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Addressing Diastolic Dysfunction in the Congenital Heart Population
Ryan M Edwards1, Allison P Levin2, Richard A Krasuski2
1Department of Medicine, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, 27705, USA. ryan.m.edwards@duke.edu.
Current Cardiology Reports
|September 12, 2025
Summary
Diastolic dysfunction is common in congenital heart disease (CHD). Advanced imaging and tailored management are key for assessing and treating this growing population.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Diastology
Background:
- Diastolic dysfunction is increasingly recognized in the aging congenital heart disease (CHD) population.
- Prevalence varies across different congenital lesions.
Purpose of the Study:
- To review recent advances in evaluating diastolic dysfunction in CHD.
- To discuss management considerations for this unique patient group.
Main Methods:
- Review of current literature on diastolic dysfunction assessment in CHD.
- Discussion of traditional and emerging non-invasive imaging techniques.
- Analysis of management strategies tailored to individual lesions.
Main Results:
- Non-invasive assessment applicability differs based on specific CHD lesion.
- Echocardiography is suitable for systemic left ventricle lesions.
- Advanced techniques like 4D-flow cardiac MRI and late gadolinium enhancement are useful for complex lesions.
- Management includes surveillance, medication, lifestyle changes, and device therapy.
Conclusions:
- Diastolic dysfunction is a significant concern in the expanding CHD population.
- Individualized assessment and management are crucial.
- Further research into lesion-specific mechanisms is needed for optimal intervention.
Keywords:
Congenital Heart DiseaseDiastolic DysfunctionEchocardiographyHeart FailureSingle VentricleTetralogy of FallotMore Related Videos
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