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KMID : 1161220230660080332
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Clinical and Experimental Pediatrics
2023 Volume.66 No. 8 p.332 ~ p.338
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Environmental changes surrounding congenital heart disease
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Choi Eun-Young
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Abstract
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As the outcomes of patients with congenital heart disease(CHD) improve, the number of patients is accumulating andthe proportion of adult CHD patients is gradually increasing.
Accordingly, the proportion of typical adult diseases such ascoronary arterial disease, diabetes, dyslipidemia, and hypertension among patients with CHD is increasing, as is the medicalburden due to residual cardiac problems, heart failure, andarrhythmias. Due to increasing genetic knowledge, efforts arebeing made to provide active medical support through riskstratification. Surgical techniques and prostheses are also developing, the instruments used for transcatheter interventionare diversifying, and the range of therapeutic options is expanding. In addition, owing to the development of electronicdevices, heart rhythm and blood pressure monitoring instruments have been miniaturized and diversified. In this process,a vast amount of information is collected; therefore, the currentsystematic review examined their clinical usefulness. A teamapproach consisting of experts from various fields is essentialfor the treatment of patients with CHD and advanced heartfailure.
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KEYWORD
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Congenital heart disease, Adult congenital heart disease, Heart failure, Arrhythmia, Medical burden
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