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Implantation of Total Artificial Heart in Congenital Heart Disease
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Implantation of Total Artificial Heart in Congenital Heart Disease

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Congenital Heart Disease (CHD) in Seniors: a Retrospective Study Defining a Brand New Cohort

Krista Reich1, Aliza Moledina1, Emily Kwan2

  • 1Department of Medicine, University of Calgary, Calgary.

Canadian Geriatrics Journal : CGJ
|December 7, 2020
PubMed

Insights

Senior patients with adult congenital heart disease (ACHD) face significant medical burdens and hospitalizations due to acquired cardiac comorbidities. Understanding these characteristics is crucial for improving care in this growing population.

Area of Science:

  • Cardiology
  • Geriatrics
  • Public Health

Background:

  • Improved treatments are increasing lifespans for congenital heart disease (CHD) patients.
  • A growing population of older adults with adult congenital heart disease (ACHD) requires characterization.
  • Current understanding of health challenges in elderly ACHD patients is limited.

Purpose of the Study:

  • To characterize the health status and hospitalization patterns of senior patients with moderate to complex congenital heart disease (CHD).
  • To identify common comorbidities and reasons for hospital admission in this aging ACHD population.

Main Methods:

  • Retrospective chart review of patients aged 60 years and older with moderate to complex CHD.
  • Analysis of hospitalization data, including frequency, duration, and causes.
  • Identification of prevalent adult comorbidities.

Main Results:

  • Eighty-four patients aged 60+ with CHD were identified, with an average age of 67.9 years.
  • Arrhythmia, hypertension, and heart failure were the most common cardiac comorbidities and reasons for admission.
  • Hospitalization rate was 1.85 per 10 patient-years, with a median stay of 6.0 days.

Conclusions:

  • Aging ACHD patients are susceptible to acquired cardiac comorbidities, leading to increased hospitalizations.
  • This study offers insights into the disease characteristics of elderly CHD patients.
  • Further research is needed to fully understand this population and its links to geriatric syndromes.
Abstract

Keywords:
cognitive impairmentcongenital heart diseasehospitalizationseniors

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