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Canadian Cardiovascular Society 2009 Consensus Conference on the management of adults with congenital heart disease: Executive summary

Authors :
Silversides, Candice K.
Marelli, Ariane
Beauchesne, Luc
Dore, Annie
Kiess, Marla
Salehian, Omid
Bradley, Timothy
Colman, Jack
Connelly, Michael
Harris, Louise
Khairy, Paul
Mital, Seema
Niwa, Koichiro
Oechslin, Erwin
Poirier, Nancy
Schwerzmann, Markus
Taylor, Dylan
Vonder Muhll, Isabelle
Baumgartner, Helmut
Benson, Lee
Celermajer, David
Greutmann, Matthias
Horlick, Eric
Landzberg, Mike
Meijboom, Folkert
Mulder, Barbara
Warnes, Carole
Webb, Gary
Therrien, Judith
Source :
Canadian Journal of Cardiology; March 2010, Vol. 26 Issue: 3 p143-150, 8p
Publication Year :
2010

Abstract

With advances in pediatric cardiology and cardiac surgery, the population of adults with congenital heart disease (CHD) has increased. In the current era, there are more adults with CHD than children. This population has many unique issues and needs. They have distinctive forms of heart failure, and their cardiac disease can be associated with pulmonary hypertension, thromboemboli, complex arrhythmias and sudden death. Medical aspects that need to be considered relate to the long-term and multisystemic effects of single-ventricle physiology, cyanosis, systemic right ventricles, complex intracardiac baffles and failing subpulmonary right ventricles. Since the 2001 Canadian Cardiovascular Society Consensus Conference report on the management of adults with CHD, there have been significant advances in the understanding of the late outcomes, genetics, medical therapy and interventional approaches in the field of adult CHD. Therefore, new clinical guidelines have been written by Canadian adult CHD physicians in collaboration with an international panel of experts in the field. The present executive summary is a brief overview of the new guidelines and includes the recommendations for interventions. The complete document consists of four manuscripts that are published online in the present issue of The Canadian Journal of Cardiology, including sections on genetics, clinical outcomes, recommended diagnostic workup, surgical and interventional options, treatment of arrhythmias, assessment of pregnancy and contraception risks, and follow- up requirements. The complete document and references can also be found at www.ccs.caor www.cachnet.org.

Details

Language :
English
ISSN :
0828282X
Volume :
26
Issue :
3
Database :
Supplemental Index
Journal :
Canadian Journal of Cardiology
Publication Type :
Periodical
Accession number :
ejs24736251
Full Text :
https://doi.org/10.1016/S0828-282X(10)70352-4