Vol 14, No 2 (2007)
Review Article
Submitted: 2013-01-14
Published online: 2007-03-08
Heart failure in the adult patient with congenital heart disease
Olga Trojnarska
DOI: 10.5603/cj.21718
·
Cardiol J 2007;14(2):127-136.
Vol 14, No 2 (2007)
Review articles
Submitted: 2013-01-14
Published online: 2007-03-08
Abstract
Adults with congenital heart disease are an anatomically heterogeneous group and account for
a small percentage of cardiological patients. The underlying causes of haemodynamic
derangements in these patients may be either left or right ventricular dysfunction. Pulmonary
hypertension is of no less importance. For this reason it is currently impossible to formulate
a definition of heart failure in this population. There have been numerous efforts aimed at
establishing the role of particular chambers of the heart in heart dysfunction. However, it
seems more feasible to focus on systemic neurohormonal stimulation and in the future on the
genetic factors responsible for decreased heart performance. Lack of guidelines for heart failure
treatment in this subpopulation of patients is a logical consequence of the current level of
knowledge. Further research is necessary in order to confirm the efficacy of the pharmacological
agents currently recommended in the general population of heart failure patients.
(Cardiol J 2007; 14: 127-136)
Abstract
Adults with congenital heart disease are an anatomically heterogeneous group and account for
a small percentage of cardiological patients. The underlying causes of haemodynamic
derangements in these patients may be either left or right ventricular dysfunction. Pulmonary
hypertension is of no less importance. For this reason it is currently impossible to formulate
a definition of heart failure in this population. There have been numerous efforts aimed at
establishing the role of particular chambers of the heart in heart dysfunction. However, it
seems more feasible to focus on systemic neurohormonal stimulation and in the future on the
genetic factors responsible for decreased heart performance. Lack of guidelines for heart failure
treatment in this subpopulation of patients is a logical consequence of the current level of
knowledge. Further research is necessary in order to confirm the efficacy of the pharmacological
agents currently recommended in the general population of heart failure patients.
(Cardiol J 2007; 14: 127-136)
Keywords
heart failure; adult patients with congenital heart disease
Title
Heart failure in the adult patient with congenital heart disease
Journal
Cardiology Journal
Issue
Vol 14, No 2 (2007)
Article type
Review Article
Pages
127-136
Published online
2007-03-08
Page views
521
Article views/downloads
1064
DOI
10.5603/cj.21718
Bibliographic record
Cardiol J 2007;14(2):127-136.
Keywords
heart failure
adult patients with congenital heart disease
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