Cochair Adult Congenital Heart Disease Council in Inter American Society of Cardiology, Departament Pediatric and Adult Congenital Heart Disease, Somer Incare Cardiovascular Center Rionegro, Colombia, Cardiologist Echocardilogist in Pediatric and Adult Congenital Heart Disease.
Curr Probl Cardiol. 2021 Mar;46(3):100762. doi: 10.1016/j.cpcardiol.2020.100762. Epub 2020 Dec 11.
Functional classification of children and adults with repaired and unrepaired congenital heart disease is a challenge for clinicians, due to the heterogeneity of congenital heart disease. Functional studies may be complemented with a stress echocardiogram, which analyzes the hemodynamic behavior of surgical repair zones, residuals, and sequelae. The integration of the anatomical and functional classification criteria developed for congenital heart disease and the results of a stress echocardiogram can establish a more precise functional classification. Stress echocardiograms also provide early diagnosis of functional complications of the congenital heart, allowing timely management decisions. This paper reviews the most important aspects of stress echocardiograms in pediatric and adult congenital heart disease, seeking to spark cardiologists' interest in extending its applications in congenital heart disease.
先天性心脏病患儿和成人的功能分类对临床医生来说是一个挑战，因为先天性心脏病具有异质性。功能研究可以辅以负荷超声心动图，分析手术修复区域、残余和后遗症的血液动力学行为。将为先天性心脏病制定的解剖和功能分类标准与负荷超声心动图的结果相结合，可以建立更精确的功能分类。负荷超声心动图还可以早期诊断先天性心脏病的功能并发症，从而做出及时的治疗决策。本文回顾了负荷超声心动图在儿科和成人先天性心脏病中的最重要方面，旨在激发心脏病专家对其在先天性心脏病中的应用的兴趣。
