McGill Adult Unit for Congenital Heart Disease Excellence, McGill University, Montreal, Quebec.
Can J Cardiol. 2010 Mar;26(3):e65-9. doi: 10.1016/s0828-282x(10)70353-6.
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. Since the 2001 Canadian Cardiovascular Society consensus conference report on the management of adults with CHD, there have been significant advances 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 introductory section is a summary of the epidemiology and scope of adult CHD in Canada, the structure of the Canadian health care system and adult congenital cardiac health services in Canada. The recommendations for antibiotic prophylaxis and genetic evaluation in this population are included. The complete document consists of four manuscripts, which are published online in the present issue of The Canadian Journal of Cardiology, including sections on genetics, outcomes, diagnostic workups, surgical and interventional options, treatment of arrhythmias, assessment of pregnancy and contraception risks, and follow-up recommendations. The complete document and references can also be found at www.ccs.ca or www.cachnet.org.
随着儿科心脏病学和心脏外科学的进步，先天性心脏病 (CHD) 成人患者的数量有所增加。在当前时代，患有 CHD 的成年人比儿童多。这一人群有许多独特的问题和需求。自 2001 年加拿大心血管学会关于成人 CHD 管理的共识会议报告以来，成人 CHD 领域取得了重大进展。因此，加拿大成人 CHD 医生与该领域的国际专家小组合作编写了新的临床指南。本介绍性部分概述了加拿大成人 CHD 的流行病学和范围、加拿大医疗保健系统的结构以及加拿大成人先天性心脏保健服务。本指南还包括了针对该人群的抗生素预防和基因评估建议。完整文件由四篇论文组成，发表在本期《加拿大心脏病学杂志》的网络版上，包括遗传学、结局、诊断评估、手术和介入选择、心律失常治疗、妊娠和避孕风险评估以及随访建议等部分。完整文件和参考文献也可以在 www.ccs.ca 或 www.cachnet.org 上找到。
