Management of adults with congenital heart disease.

Hunter, Steve

doi:10.1136/hrt.78.1.15

Cited by 5 publications

(6 citation statements)

References 1 publication

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“…Not all paediatric patients with congenital heart disease require specialised follow up in adulthood but most do 10. Our view, and the view of others,1 5 6 9 10 is that with the exemption of “benign” lesions—like mild pulmonary valve stenosis and postoperative atrial and ventricular septal defects—most patients with congenital heart disease would benefit from specialised follow up throughout their lives. The level of such supervision of course varies and depends by and large on the type of lesion 10…”

Section: Discussionmentioning

confidence: 84%

“…This increase reflects primarily the growing numbers of patients with congenital heart disease who, having survived early surgery, enter adulthood 9. Improved awareness of this expanding field within the profession has played an additional role.…”

Section: Discussionmentioning

confidence: 99%

“…More community based physicians, for example, referred their patients to our clinic in 1997 than 10 years before. A direct line of communication between potential referral sources and the specialised centre, coordination with clear follow up plans, and unrestricted access to the specialised facilities are all essential for the success of such services 9. Patients on the other hand find it reassuring to be followed up periodically in centres with concentrated expertise, where not only their medical needs are met, but also advice on important issues such as contraception,12pregnancy,13-15 employment, and insurability16 is available.…”

Section: Discussionmentioning

confidence: 99%

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Outpatient clinics for adults with congenital heart disease: increasing workload and evolving patterns of referral

Hechter¹,

Siu²,

Webb³

1999

Heart

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Objective-To examine the evolving role of specialised outpatient services for adult patients with congenital heart disease. Results-In all, 570 patients were seen at the clinic during these three periods. There was a 44% and a 269% increase in workload between 1987 to 1992 and 1992 to 1997, respectively. There was a steady fall in mean age of patients seen at the clinic with time (38.5, 33.6, and 31.7 years in 1987, 1992, and 1997, respectively, p < 0.001). New referrals from community cardiologists and family physicians increased more in relative terms than did referrals from the Hospital for Sick Children, Toronto (6.7%, 15%, and 37.5%, p = 0.02). There was a steady increase in patients with previous reparative surgery (48.9%, 59.2%, and 69.2%, p < 0.002). The proportion of patients with previous reoperations also increased (2.3%, 10%, and 9.2%, p < 0.01). Echocardiography remained the predominant method of diagnosis. The diagnostic mix did not change with time. Conclusions-Over the past 10 years there has been a large increase in adults with congenital heart disease requiring and seeking specialised care in a tertiary health centre, with a concomitant evolution of referral patterns. These data may be helpful in planning of similar paediatric and adult cardiac services for this expanding population.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outpatient clinics for adults with congenital heart disease: increasing workload and evolving patterns of referral

Hechter¹,

Siu²,

Webb³

1999

Heart

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“…An interesting aspect to be discussed is the creation of an outpatient clinic for patients over 15 years with congenital heart disease. Tertiary centers all over the world are offering this service for this specific population [11][12][13][14] due to the need for specialized orientation. In conclusion, we believe that we have presented information that could provide a better rationale for assistance in pediatric cardiology outpatient clinics.…”

Section: Discussionmentioning

confidence: 99%

Perfil ambulatorial em cardiologia pediátrica na cidade de Ribeirão Preto, SP

Amaral¹,

Granzotti²,

Dantas³

et al. 2005

Arq. Bras. Cardiol.

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“…8 000 Neugeborenen mit angeborenen Herzfehlern das Erwachsenenalter und berichten eine gute Lebensqualität, obwohl meist eine erhöhte Morbidität und Mortalität sowie Belastungslimitierungen bestehen [35,49,62]. Betroffene Patientinnen äußern insbesondere in den letzten Jahren vermehrt Kinderwunsch [49].…”

Section: Angeborene Herzfehlerunclassified

Angeborene Herzfehler und erworbene Herzklappenfehler in der Schwangerschaft

Horstkotte¹,

Fassbender²,

Piper³

2003

Herz

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With respect to anticoagulation during pregnancy, there is an ongoing debate about the potential risk and benefit of phenprocoumon, standard heparins, and low molecular heparins. Withdrawal of any anticoagulation results in the most favorable fetal outcome, oral anticoagulation throughout pregnancy in the best prognosis for the mother. An individual approach by an experienced center taking all therapeutic options into account is probably the best strategy.

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Management of adults with congenital heart disease.

Cited by 5 publications

References 1 publication

Outpatient clinics for adults with congenital heart disease: increasing workload and evolving patterns of referral

Outpatient clinics for adults with congenital heart disease: increasing workload and evolving patterns of referral

Perfil ambulatorial em cardiologia pediátrica na cidade de Ribeirão Preto, SP

Angeborene Herzfehler und erworbene Herzklappenfehler in der Schwangerschaft

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