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Congenital Heart Disease in Adults

Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Congenital defects involve the walls of the heart, its valves, arteries, and/or veins potentially or actually resulting in hemodynamic effects.

  • ~40 different types

  • Stratification: cyan...

DIAGNOSIS

HISTORY

  • Usually diagnosed prior to adulthood

  • Historical findings: fatigue, dizziness, near-syncope, headaches, cyanosis, exercise intolerance with dyspnea

PHYSICAL EXAM

  • Varies with ACHD etiology

  • ...

TREATMENT

GENERAL MEASURES

  • Refer to ACHD physician and ACHD regional center for cardiac management (1),(2),(3),(4),(5)[C].

  • Contact ACHD center or physician if patient is admitted for reasons non–cardiac...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • 12 to 24 months if moderate to severe (2),(5)[C]

  • ACHD center with multidisciplinary team including interventional and noninterventional cardiology, EP, cardiac sur...

REFERENCES

1
Webb G, Williams R. 32nd Bethesda conference: “care of the adult with congenital heart disease.” J Am Coll Cardiol.  2001;37(5):1162–1165. [View Abstract on OvidMedline]
2
Warnes CA, Wi...

CODES

ICD10

  • Q24.9 Congenital malformation of heart, unspecified

  • Q24.8 Other specified congenital malformations of heart

  • Q21.3 Tetralogy of Fallot

  • Q23.1 Congenital insufficiency of aortic valve

  • Q21.0 Ventri...

CLINICAL PEARLS

  • Prompt referral and consult to ACHD facility if cardiac admission and/or surgery is warranted.

  • Monitor for ES and severe PAH.

  • 2D/3D Doppler TTE is the first-line imaging modality in all ...

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