Quality outcomes of ACHD patients undergoing cardiovascular procedures and hospital admissions in a free-standing children's hospital

Crumb, Stephen R.; Cook, Stephen C.; Cheatham, John P.; Galantowicz, Mark; Feltes, Timothy F.; Phillips, Alistair; Chan, David P.; Holzer, Ralf; Sisk, Matt; Olshove, Vince; Cook, Lindsey R.; Hickey, Jenne; Hill, Sharon L.; Daniels, Curt J.

doi:10.1016/j.ijcard.2009.07.007

Cited by 25 publications

(17 citation statements)

References 18 publications

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“…10,11) Chinese studies performed by Li, et al 12) confirmed that the incidence of anxiety in young and middle-aged CHD patients who underwent percutaneous coronary intervention (PCI) was higher than that of senior patients, which is supported by other studies. [13][14][15] They stated that it might be because young and middle-aged patients are more likely to worry about the effects of stent implantation on their work and social life. These studies also found that the incidence of depression among young and middle-aged people was slightly higher than among the older people, although no statistically significant difference was observed.…”

Section: Discussionmentioning

confidence: 99%

Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease

Zhang²,

Shulin

et al. 2016

Int. Heart J.

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SummaryCognitive behavioral therapy (CBT), established only a few decades ago, is widely used by clinical psychologists. This study aimed to investigate the effects of CBT on mental status and quality of life (QOL) after percutaneous coronary intervention (PCI) in young and middle-aged patients with coronary heart disease (CHD). Seventy-five anxiety/depression patients (mean age, 52.2 ± 6.2 years, including 8 individuals < 45 years old) with CHD treated with PCI were randomly divided into a CBT group (n = 38) and control group (n = 37). The CBT group received 8 weeks of CBT in addition to the routine postoperative treatment that was also administered to control patients. The 17-item Hamilton Depression Rating Scale (HAM-D17), Hamilton anxiety scale (HAM-A), and Coronary Revascularization Outcome Questionnaire (CROQ-PTCA-POST, Chinese version) were administered before, 3 days, and 8 weeks after intervention. HAM-D17 and HAM-A scores were decreased after treatment, but were more substantially reduced in patients that underwent CBT than those in the control group (11.7 ± 4.5 versus 15.1 ± 3.9, P = 0.001 and 10.6 ± 3.4 versus 16.5 ± 4.6, P = 0.003, respectively). QOL was improved in both groups, but overall satisfaction was higher in the CBT group compared with control patients (89.3 ± 5.2 versus 77.8 ± 9.5, P < 0.05). CBT can relieve depression and anxiety after PCI in young and middle-aged patients with CHD. CBT can improve patient QOL. (Int Heart J 2016; 57: 167-172) Key words: Cognitive behavioral therapy, Percutaneous stent implantation, Anxiety, Depression C oronary heart disease (CHD) is one of the leading causes of death worldwide. The China Cardiovascular Disease report published in 2010 stated that the incidence of CHD in China continues to increase, and that the age at onset is decreasing.1) The relationship between CHD and a change toward a negative mental status has attracted more and more attention, particularly the clinical studies of therapeutic intervention with regards to psychological and social factors of CHD.2-4) Authors agree that many patients with CHD have persistent symptoms of depression and anxiety, 5,6) which significantly influence their quality of life (QOL) and prognosis, often leading to a vicious cycle. 7) However, whether the presence of depressive symptoms is due to depression after CHD or originates from the CHD itself is controversial. 8,9) Nevertheless, there is an association between depressive symptoms and post-CHD mortality. 10,11) Chinese studies performed by Li, et al 12) confirmed that the incidence of anxiety in young and middle-aged CHD patients who underwent percutaneous coronary intervention (PCI) was higher than that of senior patients, which is supported by other studies. [13][14][15] They stated that it might be because young and middle-aged patients are more likely to worry about the effects of stent implantation on their work and social life. These studies also found that the incidence of depression among young and middle-aged people was slightly higher than ...

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Section: Discussionmentioning

confidence: 99%

Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease

Zhang²,

Shulin

et al. 2016

Int. Heart J.

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“…The scope of ACHD transplantation Current estimates suggest that nearly 90% of children with repaired congenital heart disease survive into adulthood (8).…”

Section: Introductionmentioning

confidence: 99%

Overview of adult congenital heart transplants

Bryant¹,

Morales²

2018

Ann. Cardiothorac. Surg.

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Transplantation for adult patients with congenital heart disease (ACHD) is a growing clinical endeavor in the transplant community. Understanding the results and defining potential high-risk patient subsets will allow optimization of patient outcomes. This review summarizes the scope of ACHD transplantation, the mechanisms of late ventricular dysfunction, the ACHD population at risk of developing heart failure, ranges between 14% and 39%. The majority of early mortality occurs in ACHD patients with univentricular congenital heart disease. However, there has been improvement in operative survival in more contemporary studies. In conclusion, the experience with cardiac transplantation for ACHD patients with end-stage heart failure is growing, and high-risk patient subsets have been defined. Significant strides have been made in developing evidence-based guidelines of indications for transplant, and the intraoperative management of complex reconstruction has evolved. With proper patient selection, more aggressive use of mechanical circulatory support, and earlier referral of patients with failing Fontan physiology, outcomes should continue to improve.

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“…3,4 Currently, it is expected that up to 90% of children with CHD will attain adulthood, an increase from prior eras. 5 Persistent abnormalities in valvular and ventricular function coupled with residual shunts, anatomic lesions, and arrhythmia burden, place CHD patients at risk of complications including heart failure. 6 Single centre studies are characterized by small cohort sizes and registry studies have incomplete data.…”

Section: Introductionmentioning

confidence: 99%

Outcomes in adult congenital heart disease patients undergoing heart transplantation: A systematic review and meta-analysis

Doumouras

Alba

Foroutan

et al. 2016

The Journal of Heart and Lung Transplantation

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Quality outcomes of ACHD patients undergoing cardiovascular procedures and hospital admissions in a free-standing children's hospital

Cited by 25 publications

References 18 publications

Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease

Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease

Overview of adult congenital heart transplants

Outcomes in adult congenital heart disease patients undergoing heart transplantation: A systematic review and meta-analysis

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