scholarly journals Heart failure related to adult congenital heart disease: prevalence, outcome and risk factors

2021 ◽  
Author(s):  
Stijn Arnaert ◽  
Pieter De Meester ◽  
Els Troost ◽  
Walter Droogne ◽  
Lucas Van Aelst ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Disease Prevalence ◽  
Adult Congenital

scholarly journals Depression requiring anti-depressant drug therapy in adult congenital heart disease: prevalence, risk factors, and prognostic value

2015 ◽  
Vol 37 (9) ◽  
pp. 771-782 ◽  
Author(s):  
Gerhard-Paul Diller ◽  
Andrea Bräutigam ◽  
Aleksander Kempny ◽  
Anselm Uebing ◽  
Rafael Alonso-Gonzalez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Drug Therapy ◽  
Prognostic Value ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Disease Prevalence ◽  
Adult Congenital ◽  
Depressant Drug

Abstract 19314: Impact of Body Mass Index on Clinical Outcomes in Complex Adult Congenital Heart Disease

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Norihisa Toh ◽  
Ines Uribe Morales ◽  
Zakariya Albinmousa ◽  
Tariq Saifullah ◽  
Rachael Hatton ◽  
...  
Keyword(s):  
Heart Failure ◽  
Body Mass Index ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Cardiac Events ◽  
Increased Risk ◽  
Adult Congenital

Background: Obesity can adversely affect most organ systems and increases the risk of comorbidities likely to be of consequence for patients with complex adult congenital heart disease (ACHD). Conversely, several studies have demonstrated that low body mass index (BMI) is a risk factor for heart failure and adverse outcomes after cardiac surgery. However, there are currently no data regarding the impact of BMI in ACHD. Methods: We examined the charts of 87 randomly selected, complex ACHD patients whose first visit to our institution was at 18-22 years old. Patients were categorized according to BMI at initial visit: underweight (BMI < 18.5 kg/m 2 ), normal (BMI 18.5 - 24.9 kg/m 2 ), overweight/obese (BMI ≥ 25 kg/m 2 ). Events occurring during follow-up were recorded. Data was censured on 1/1/2014. Cardiac events were defined as a composite of cardiac death, heart transplantation or admission for heart failure. Results: The cohort included patients with the following diagnoses: tetralogy of Fallot n=31, Mustard n=28, Fontan n=17, ccTGA n=9 and aortic coarctation n=2. The median (IQR) duration of follow-up was 8.7 (4.2 - 1.8) years. See table for distribution and outcomes by BMI category. Cardiac events occurred in 17/87 patients. After adjustment for age, sex, and underlying disease, the underweight group had increased risk of cardiac events (HR=12.9, 95% CI: 2.8-61.5, p < 0.05). Kaplan-Meier curves demonstrate the poorer prognosis of underweight patients (Figure). Conclusions: Underweight was associated with increased risk of late cardiac events in ACHD patients. We were unable to demonstrate significant overweight/obesity impact.

Abstract 240: Hypertension Prevalence and Management Among Adult Congenital Heart Disease Patients

Hypertension ◽  
2014 ◽  
Vol 64 (suppl_1) ◽  
Author(s):  
Joshua R Thomas ◽  
Ricky T Munoz ◽  
Mark D Fox ◽  
Angela T Yetman
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Hypertension Prevalence ◽  
Significant Difference ◽  
Adult Congenital ◽  
The Mean

Background: Cardiovascular risk factors (CRFs) are poorly defined among the population of adults with congenital heart disease. In particular, the prevalence of pre-hypertension (pre-HTN) and hypertension (HTN) are currently unknown. Objective: To determine the prevalence of pre-HTN and HTN among adults with congenital heart disease; and to assess HTN control rates among different clinic types. Methods: A retrospective analysis of a cohort of adults with congenital heart disease (CHD) was conducted. Data regarding CHD patients' blood pressure (BP), medications, and provider specialty were analyzed. Results: The cohort consisted of 971 patients. The mean age was 30.4 years (SD = 10.4), with 51% male. Thirty-two percent had HTN (n = 304). There was no statistically significant difference in the prevalence of Pre-HTN and HTN by clinic type (i.e. specialty vs. non-specialty)( p = .225, p= .633 respectively). However, a statistically significant association exists between clinic type and HTN control rates χ 2 (1) = 3.185, p = .07 (Table 1). Those receiving care from a specialty clinic are 1.6 times more likely to have controlled HTN. Conclusions: Pre-HTN and HTN are common among adults with congenital heart disease. These CRFs are better managed in specialty clinics devoted to this population.

scholarly journals Heart Failure in Adult Congenital Heart Disease: From Advanced Therapies to End-of-Life Care

2019 ◽  
Vol 35 (12) ◽  
pp. 1723-1739 ◽  
Author(s):  
David S. Crossland ◽  
Alexander Van De Bruaene ◽  
Candice K. Silversides ◽  
Edward J. Hickey ◽  
S. Lucy Roche
Keyword(s):  
Heart Failure ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
End Of Life ◽  
End Of Life Care ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Life Care ◽  
Advanced Therapies ◽  
Adult Congenital

Heart failure in adult congenital heart disease: Emerging concepts with a focus on tetralogy of Fallot

2015 ◽  
Vol 25 (5) ◽  
pp. 422-432 ◽  
Author(s):  
Rachel M. Wald ◽  
Anne Marie Valente ◽  
Ariane Marelli
Keyword(s):  
Heart Failure ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Adult Congenital

Heart Failure in Adult Congenital Heart Disease

2014 ◽  
Vol 16 (9) ◽  
Author(s):  
Ada Stefanescu ◽  
Doreen DeFaria Yeh ◽  
David M. Dudzinski
Keyword(s):  
Heart Failure ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Adult Congenital

Heart failure in adult congenital heart disease: How big is the problem?

2014 ◽  
Vol 38 (1-2) ◽  
pp. 9-15
Author(s):  
Jouke P. Bokma ◽  
Michiel M. Winter ◽  
Berto J. Bouma ◽  
Barbara J.M. Mulder
Keyword(s):  
Heart Failure ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Adult Congenital
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