Pulmonary arterial hypertension in congenital heart disease: Current perspectives and future challenges

George Giannakoulas1, Michael A Gatzoulis2

  • 1Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

Insights

Research on pulmonary arterial hypertension (PAH) in adults with congenital heart disease (ACHD) is increasingly collaborative. Education and specialized care in tertiary centers are vital for managing PAH in ACHD patients.

Area of Science:

  • Cardiology
  • Pulmonology
  • Genetics

Background:

  • Pulmonary arterial hypertension (PAH) in adults with congenital heart disease (ACHD) research is becoming globalized and collaborative.
  • Education on congenital heart disease (CHD) and its specific manifestation in PAH is crucial for healthcare professionals and patients.
  • ACHD patients with PAH require specialized care in tertiary centers utilizing a multidisciplinary approach.

Approach:

  • Implementing shared care models between expert tertiary centers and local services.
  • Fostering collaboration among CHD and PAH specialists, geneticists, and epidemiologists.
  • Integrating PAH-CHD patients into national and international registries for comprehensive genotypic and phenotypic data collection.

Key Points:

  • Globalized, inclusive, and collaborative research in PAH-ACHD.
  • Paramount importance of physician, administrator, and patient education on CHD and PAH.
  • Necessity of tertiary center follow-up and multidisciplinary care for ACHD patients with PAH.
  • Shared care models enhance collaboration between expert and local services.
  • Networking among specialists and inclusion in registries with detailed characterization are vital.

Conclusions:

  • Enhanced collaboration and education are key to advancing PAH-ACHD care.
  • Tertiary centers and shared care models improve patient outcomes.
  • Registry inclusion with detailed data is essential for understanding PAH-CHD.
  • A multidisciplinary and collaborative approach is fundamental for managing PAH in ACHD.

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