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Updated: Dec 24, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Diagnosis and treatment of adults with congenital heart disease
1School of Public Health, University of South Florida, Tampa, FL 33612, USA.
Insights
Congenital heart disease (CHD) affects 50 million adults, increasing risks for other conditions and requiring greater healthcare. This paper reviews diagnosis and treatment for common adult CHD types.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease
- Public Health
Background:
- Approximately 50 million adults globally live with congenital heart disease (CHD).
- Common adult CHD types include atrial septal defects, ventricular septal defects, and tetralogy of Fallot.
- Adults with CHD face higher risks of hypertension, vascular disease, diabetes, and kidney disease.
Purpose of the Study:
- To discuss the diagnosis and treatment of common congenital heart defects in adults.
- To highlight the increased health risks and healthcare needs of adults with CHD.
Main Methods:
- Literature review of diagnostic and treatment modalities for adult CHD.
- Analysis of epidemiological data on CHD prevalence and associated comorbidities.
Main Results:
- Adults with CHD have a significantly higher prevalence of comorbidities compared to controls.
- By age 50, over 10% of adults with CHD experience cardiac dysrhythmias, and 4% face sudden death.
- Healthcare utilization is two to four times greater for adults with CHD.
Conclusions:
- Effective diagnosis and management are crucial for adults with CHD.
- Addressing comorbidities and long-term risks is essential for improving outcomes in adult CHD patients.
- Specialized lifelong care is necessary for the growing adult CHD population.
Abstract:
Approximately 50 million adults worldwide have known congenital heart disease (CHD). Among the most common types of CHD defects in adults are atrial septal defects and ventricular septal defects followed by complex congenital heart lesions such as tetralogy of Fallot. Adults with CHDs are more likely to have hypertension, cerebral vascular disease, diabetes and chronic kidney disease than age-matched controls without CHD. Moreover, by the age of 50, adults with CHD are at a greater than 10% risk of experiencing cardiac dysrhythmias and approximately 4% experience sudden death. Consequently, adults with CHD require healthcare that is two- to four-times greater than adults without CHD. This paper discusses the diagnosis and treatment of adults with atrial septal defects, ventricular septal defects and tetralogy of Fallot.
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