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Heart Failure in Adult Congenital Heart Disease

Luke J Burchill1, Melissa G Y Lee2, Vidang P Nguyen3

  • 1Department of Cardiology, The Royal Melbourne Hospital, Grattan Street, Parkville, Melbourne, VIC 3050, Australia; Department of Medicine, The University of Melbourne, Melbourne, Australia.

Cardiology Clinics
|July 6, 2020
PubMed

Insights

Heart failure is a growing concern for adults with congenital heart disease, presenting significant challenges in diagnosis and treatment. This review highlights the need for standardized classification and advanced management strategies for this complex patient group.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease
  • Heart Failure

Background:

  • The population of adult congenital heart disease (ACHD) patients is increasing.
  • Heart failure (HF) is a major cause of morbidity and mortality in ACHD.
  • Current management of HF in ACHD faces significant challenges.

Purpose of the Study:

  • To review the challenges in determining the burden of HF in ACHD.
  • To discuss the management of HF in ACHD.
  • To highlight the need for a common language and advanced treatment strategies.

Main Methods:

  • Literature review focusing on HF in ACHD.
  • Analysis of challenges in classification, presentation, prognostication, and treatment.
  • Utilization of a case study to illustrate key concepts.

Main Results:

  • HF in ACHD is a complex and growing clinical problem.
  • Standardized classification and reporting of HF in ACHD are lacking.
  • Hemodynamic evaluation and advanced HF treatments require further investigation in ACHD.

Conclusions:

  • Addressing HF in ACHD requires a common language for classification and reporting.
  • Improved understanding of clinical presentation and prognostication is crucial.
  • Advanced therapies and hemodynamic evaluation are essential for optimal management of HF in ACHD.

Keywords:
Cardiac defectsCardiopulmonary exercise testingCongenital heart diseaseFontan procedureHeart failureRight ventricleTetralogy of FallotVentricular remodeling

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