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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Burden of Heart Failure in Adults with Congenital Heart Disease
Laith I Alshawabkeh1,2, Alexander R Opotowsky3,4
1Department of Cardiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, 02115, MA, USA.
Insights
Adults with congenital heart disease (CHD) are surviving into adulthood due to medical advances. This review examines heart failure (HF) in adult CHD patients, highlighting unique challenges in diagnosis and care.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease (ACHD)
- Heart Failure (HF)
Background:
- Significant advancements in interventions have increased survival for children with congenital heart disease (CHD).
- A growing population of adults with CHD (ACHD) now requires specialized care.
- ACHD patients present unique physiological and clinical characteristics distinct from other adult cardiac populations.
Purpose of the Study:
- To review the relationship between ACHD and heart failure (HF).
- To examine the increasing prevalence of HF within the ACHD population.
- To highlight the specific challenges in defining and managing HF in ACHD patients.
Main Methods:
- Literature review focusing on ACHD and heart failure.
- Analysis of current understanding of HF pathophysiology in ACHD.
- Discussion of diagnostic and therapeutic considerations specific to ACHD.
Main Results:
- ACHD patients face a rising incidence of heart failure.
- Unique factors contribute to HF development and progression in ACHD.
- Standard HF definitions and management strategies may not fully apply to ACHD.
Conclusions:
- Heart failure is a significant and growing concern in the ACHD population.
- Specialized approaches are needed for the diagnosis and management of HF in ACHD.
- Further research is required to refine HF definitions and treatments for ACHD survivors.
Abstract:
Patients born with congenital heart disease (CHD) have benefited from remarkable advances in surgical and catheter-based interventions. As a result, the majority of children born with even the most complex forms of CHD live into adulthood. The specialized field of adult CHD (ACHD) was born out of the necessity to care for this new population of survivors of childhood CHD and their distinctive features. In this review, relevant aspects of ACHD that lead to, and are affected by, heart failure will be examined along with the increasing prevalence of HF in the burgeoning population of ACHD. We also highlight the challenges in defining HF in this particular group of patients.
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