Hospital das Clínicas, Ribeirão Preto, SP, Brasil.
Arq Bras Cardiol. 2010 Jun;94(6):707-13. doi: 10.1590/s0066-782x2010005000053. Epub 2010 May 21.
Service experiences for adults with congenital heart disease have not been reported in our country.
To describe the basic clinical profile of adults with congenital heart disease in an outpatient tertiary care center.
We compiled data on age, gender, place of residence, primary diagnosis, and secondary diagnoses of 413 patients treated for seven years.
G1 (untreated): 195 patients, 51% women, 57% between 14 and 30 years, 80% living in the region. The most frequent heart diseases were ventricular septal defect (VSD) (31%), atrial septal defect (ASD) (29%), and pulmonary stenosis (7%). The predominant secondary diagnoses were hypertension (9%) and arrhythmias (5%). G2 (treated): 218 patients, 56% women, 57% between 14 and 30 years, 81% living in the region. The most frequently treated heart diseases were: ASD (36%), tetralogy of Fallot (14%), coarctation of the aorta (12%), and VSD (11%). Sixty-nine (32%) patients were operated on for congenital heart diseases in adulthood. Sixteen (7%) underwent an interventional catheterization. The predominant secondary diagnoses were hypertension (18%) and arrhythmias (8%).
In the study, most patients were treated invasively, all of them were residents in the region, and most of them were under 40 years of age. Defects such as ASD, VSD, and pulmonary stenosis predominated in the untreated group, whereas in the treated group, most patients had undergone surgical correction of ASD, tetralogy of Fallot, aortic coarctation, and VSD. Hypertension and arrhythmias were relevant in both groups, and a large variety of other comorbidities were also observed.
我国尚未报道成人先天性心脏病的服务体验。
描述三级保健门诊成人先天性心脏病患者的基本临床特征。
我们整理了 7 年间收治的 413 例患者的年龄、性别、居住地、主要诊断和次要诊断数据。
G1（未经治疗）：195 例患者，女性占 51%，14 至 30 岁者占 57%，80%居住在本地区。最常见的心脏病是室间隔缺损（VSD）（31%）、房间隔缺损（ASD）（29%）和肺动脉瓣狭窄（7%）。主要的次要诊断是高血压（9%）和心律失常（5%）。G2（已治疗）：218 例患者，女性占 56%，14 至 30 岁者占 57%，81%居住在本地区。最常治疗的心脏病是：ASD（36%）、法洛四联症（14%）、主动脉瓣缩窄（12%）和 VSD（11%）。69 例（32%）患者在成年期因先天性心脏病接受手术。16 例（7%）接受了介入导管治疗。主要的次要诊断是高血压（18%）和心律失常（8%）。
在这项研究中，大多数患者接受了有创治疗，所有患者均为本地区居民，且大多数患者年龄在 40 岁以下。未治疗组中 ASD、VSD 和肺动脉瓣狭窄等缺陷较为常见，而治疗组中大多数患者接受了 ASD、法洛四联症、主动脉瓣缩窄和 VSD 的手术矫正。高血压和心律失常在两组中均较为常见，还观察到大量其他合并症。
