Circulation

Physical activity (PA) is essential for the cardiovascular, emotional, and social health of all children and adolescents. However, for pediatric patients with cardiomyopathy, decades of risk-averse clinical guidance have resulted in widespread PA restriction due to fears of sudden cardiac death and disease progression. This has contributed to sedentary behavior, poor cardiorespiratory fitness, an…

Cardiology and Cardiovascular MedicineCardiovascular Effects of ExerciseHealth SciencesMedicine

Right ventricular (RV) dysfunction is a key predictor of outcomes in pulmonary hypertension (PH), substantially contributing to illness and death. As PH progresses, increased pulmonary vascular resistance places chronic pressure overload on the right ventricle. Initially, the right ventricle adapts through hypertrophic remodeling, thickening the heart wall to maintain cardiac output. Over time, t…

Health SciencesMedicinePulmonary and Respiratory MedicinePulmonary Hypertension Research and Treatments

Background: Clinical endpoint classification (CEC) is the gold standard for cardiovascular endpoint measurement in clinical trials, but adds time and cost. We developed and validated an artificial intelligence (AI) algorithm (ADAPT-CEC) that adjudicates multiple cardiovascular endpoints and adapts to new definitions. Methods: ADAPT-CEC was derived on myocardial infarction (MI), stroke, and heart …

MathematicsPhysical SciencesStatistical Methods in Clinical TrialsStatistics and Probability
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