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Managing heart failure in adults with congenital heart disease

Thomas D Ryan1, John L Jefferies, Ivan Wilmot

  • 1The Heart Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2003, Cincinnati, OH, 45229, USA, thomas.ryan@cchmc.org.

Current Treatment Options in Cardiovascular Medicine
|February 22, 2015
PubMed

Insights

Adults with congenital heart disease (CHD) face significant risks of myocardial dysfunction and heart failure (HF). Comprehensive care integrating CHD and HF expertise is crucial for this growing population.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease (ACHD)

Background:

  • The number of adults living with congenital heart disease (CHD) is increasing.
  • Advances allow ~90% of children with CHD to survive into adulthood, but they face late complications.
  • Myocardial dysfunction is the primary cause of morbidity and mortality in adults with CHD.

Purpose of the Study:

  • To highlight the challenges in managing the heterogeneous adult congenital heart disease (ACHD) population.
  • To recommend a comprehensive approach to heart failure (HF) care for ACHD patients.
  • To emphasize the need for research to improve treatment options for ACHD.

Main Methods:

  • This is an opinion statement, not a research study.
  • It reviews the current landscape of adult congenital heart disease (ACHD) and heart failure (HF).
  • It synthesizes expert opinion on management strategies.

Main Results:

  • The adult congenital heart disease (ACHD) population is diverse, with limited data on optimal treatments.
  • Myocardial dysfunction is a major concern, leading to significant morbidity and mortality.
  • A combined approach involving ACHD and HF specialists is recommended.

Conclusions:

  • A multidisciplinary approach integrating ACHD and heart failure (HF) care is essential.
  • Further research is needed to develop effective medical and surgical strategies for this population.
  • Improving outcomes for adults with congenital heart disease requires tailored and comprehensive management.
Abstract

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