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Systemic hypertension in adults with congenital heart diseases

Jolanda Sabatino1,2, Martina Avesani1,2, Domenico Sirico1,2

  • 1Department of Women's and Children's Health, University of Padua, Padua, Italy.

International Journal of Cardiology. Congenital Heart Disease
|December 23, 2024
PubMed

Insights

Hypertension in adults with congenital heart disease (ACHD) is understudied. This review examines risk factors, consequences, and treatments for hypertension in ACHD patients to improve long-term outcomes.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease
  • Hypertension Research

Background:

  • Systemic hypertension (HTN) effects are well-documented in adults without congenital heart disease.
  • Limited data exists on HTN predisposing factors, prevalence, consequences, and treatment in adults with congenital heart disease (ACHD).

Purpose of the Study:

  • To investigate the risk factors, effects, and treatments of HTN in ACHD patients.
  • To highlight the need for meticulous follow-up and tailored strategies for HTN management in this population.

Main Methods:

  • This review synthesizes current literature on HTN in ACHD.
  • It explores underlying cardiac disease, surgical history, and metabolic syndrome as contributing factors.

Main Results:

  • Several mechanisms contribute to HTN in ACHD, including underlying cardiac conditions, post-surgical sequelae, and metabolic syndrome.
  • A significant knowledge gap exists regarding HTN in ACHD.

Conclusions:

  • HTN in ACHD requires dedicated investigation and management strategies.
  • Meticulous follow-up and individualized treatment are crucial for mitigating long-term HTN effects in ACHD patients.

Keywords:
Systemic hypertension-congenital heart disease-adults

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