TY - JOUR
T1 - Common congenital heart problems in acute and intensive care
AU - Buber, Jonathan
AU - Valle, Christopher
AU - Valente, Anne Marie
N1 - Publisher Copyright:
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved.
PY - 2023/4/1
Y1 - 2023/4/1
N2 - Over the past five decades, there have been multiple advances in the treatment of congenital heart defects, resulting in an increasing population of adults living with congenital heart disease (CHD). Despite improved survival, CHD patients often have residual haemodynamic sequelae and limited physiologic reserve and are at increased risk for acute decompensation with occurrence of arrhythmias, heart failure, and other medical conditions. Comorbidities occur more frequently and at an earlier age in CHD patients than in the general population. The management of the critically ill CHD patient requires an understanding of the unique aspects of congenital cardiac physiology as well as the recognition of other organ systems that may be involved. Certain patients may be candidates for mechanical circulatory support, and goals of care should be established with advanced care planning.
AB - Over the past five decades, there have been multiple advances in the treatment of congenital heart defects, resulting in an increasing population of adults living with congenital heart disease (CHD). Despite improved survival, CHD patients often have residual haemodynamic sequelae and limited physiologic reserve and are at increased risk for acute decompensation with occurrence of arrhythmias, heart failure, and other medical conditions. Comorbidities occur more frequently and at an earlier age in CHD patients than in the general population. The management of the critically ill CHD patient requires an understanding of the unique aspects of congenital cardiac physiology as well as the recognition of other organ systems that may be involved. Certain patients may be candidates for mechanical circulatory support, and goals of care should be established with advanced care planning.
KW - Adult congenital heart disease
KW - Critical care
KW - Eisenmenger syndrome
KW - Fontan
KW - Intensive care
KW - Systemic right ventricle
UR - http://www.scopus.com/inward/record.url?scp=85164550515&partnerID=8YFLogxK
U2 - 10.1093/ehjacc/zuad030
DO - 10.1093/ehjacc/zuad030
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C2 - 36976026
AN - SCOPUS:85164550515
SN - 2048-8726
VL - 12
SP - 267
EP - 279
JO - European Heart Journal: Acute Cardiovascular Care
JF - European Heart Journal: Acute Cardiovascular Care
IS - 4
ER -