Department of Adult Congenital Heart Disease, Leeds General Infirmary, Leeds, UK.
Department of Cardiology, Doncaster Royal Infirmary, Doncaster, UK.
Br J Hosp Med (Lond). 2022 Jan 2;83(1):1-12. doi: 10.12968/hmed.2021.0302. Epub 2022 Jan 26.
There has been a dramatic improvement in mortality rates among children with congenital heart disease with advances in neonatal screening and surgical techniques, resulting in a significant increase in the prevalence of adults living with congenital heart disease. The most common simple lesions of congenital heart disease include atrial and ventricular septal defects, patent ductus arteriosus and coarctation of the aorta, which are typically detected and treated in childhood. However, they may also present in adulthood with non-specific symptoms or incidental findings, such as refractory hypertension. As the adult population of those living with congenital heart disease grows, it is imperative that all clinicians remain abreast of these common cardiac conditions, irrespective of their specialty, as patients may present with sequelae of their congenital heart disease or other non-cardiac conditions.
随着新生儿筛查和外科技术的进步,先天性心脏病患儿的死亡率有了显著改善,这导致患有先天性心脏病的成年人的患病率显著增加。先天性心脏病最常见的简单病变包括房间隔和室间隔缺损、动脉导管未闭和主动脉缩窄,这些病变通常在儿童期被发现并得到治疗。然而,它们也可能在成年期出现非特异性症状或偶然发现,如难治性高血压。随着患有先天性心脏病的成年人数量的增加,所有临床医生都必须了解这些常见的心脏疾病,无论其专业领域如何,因为患者可能会出现先天性心脏病的后遗症或其他非心脏疾病。