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[成人先天性心脏病的急诊科管理。意大利儿科学会和先天性心脏病学会特别工作组]

[The management of adult congenital heart disease in the emergency department. The Task Force from the Italian Society of Pediatric Cardiology and Congenital Heart Disease].

作者信息

Barracano Rosaria, Palmieri Rosalinda, Chessa Massimo, Ferraris Laurenzia, Sarubbi Berardo, D'Alto Michele, Egidy Assenza Gabriele, Donti Andrea, Gagliardi Maria Giulia

机构信息

UO.S.D. Cardiologia del Congenito Adulto, Dipartimento di Cardiologia e Cardiochirurgia Pediatrica, Ospedale Pediatrico Bambino Gesù, IRCCS, Roma.

U.O. Cardiopatie Congenite dell'Adulto, IRCCS Policlinico San Donato, Milano.

出版信息

G Ital Cardiol (Rome). 2021 Feb;22(2):152-166. doi: 10.1714/3514.35031.

Abstract

Over recent years, thanks to remarkable advances in pediatric cardiology, cardiac surgery and catheter interventions, survival of children with congenital heart disease has significantly increased with the majority of patients surviving into adulthood. Therefore, the prevalence of adult patients with congenital heart disease has dramatically increased, as well as the need for specific and dedicated programs. Acute heart failure, infective endocarditis and arrhythmias represent the most common causes of visit in the emergency department in this population. Our task force aimed at guiding physicians taking care of this peculiar cohort of patients in the emergency department.

摘要

近年来,由于小儿心脏病学、心脏外科手术和导管介入技术取得了显著进展,先天性心脏病患儿的存活率显著提高,大多数患者存活至成年。因此,成年先天性心脏病患者的患病率急剧上升,对特定和专门项目的需求也随之增加。急性心力衰竭、感染性心内膜炎和心律失常是该人群急诊科就诊的最常见原因。我们的特别工作组旨在指导急诊科负责照料这一特殊患者群体的医生。

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