline severity CAA than with acute adjuvant anti-inflammatory therapy. Patients who received late adjunctive therapy are at higher risk for worse outcomes.
View article: Repolarization Dispersion Is Associated With Diastolic Electromechanical Discoordination in Children With Pulmonary Arterial Hypertension
Repolarization Dispersion Is Associated With Diastolic Electromechanical Discoordination in Children With Pulmonary Arterial Hypertension Open
Background Electromechanical dyssynchrony is a well described comorbidity in pulmonary arterial hypertension (PAH). ECG‐derived measurements reflective of diastolic dysfunction and electromechanical imaging markers are yet to be investigat…
View article: Artificial intelligence in echocardiography to diagnose congenital heart disease and fetal echocardiography
Artificial intelligence in echocardiography to diagnose congenital heart disease and fetal echocardiography Open
Echocardiography is the primary tool in pediatric cardiology for diagnosing and managing congenital heart disease (CHD). Accurate and reliable echocardiographic assessment is critical in clinical decision making. Artificial intelligence (A…
View article: Temporal clustering of Kawasaki disease cases around the world
Temporal clustering of Kawasaki disease cases around the world Open
View article: Infliximab versus second intravenous immunoglobulin for treatment of resistant Kawasaki disease in the USA (KIDCARE): a randomised, multicentre comparative effectiveness trial
Infliximab versus second intravenous immunoglobulin for treatment of resistant Kawasaki disease in the USA (KIDCARE): a randomised, multicentre comparative effectiveness trial Open
View article: Angiostatic Peptide, Endostatin, Predicts Severity in Pediatric Congenital Heart Disease–Associated Pulmonary Hypertension
Angiostatic Peptide, Endostatin, Predicts Severity in Pediatric Congenital Heart Disease–Associated Pulmonary Hypertension Open
Background Endostatin, an angiogenic inhibitor, is associated with worse pulmonary arterial hypertension (PAH) outcomes in adults and poor lung growth in children. This study sought to assess whether endostatin is associated with disease s…