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Cardiovascular Prevention Among Young Adults with Congenital Heart Disease

Matthew R Lippmann1, Ami B Bhatt2

  • 1Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA, USA. mlippmann@bwh.harvard.edu.

Current Atherosclerosis Reports
|May 2, 2022
PubMed

Insights

Adults with congenital heart disease (ACHD) face high risks of atherosclerotic cardiovascular disease (ASCVD). This review highlights recent findings on primary ASCVD prevention strategies for young ACHD patients.

Area of Science:

  • Cardiology
  • Public Health

Background:

  • Over a million adults in the USA live with congenital heart disease (CHD).
  • Improved CHD management has increased the adult congenital heart disease (ACHD) population.
  • The aging ACHD population has a high prevalence of atherosclerotic cardiovascular disease (ASCVD).

Purpose of the Study:

  • To review recent literature on primary prevention of ASCVD in young ACHD patients.
  • To address unique considerations for ASCVD risk reduction in ACHD patients.

Main Methods:

  • Literature review focusing on recent publications.
  • Analysis of ASCVD prevalence and prevention strategies in ACHD.

Main Results:

  • ASCVD prevalence in ACHD patients may be comparable to the general population.
  • Primary prevention of ASCVD is underutilized in ACHD patients.
  • Lifetime cardiology follow-up allows for effective primary prevention.

Conclusions:

  • There is a critical need to implement ASCVD primary prevention in young ACHD patients.
  • Addressing perceived shorter life expectancy is key to prioritizing ASCVD prevention.
  • Cardiologists can play a vital role in lifelong ASCVD risk reduction for ACHD patients.
Abstract

Keywords:
Adult congenital heart diseaseAtherosclerotic cardiovascular diseaseCongenital heart diseaseCoronary artery diseaseMyocardial infarctionSystemic hypertension

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