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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Quality of life of patients with atrial septal defect following percutaneous closure
Nihan Kahya Eren1, Ali H Kırdök2, Barış Kılıçaslan3
11Department of Cardiology,Izmir Katip Celebi University Ataturk Education and Research Hospital,Izmir,Turkey.
Insights
Adults with atrial septal defects who had percutaneous closure reported quality of life scores similar to healthy individuals. This transcatheter atrial septal defect closure is an effective treatment for improving patient well-being.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Quality of Life Research
Background:
- Quality of life (QoL) is a critical outcome in congenital heart disease (CHD) management, alongside survival and morbidity.
- Atrial septal defect (ASD) is a prevalent CHD, with percutaneous closure as a standard treatment.
- Assessing QoL post-intervention is crucial for understanding treatment efficacy.
Purpose of the Study:
- To evaluate the quality of life in patients with atrial septal defect after percutaneous closure.
- To compare the QoL of these patients with a matched healthy control group.
Main Methods:
- A cohort of 69 patients with atrial septal defect who underwent percutaneous closure was studied.
- Quality of life was assessed using the Turkish version of the Short Form-36 (SF-36) questionnaire.
- A control group of 69 healthy individuals, matched for age, sex, education, and socioeconomic factors, was included.
Main Results:
- The study included patients with a mean age of 39.7 years (26% male).
- QoL assessments were conducted at a mean follow-up of 18 months post-procedure.
- No significant differences in SF-36 domain scores (physical functioning, role, social, mental health, vitality, pain, general health) were found between the patient and control groups.
Conclusions:
- Adults undergoing percutaneous atrial septal defect closure experience a quality of life comparable to healthy individuals.
- Percutaneous closure is an effective method for maintaining or restoring quality of life in adults with atrial septal defects.
Introduction:
Quality of life has become an important outcome measure in addition to mortality and morbidity in patients with congenital heart disease. Atrial septal defect is a common congenital heart disease, and transcatheter atrial septal defect closure has become an accepted treatment modality. The aim of this study is to assess the quality of life of patients with atrial septal defect who underwent percutaneous closure.
Materials And Methods:
We examined the quality of life of 69 patients with atrial septal defect and 69 healthy controls matched according to age, sex, educational level, and economic, marital, and employment status. Quality of life was investigated using the Turkish version of Short Form-36.
Results:
The mean age of the patients was 39.7 ± 14.2 and 26% were male. The quality of life assessment was performed at a mean follow-up time of 18.0 ± 13.8 months after the intervention. The mean scores of the domains of the Short Form-36, namely, physical functioning, role functioning, social functioning, mental health, vitality, pain, and general health, were similar in patients with atrial septal defect who underwent percutaneous closure and the control group.
Conclusion:
Adult patients who underwent percutaneous atrial septal defect closure perceive their quality of life to be as good as their healthy counterparts.

